Accounts Receivable Lead - Digitech - Remote

Sarnova

1d•Remote

About The Position

The A/R Management Lead is responsible for supporting all revenue cycle functions related to outstanding insurance accounts receivable, insurance denials, and appeals. This includes following up on insurance and patient billing to ensure prompt and accurate payment to the client or provider for all monies owed. The A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues.

Requirements

High School Diploma or equivalent required
Minimum 3–5 years of experience in healthcare claims processing, billing, or accounts receivable
Obtain ambulance biller certification within 6 months of employment
Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and payer timely filing limits
Familiarity with ICD-10, HCPCS, and general medical terminology
Proficiency with various web platforms, such as billing software and payer portals
Prior customer service experience with the ability to work collaboratively with other departments or team members
Excellent computer skills, including Microsoft Word, Excel, and Outlook
Strong verbal and written communication skills
Excellent interpersonal, organizational, and time management skills
Strong problem-solving skills and investigative abilities
Ability to work in a fast-paced, adaptive environment with minimal supervision
Effective critical thinking and analytical abilities
Strong customer service skills and experience
Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Ability to talk, hear, and see clearly to read and interpret information
Regular use of a computer, phone, and standard office equipment
Ability to secure confidential information
Perform all duties in a professional environment free of noise or anything that would create a negative customer experience

Nice To Haves

Associates Degree preferred
EMS billing experience strongly preferred; experience in other medical specialties will be considered
Knowledge of collections or medical billing, with a basic understanding of ICD-10, HCPCS, and medical terminology preferred

Responsibilities

Perform job responsibilities and tasks according to company standards as well as state and federal guidelines
Problem-solve and provide complete resolutions for complex accounts and escalations
Make telephone calls to patients, hospitals, insurance companies, facilities, or attorneys as needed to research claims or obtain additional insurance information
Contact insurance carriers to inquire about the status of past-due accounts
Meet or exceed defined productivity and quality standards
Document account activity details in the claims processing system
Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly
Identify process improvement opportunities and develop standard operating procedures (SOPs)
Complete assigned special projects from the Manager, providing regular updates and reports
Perform quality checks on assigned claims
Conduct monthly reviews and process write-offs for assigned accounts
Ensure the highest level of compliance with all applicable laws and regulations, including HIPAA
Investigate and resolve escalations from team members, payers, and other stakeholders, as assigned by the Manager
Ensures consistent adherence to company attendance policies
Additional job duties as assigned