Revenue Cycle Team Lead - Digitech - Remote

Sarnova

5d•Remote

About The Position

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners. Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients. 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
Knowledge of collections or medical billing, with a basic understanding of ICD-10, HCPCS, and medical terminology preferred
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

Nice To Haves

Associates Degree preferred
EMS billing experience strongly preferred; experience in other medical specialties will be considered

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