Accounts Receivable Lead - Digitech - Remote

A/R Management Lead

The A/R Management Lead supports 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 acts as a resource to help team members resolve issues.

• 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
• 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
• Ensure consistent adherence to company attendance policies

Skills/Experience

• Education: High School Diploma or equivalent required; Associates Degree preferred
• 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
• EMS billing experience strongly preferred; experience in other medical specialties will be considered
• 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

Physical Requirements

• Ability to talk, hear, and see clearly to read and interpret information
• Regular use of a computer, phone, and standard office equipment
• May be required to travel for business purposes
• Perform all duties in a professional environment free of noise or anything that would create a negative customer experience

Benefits

Sarnova offers a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. We are an Equal Opportunity Employer. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.