Medical Billing Specialist - Digitech - Remote

Sarnova’s Digitech division is a leading provider of cloud-based EMS billing and business-intelligence solutions. Since 1984, Digitech has automated the entire EMS revenue lifecycle to maximize collections, protect compliance, and deliver results for clients.

About the role

The Billing Specialist I reviews patient-care reports to ensure medical necessity, reasonableness, level of service, ICD-10 coding, and mileage are correct. This role is fundamental in Digitech’s revenue-cycle management process, ensuring claims are coded and billed accurately and on time. The Specialist maintains a strong working knowledge of billing rules and regulations for all payor types across the regions they serve.

Responsibilities

• Review patient medical records and supporting documentation.
• Add required data elements to the account in the billing platform, including ICD-10 codes, charges, and billing narratives.
• Ensure all tasks comply with Quick Med Claims policies and state/federal guidelines.
• Meet or exceed defined productivity standards.
• Properly notate accounts reviewed.
• Attach necessary documentation within the system or to paper 1500s.
• Obtain additional information from clients (e.g., HIPAA forms, pre-authorizations, physician medical necessity forms) to submit third-party claims.
• Review billing documents in the billing platform using dates from patient-care reports, physician forms, and hospital face sheets.
• Review and validate claims electronically or on paper.
• Monitor tags or workflows to ensure timely validation of claims.
• Process all insurance claim forms in accordance with federal/state laws and departmental procedures.
• Provide accurate billing in compliance with regulatory requirements and internal policies.
• Maintain billing accuracy scores that meet or exceed expectations during quality-assurance and audit activities.
• Adhere to all Digitech HIPAA privacy policies and procedures, maintaining confidentiality and security of sensitive patient information.
• Perform additional job duties as assigned.

Requirements

• High School Diploma or equivalent.
• 1–2 years of medical billing experience preferred.
• Certified Ambulance Coder (CAC) preferred.
• Demonstrated ability or willingness to attain QMC Biller Certification upon employment.
• Typing speed of 35 wpm.
• Basic computer skills, including ability to utilize multiple windows and programs simultaneously.
• Customer-service orientation.
• Strong attention to detail and focus on quality.
• Organizational skills.
• Sufficient written and oral communication skills.
• Ability to work in a fast-paced environment with minimal supervision.
• Ability to independently manage all aspects of the role, including goals and business practices, in a remote environment.

Benefits

• Competitive salary.
• Comprehensive benefits package.
• 401(k) Plan.