Revenue Cycle Team 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.

• 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
• 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

Essential Duties And 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
• 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
• 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 Required

• Educational requirements: High School Diploma or equivalent required; Associates Degree preferred
• Experience: Minimum 3–5 years of experience in healthcare claims processing, billing, or accounts receivable
• Specialized certifications: Obtain ambulance biller certification within 6 months of employment
• Technical skills: Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and payer timely filing limits
• Knowledge: Familiarity with ICD-10, HCPCS, and general medical terminology
• Experience: EMS billing experience strongly preferred; experience in other medical specialties will be considered
• Software proficiency: Proficiency with various web platforms, such as billing software and payer portals
• Other skills: 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, effective critical thinking and analytical abilities, strong customer service skills and experience

Company Information

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled. Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. 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.