A/R Management Specialist II - Digitech - Remote
SARNOVA HC, LLC
Summary
The A/R Management Specialist II position will provide support for all revenue cycle activities related to outstanding insurance accounts receivable, insurance denials, and appeals. This includes insurance and patient billing follow-up to ensure prompt and accurate payment to the client or provider for all monies owed. The responsibilities of the A/R Management Specialist II will include a higher level of analysis and resolving more complex claim rejections and denials.
Job description
Essential Duties and Responsibilities
- Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines
- Make telephone calls to patients, hospitals, insurance companies, facilities, and 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 details of activity on each account in the claims processing system
- Follow up on accounts, including contacting patients by telephone to inquire about insurance coverage
- Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly
- Follow up on accounts that have reached collections to ensure they have been fully worked before referral to an external collection agency
- Follow up on any assigned special projects designated by the Manager
- Demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA
- Problem-solve and provide complete resolution for complex accounts and escalations
- Perform quality checks on assigned claims
- Ensures consistent adherence to company attendance policies
- Additional job duties as assigned
Requirements
- High School Diploma or equivalent required
- Associates Degree preferred
- Minimum of 2 years' experience in healthcare claims processing, billing, or accounts receivable
- 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
- Proficiency with various web platforms, including billing software and payer portals
- Prior customer service experience
- Basic computer knowledge and experience using Microsoft Office
- Strong interpersonal, organizational, communication, and time-management skills
- Strong investigative and research skills
- Effective critical thinking and analytical abilities
- Ability to work independently in a fast-paced, adaptive environment with minimal supervision
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Benefits
- 401(k) Plan
Company overview
SARNOVA HC, LLC, commonly known as Sarnova, is a leading U.S. specialty distributor of health and safety products, services, and technology solutions serving the emergency medical services (EMS) and acute care markets. Founded in 2008 and headquartered in Dublin, Ohio, the company operates as a family of four major business units: Bound Tree Medical (EMS supplies and pharmaceuticals), Cardio Partners (AED sales and cardiac emergency preparedness), Tri-anim Health Services (respiratory and critical care products), and Digitech (EMS billing and technology services). With nearly 50 years of collective industry experience across its subsidiaries, Sarnova offers over 100,000 innovative healthcare products to thousands of national emergency care providers, hospitals, educational institutions, businesses, and government agencies. The company's mission is to be the best partner for those who save and improve patients' lives, providing mission-critical products and value-added services to first responders, healthcare professionals, and patient care facilities nationwide. Sarnova is a portfolio company of Patricia Industries, part of Investor AB, and has earned Great Place to Work Certification for its employee-centric culture.