Insurance Billing - Special Utilities - Digitech - Remote

 Posted 11 days ago
     
0-2 years experience
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AI Summary

The representative is responsible for resolving pending, denied, or incorrectly paid insurance claims for EMS transport services. Key duties include managing coordination of benefits, handling lockbox correspondence, and documenting all actions in compliance with HIPAA standards.

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.

 

Summary:

 

The Special Utilities Billing Representative is responsible for resolving claims that are pending, unable to be released, denied, or incorrectly paid by insurance carriers. This role requires strong followthrough, attention to detail, and the ability to manage multiple priorities effectively. In addition to performing account resolution work. 

 

This role is a remote, work from home position. The Representative will work Monday through Friday, standard business hours. The team works on an Eastern Time schedule.

 

Essential Duties and Responsibilities: 

 

  • Review claims that have been put on hold, working to identify causes and address issues    causing them to remain on hold
  • Address claims that have identified as paid by locating deposit information
  • Complete basic credentialing updates with insurance companies
  • Review patient accounts with multiple transports to ensure the system has the correct      coordination of benefits
  • Handle all correspondence that comes to EMS lockbox (denial EOBs, patient invoices,          attorney requests, etc.)
  • Document all findings and actions in the appropriate systems with accuracy and       attention to detail, maintaining full compliance with HIPAA and internal quality standards
  • Work with insurance companies over the phone, collecting claim status, deposit information, etc.
  • Additional job duties as assigned

 

Skills/Experience Required:

 

  • Education: High School Diploma or equivalent
  • Strong ability to multitask and manage competing priorities with accuracy
  • Ability to work independently and remain focused in a remote, deadlinedriven environment
  • Collaborative team player with the ability to communicate professionally with internal departments and external partners
  • Pleasant, professional, and customerfocused demeanor
  • Ability to maintain composure and deliver quality work under pressure
  • Strong computer literacy, including comfort working with dual monitors and navigating multiple systems simultaneously
  • Excellent followthrough, attention to detail, and accuracy in data review
  • Strong written communication skills, including grammar and documentation clarity
  • Ability to meet strict deadlines while maintaining high-quality work
  • Reliable, punctual, and dependable with strong work accountability
  • Quick learner who takes clear, organized notes during training
  • Comfortable asking questions and seeking clarification when needed
  • Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

 

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.

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