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Sarnova

Special Utilities Billing Representative - Digitech - Remote

Posted 5 days ago
0-2 years experience
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AI Summary

The Special Utilities Billing Representative is responsible for resolving pending, denied, or incorrectly paid insurance claims for EMS transport services. This role involves documenting findings, managing correspondence, and coordinating benefits while maintaining HIPAA compliance.

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 follow‑through, 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 required
  • Strong computer skills with a basic understanding of MS Outlook, Word, PowerPoint, and Excel
  • Minimum typing speed of 40 wpm
  • Ability to handle large volumes of work while meeting tight deadlines
  • Understanding of, and comfort level with, insurance claims
  • Ability to deal calmly and effectively with situations via telephone while maintaining and promoting a positive company image
  • Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner
  • Excellent attention to detail and accuracy
  • Able to organize and prioritize tasks in order to complete all work assigned
  • 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.

 

#digitech

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