A/R Management Specialist
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Job Description
A/R specialist managing insurance, patient billing, appeals, and collections for Digitech, a provider of outsourced EMS billing and technology services.
Responsibilities:
- Provide support across insurance and patient billing to ensure prompt and accurate payment to clients or providers
- Call patients, hospitals, insurance companies, facilities, and attorneys to research claims or obtain insurance information
- Contact insurance carriers about past-due account status
- Meet or exceed defined productivity and quality standards
- Document account activity in the claims processing system
- Follow up on self-pay accounts, inquire about insurance coverage, and establish payment plans
- Follow up daily on unpaid claims to minimize aging accounts
- Ensure accounts referred to collections have been fully worked before external collection agency referral
- Complete assigned special projects
- Perform quality checks on assigned claims
- Maintain confidentiality
- Perform responsibilities according to company standards and state and federal guidelines
- Ensure compliance with applicable laws and regulations, including HIPAA
- Adhere to company attendance policies
- Perform additional duties as assigned
Requirements:
- High School Diploma or equivalent required
- Minimum of 1 year of experience in healthcare claims processing, billing, or accounts receivable
- Hands-on experience preparing and submitting insurance appeals, including understanding remittance advices, payer denial codes, and payer timely filing limits
- Familiarity with ICD-10, HCPCS, and general medical terminology
- EMS billing experience strongly preferred; experience in other medical specialties will be considered
- Proficiency with various web platforms, including billing software and payer portals
- Prior customer service experience with the ability to work collaboratively with other departments and team members
- Basic computer knowledge and experience using Microsoft Office
- Strong customer service skills and experience
- Strong interpersonal, organizational, communication, and time-management skills
- Strong investigative and research skills, with the ability to resolve complex billing issues
- Effective critical thinking and analytical abilities
- Ability to work independently in a fast-paced, adaptive environment with minimal supervisor
- Ability to independently manage all aspects of the job role, including required goals and business practices, in a remote environment
- Ability to comply with HIPAA, state, and federal laws and regulations
Benefits:
- Competitive salary, commensurate with experience
- Comprehensive benefits package
- 401(k) Plan
- Remote work arrangement
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