01Responsibilities
Perform job responsibilities and tasks according to company standards as well as state and federal guidelinesProblem-solve and provide complete resolutions for complex accounts and escalationsMake telephone calls to patients, hospitals, insurance companies, facilities, or attorneys as needed to research claims or obtain additional insurance informationContact insurance carriers to inquire about the status of past-due accountsMeet or exceed defined productivity and quality standardsDocument account activity details in the claims processing systemMaintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularlyIdentify process improvement opportunities and develop standard operating procedures (SOPs)Complete assigned special projects from the Manager, providing regular updates and reportsPerform quality checks on assigned claimsConduct monthly reviews and process write-offs for assigned accountsEnsure the highest level of compliance with all applicable laws and regulations, including HIPAAInvestigate and resolve escalations from team members, payers, and other stakeholders, as assigned by the ManagerEnsures consistent adherence to company attendance policiesAdditional job duties as assignedSkills/Experience Required:Education: High School Diploma or equivalent required; Associates Degree preferredMinimum 35 years of experience in healthcare claims processing, billing, or accounts receivableObtain ambulance biller certification within 6 months of employmentHands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and payer timely filing limitsFamiliarity with ICD-10, HCPCS, and general medical terminologyEMS billing experience strongly preferred; experience in other medical specialties will be consideredProficiency with various web platforms, such as billing software and payer portalsPrior customer service experience with the ability to work collaboratively with other departments or team membersExcellent computer skills, including Microsoft Word, Excel, and OutlookStrong verbal and written communication skillsExcellent interpersonal, organizational, and time management skillsStrong problem-solving skills and investigative abilitiesAbility to work in a fast-paced, adaptive environment with minimal supervisionKnowledge of collections or medical billing, with a basic understanding of ICD-10, HCPCS, and medical terminology preferredEffective critical thinking and analytical abilitiesStrong customer service skills and experienceAbility to independently manage all aspects of the job role including required goals and business practices in a remote environmentSarnova 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.#digitechOriginally posted on Himalayas
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