[Remote] Accounts Receivable Lead - Digitech - Remote

Note: The job is a remote job and is open to candidates in USA. Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. The A/R Management Lead is responsible for supporting all revenue cycle functions related to outstanding insurance accounts receivable, insurance denials, and appeals, while also identifying process improvements to enhance efficiency within the A/R Management team.

Responsibilities

• Perform job responsibilities and tasks according to company standards as well as state and federal guidelines
• Problem-solve and provide complete resolutions for complex accounts and escalations
• Make telephone calls to patients, hospitals, insurance companies, facilities, or 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 account activity details in the claims processing system
• Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly
• Identify process improvement opportunities and develop standard operating procedures (SOPs)
• Complete assigned special projects from the Manager, providing regular updates and reports
• Perform quality checks on assigned claims
• Conduct monthly reviews and process write-offs for assigned accounts
• Ensure the highest level of compliance with all applicable laws and regulations, including HIPAA
• Investigate and resolve escalations from team members, payers, and other stakeholders, as assigned by the Manager
• Ensures consistent adherence to company attendance policies
• Additional job duties as assigned

Skills

• High School Diploma or equivalent required
• Minimum 3–5 years of experience in healthcare claims processing, billing, or accounts receivable
• Obtain ambulance biller certification within 6 months of employment
• 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
• Proficiency with various web platforms, such as billing software and payer portals
• Prior customer service experience with the ability to work collaboratively with other departments or team members
• Excellent computer skills, including Microsoft Word, Excel, and Outlook
• Strong verbal and written communication skills
• Excellent interpersonal, organizational, and time management skills
• Strong problem-solving skills and investigative abilities
• Ability to work 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
• Associates Degree preferred
• EMS billing experience strongly preferred; experience in other medical specialties will be considered
• Knowledge of collections or medical billing, with a basic understanding of ICD-10, HCPCS, and medical terminology preferred
• Effective critical thinking and analytical abilities
• Strong customer service skills and experience

Benefits

• A comprehensive benefits package, including 401(k) Plan

Company Overview