[Hiring] Insurance Billing Special Utilities Rep @Sarnova

Role Description

The Specialist Utilities Billing Team Lead 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, the Team Lead provides day-to-day guidance, support, and direction to team members; assists with training and onboarding; monitors workload distribution; and helps ensure quality, accuracy, and consistency across the team. This role is a remote, work from home position. The Team Lead 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 been 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.

Qualifications

• 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.

Physical Requirements

• Ability to talk, hear, and see clearly to read and interpret information.
• Regular use of a computer, phone, and standard office equipment.
• May be required to travel for business purposes.
• Ability to secure confidential information.
• Perform all duties in a professional environment free of noise or anything that would create a negative customer experience.

Benefits

• Competitive salary, commensurate with experience.
• Comprehensive benefits package, including 401(k) Plan.