[Hiring] A/R Management Specialist @Sarnova

Role Description

The A/R Management Specialist II position will provide support for all revenue cycle activities related to outstanding insurance accounts receivable, insurance denials, and appeals. This includes insurance and patient billing follow-up to ensure prompt and accurate payment to the client or provider for all monies owed. The responsibilities of the A/R Management Specialist II will include a higher level of analysis and resolving more complex claim rejections and denials.

• Perform job responsibilities and tasks according to company standards, as well as state and federal guidelines.
• Make telephone calls to patients, hospitals, insurance companies, facilities, and 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 details of activity on each account in the claims processing system.
• Follow up on accounts, including contacting patients by telephone to inquire about insurance coverage.
• Maintain workflow to keep aging accounts at a minimum by following up on unpaid claims regularly.
• Follow up on accounts that have reached collections to ensure they have been fully worked before referral to an external collection agency.
• Follow up on any assigned special projects designated by the Manager.
• Demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA.
• Problem-solve and provide complete resolution for complex accounts and escalations.
• Perform quality checks on assigned claims.
• Ensure consistent adherence to company attendance policies.
• Additional job duties as assigned.

Qualifications

• High School Diploma or equivalent required; Associates Degree preferred.
• Minimum of 2 years’ experience in healthcare claims processing, billing, or accounts receivable.
• 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.
• 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 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 supervision.
• Strong customer service skills and experience.
• Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment.

Benefits

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