Accounts Receivable Lead - Digitech - Remote

Overview

A leading provider of advanced billing and technology services to the EMS transport industry is seeking an A/R Management Lead. This role supports all revenue cycle functions related to outstanding insurance accounts receivable, insurance denials, and appeals. The position involves following up on insurance and patient billing to ensure prompt and accurate payment for all monies owed. The A/R Management Lead also acts as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team and assisting team members in resolving issues.

Responsibilities

• Perform job duties in compliance with company standards and applicable state and federal guidelines
• Resolve complex accounts and escalations through problem-solving
• Communicate with patients, hospitals, insurance companies, facilities, or attorneys 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 minimize aging accounts by regularly following up on unpaid claims
• Identify process improvement opportunities and develop standard operating procedures (SOPs)
• Complete special projects assigned by the Manager, providing regular updates and reports
• Perform quality checks on assigned claims
• Conduct monthly reviews and process write-offs for assigned accounts
• Ensure compliance with all applicable laws and regulations, including HIPAA
• Investigate and resolve escalations from team members, payers, and other stakeholders as assigned
• Adhere consistently to company attendance policies
• Perform additional duties as assigned

Requirements

• High School Diploma or equivalent required; Associate's Degree preferred
• 3–5 years of experience in healthcare claims processing, billing, or accounts receivable
• Ability to obtain ambulance biller certification within 6 months of employment
• Experience preparing and submitting insurance appeals, including understanding payer denial codes and timely filing limits
• Familiarity with ICD-10, HCPCS, and general medical terminology
• EMS billing experience strongly preferred; experience in other medical specialties considered
• Proficiency with billing software, payer portals, and various web platforms
• Prior customer service experience with ability to collaborate across departments
• 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 and investigative abilities
• Ability to work independently in a fast-paced, adaptive environment
• Knowledge of collections or medical billing with a basic understanding of ICD-10, HCPCS, and medical terminology preferred
• Effective critical thinking and analytical skills
• Strong customer service skills
• Ability to manage all aspects of the role remotely, including meeting required goals and business practices

Physical Requirements

• Ability to talk, hear, and see clearly to read and interpret information
• Regular use of computer, phone, and standard office equipment
• May require travel for business purposes
• Ability to secure confidential information
• Perform duties in a professional environment free of noise or distractions that could negatively impact customer experience

Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Compensation & Benefits

• Competitive salary commensurate with experience
• Comprehensive benefits package including 401(k) plan

Location

Remote work environment with potential travel requirements.