Sarnova is an Equal Opportunity Employer. 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.
Billing Resolution Specialist
Location
United States
Posted
12 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Billing Resolution Specialist
Sarnova
Role Description The Billing Resolution Specialist (BRSI) plays a critical role in Digitech’s RCM process by ensuring claims are coded and billed accurately and in a timely manner. The BRSI must maintain a strong working knowledge of billing rules and regulations for all payor types across the various regions in which they process claims. This role requires strong attention to detail and a commitment to the highest quality standards. The BRSI is primarily focused on resolving any issues that prevent a claim from being released to the appropriate payor. Maintaining the highest billing standards is essential to Digitech achieving its overall quality goals and vision: to be the trusted partner of choice that 100% of our clients would recommend to a friend or colleague. - Perform post-billing review for eligible/valid patient or other applicable signatures to release claims for payment - Conduct post-billing review for third-party liability coverage - Review hospice-related claims to determine the appropriate payor - Review insurance information captured after initial billing to determine the correct payor - Submit new and corrected claims through online payor portals - Perform quality assurance reviews of claims processed by other segments - Attend and actively participate in team huddles and other required meetings - Consistently meet or exceed production goals while maintaining high-quality work - Provide timely feedback to leadership based on tasks worked - Maintain a high level of compliance with all regulatory requirements and internal policies and procedures - Adhere to all Digitech HIPAA privacy policies and procedures, maintaining the confidentiality and security of sensitive patient information - Additional job duties as assigned Qualifications - High School Diploma or equivalent - 3+ years EMS Billing preferred - Certified Ambulance Coder (CAC) preferred - Demonstrated ability or willingness to attain QMC Biller Certification upon employment - Highly detail-oriented - Proficient in Excel functions such as filters, pivot tables, and conditional formatting - Strong working knowledge of EMS billing rules and regulations, and a clear understanding of health insurance payor groups (Medicare, Medicaid, Commercial) - Ability to identify problems and escalate issues appropriately to leadership - Ability to quickly adapt to, learn, and retain changing client, payor, state, and MAC region rules and specifications - Quality-focused and process-driven - Excellent problem-solving skills - 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 Company Description Sarnova is an Equal Opportunity Employer. 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.
Related Guides
Related Categories
Related Job Pages
More Billing Specialist Jobs
• Respond and assist in resolving high-volume billing cases and inquiries in a timely manner • Review customer contracts against invoices and identify discrepancies • Work with internal teams and customers to resolve disputes • Prepare and maintain records of accounts receivables • Manage customer accounts, such as updating contacts, invoices and credit memos • Complete month-end tasks and assist with closing procedures • Audit billing and contract systems to ensure billing completeness and accuracy • Understand and apply billing policies and procedures
Travel Concierge Specialist
ConsultwithtrayIf you are proactive, organized, and passionate about delivering a polished client experience, we encourage you to apply.
Role Description We're looking for a customer-focused Travel Concierge Specialist to help clients coordinate personalized travel experiences, reservations, and itinerary details. This fully remote role is ideal for someone who enjoys organization, communication, and providing high-quality support throughout the travel planning process. - Assist clients with travel reservations, itinerary coordination, and booking support - Communicate with clients regarding travel preferences, updates, and confirmations - Coordinate schedules, accommodations, activities, and travel-related details - Maintain accurate client records and booking documentation - Provide timely, professional support to help ensure a smooth travel experience Qualifications - Strong communication and customer service skills - Comfortable working independently in a remote environment - Organized, detail-oriented, and dependable - Comfortable using online systems and digital tools - Travel, hospitality, or client support experience preferred but not required - Must be a citizen of the United States, United Kingdom, Australia, LATAM, and Spain Requirements - Laptop or desktop computer - Reliable broadband internet connection - Smartphone for communication and updates Benefits - Fully remote work structure - Flexible scheduling framework - Structured training and ongoing support - Collaborative team environment - Access to industry-related travel benefits
Physician Practice AR Collection Specialist
Baptist Health South FloridaBaptist Health South Florida, a faith-based, nonprofit healthcare organization, is the largest of its kind in the area and widely known for providing exceptiona
Role Description Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims. Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Qualifications - Degrees: High School, Cert, GED, Trn, Exper. - One of the following certifications is preferred: - CPC-A (AAPC Certified Professional Coder) - CCA (AHIMA Certified Coding Associate) - CCS (AHIMA Certified Coding Specialist) - CCS-P (AHIMA Certified Coding Specialist – Physician-Based) - NCIS (NCCT, National Certified Insurance Specialist) - Other recognized coding and billing certifications may also be considered. - Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. - Excellent computer proficiency (MS Office – Word, Excel, and Outlook). - Knowledge of physician billing, regulatory and compliance guidelines. - Knowledge of ICD-10, HCPCS, CPT-4 and modifiers. - Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. - Ability to work independently and carry out completion of workload. - Minimum Required Experience: 2 Years Benefits - Career growth and development opportunities, with clear pathways and ongoing support. - Comprehensive health and wellness resources that go beyond traditional benefits. - A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs. - Tuition reimbursement to support continued learning and advancement. - And so much more.
Private Investigator - Domain Specialist
MercorCincinnatus is an enterprise staffing company that partners with leading technology companies to source and employ highly skilled professionals for full-time and long-term contingent roles. Cincinnatus serves as the employer of record for these engagements, providing W-2 employment, payroll, benefits, and compliance, while placing employees directly within client teams to work on high-impact initiatives. Roles hired through Cincinnatus are not project-based or freelance engagements. They are structured, role-based positions that typically involve full-time or fixed-term commitments, close collaboration with a client's internal teams, and integration into standard enterprise workflows. Cincinnatus is a legal entity separate from Mercor. While opportunities may be discovered through Mercor's platform, employment, onboarding, payroll, and benefits for these roles are administered by Cincinnatus. Equal Employment Opportunity Cincinnatus is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or any other legally protected characteristic. Cincinnatus is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans throughout the job application process.
Role Description - Create deliverables for common requests within your professional domain. - Review peer-developed deliverables to improve AI research. - Diagnose and solve real issues in your domain to advance machine learning systems. - Work independently and asynchronously to meet deadlines. - Contribute expertise to cutting-edge AI research while working on your own schedule. Qualifications - 4+ years professional experience in your respective field. - Excellent written communication with strong grammar and spelling skills. Requirements - Start Date: Immediately, lasting for around 3–4 weeks. Benefits - All experts receive a $100 onboarding payment for completing the onboarding quiz. - $1,500 payment conditioned on successful approval of the first task during the work trial period. - Payment shifts to hourly pay after the trial period. Application Process - Upload resume - AI interview based on your resume - Submit form Resources & Support - For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome - For any help or support, reach out to: support@mercor.com - Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
