Billing Specialist I - Digitech - Remote
Digitech · United States
- Hybrid
- Full-time
- $50,000 / year
- United States
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Job highlights
- Review patient records for accurate billing.
- Process insurance claims per regulations.
- Manage billing tasks with minimal supervision.
- Maintain high billing accuracy standards.
- Work independently in a remote environment.
About the role
Billing Specialist I - Digitech - Remote
The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners. Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.
Summary
The Billing Specialist I will utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct. This role is fundamental in Digitech's revenue cycle management process and ensures that claims are coded and billed accurately and timely. The selected Billing Specialist I will maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.
Essential Duties And Responsibilities
- Review patient medical records and supporting documentation
- Add required data elements to the account in the billing platform, including ICD-9 codes, charges, and billing narratives
- Ensure all tasks are completed in accordance with Quick Med Claims policies as well as state and federal guidelines
- Meet or exceed defined productivity standards for the position
- Properly notate accounts reviewed
- Attach necessary documentation within the system or to paper 1500s
- Obtain additional information from clients when needed, such as HIPAA forms, pre-authorizations from insurance companies, and physician medical necessity forms, in order to submit third-party claims
- Review billing documents in the billing platform using dates provided on patient care reports, physician medical necessity forms, and hospital face sheets
- Review and validate claims electronically or on paper
- Monitor tags or workflows to ensure timely validation of claims
- Process all insurance claim forms in accordance with federal and state laws as well as departmental procedures
- Provide accurate billing in compliance with regulatory requirements and internal policies and procedures
- Demonstrate biller competency by achieving and maintaining billing accuracy scores that meet or exceed expectations during quality assurance and audit activities
- Adhere to all Digitech HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information
- Additional job duties as assigned
Skills/Experience Required
- Education: High School Diploma or equivalent
- 1 – 2 years of Medical billing preferred
- Certified Ambulance Coder (CAC) preferred
- Demonstrated ability or willingness to attain QMC Biller Certification upon employment
- Must be able to type 35 wpm
- Basic computer skills including ability to utilize multiple windows and programs simultaneously
- Customer service oriented
- Attention to detail and focus on quality
- Organizational skills
- Must display sufficient written and oral communication skills
- Must have the ability to work in a fast-paced environment
- Must have the ability to work with minimal supervision
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled. 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.
Key skills/competency
- Medical Billing
- ICD-10 Coding
- Revenue Cycle Management
- HIPAA Compliance
- Claims Processing
- Patient Records Review
- Billing Software
- Attention to Detail
- Customer Service
- Remote Work
Skills & topics
- Billing Specialist
- Medical Billing
- ICD-10
- Revenue Cycle Management
- Claims Processing
- EMS Billing
- Remote
- HIPAA
- Data Entry
- Compliance
How to get hired
- Tailor your resume: Highlight medical billing experience, ICD-10 coding, and customer service skills relevant to a Billing Specialist role.
- Showcase attention to detail: Emphasize accuracy, compliance, and organizational abilities in your application.
- Address remote work skills: Detail your experience working independently and managing tasks effectively in a remote setting.
- Prepare for interviews: Be ready to discuss your understanding of billing regulations and your customer service approach for a Billing Specialist position at Digitech.
Technical preparation
Behavioral questions
Frequently asked questions
- What are the key responsibilities for a Billing Specialist I at Digitech?
- As a Billing Specialist I at Digitech, your primary responsibilities include reviewing patient medical records (PCR) to ensure accuracy in medical necessity, coding (ICD-10), and mileage. You will be responsible for entering data into the billing platform, processing insurance claims according to state and federal guidelines, and maintaining high standards of billing accuracy and compliance. You'll also need to communicate with clients for necessary documentation and adhere to HIPAA privacy policies.
- What qualifications are needed to become a Billing Specialist I at Digitech?
- To qualify for the Billing Specialist I position at Digitech, you'll need a High School Diploma or equivalent. While not strictly required, 1-2 years of medical billing experience and a Certified Ambulance Coder (CAC) certification are preferred. A typing speed of 35 WPM and basic computer proficiency are essential. The role also requires strong attention to detail, organizational skills, and the ability to work independently in a fast-paced, remote environment.
- Is this Billing Specialist I position a remote role at Digitech?
- Yes, the Billing Specialist I position at Digitech is a remote role. The job description specifically mentions the ability to independently manage all aspects of the job role, including required goals and business practices, in a remote environment, indicating a fully remote work arrangement.
- What kind of training or certification is expected for a Billing Specialist at Digitech?
- Digitech prefers candidates with a Certified Ambulance Coder (CAC) certification. Additionally, candidates must demonstrate the ability or willingness to attain QMC Biller Certification upon employment. This suggests that ongoing training and certification are valued to ensure proficiency in their billing processes.
- How important is attention to detail for a Billing Specialist at Digitech?
- Attention to detail is extremely important for a Billing Specialist at Digitech. The role involves meticulously reviewing patient records, ensuring accurate coding and data entry, and processing claims in compliance with complex regulations. High billing accuracy scores are expected, and errors can lead to compliance issues and reduced collections, making detail-orientation a critical skill for success.