Medical Billing and Coding Specialist II - 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 II (BSII) plays an important and fundamental role in Digitech’s RCM process by ensuring claims are coded and billed accurately and on time. The BSII must maintain a strong working knowledge of billing rules and regulations for all payor types across the various regions in which they process claims. The BSII must be detail-oriented and driven by the highest quality standards. The BSII is a second-level, more experienced Billing Specialist who consistently performs as a top producer in both daily production and quality metrics.

Essential Duties and Responsibilities:

• Utilize Master Billing Guides and other process instructions to review PCR to ensure medical necessity, reasonableness. appropriate modifiers, level of service, ICD10 code and mileage

• Complete the Billing quality scrub process

• Review PCS for validity, if required

• Review Medicare AOB, if required

• If additional information is needed, place claim on appropriate tag

• Attends and actively participates in daily Billing team huddles

• Consistently achieves Billing Specialist II performance and quality metrics

• 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

• 2+ years EMS Billing preferred

• Certified Ambulance Coder (CAC) preferred

• Demonstrated ability or willingness to attain QMC Biller Certification upon employment

• Very detailed-oriented

• Strong, working knowledge of EMS billing rules and regulations and understanding of health insurance payor groups (Medicare, Medicaid, Commercial)

• Ability to identify problems and escalate issues appropriately to a Billing Lead

• Ability to quickly adapt, learn and retain changing rules and specifications by clients, payors, states and MAC regions

• Quality-focused and driven by process

• EMS billing platform knowledge (preferred)

• Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

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.

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