Medicare Account Resolution Specialist - Digitech - Remote

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Emergency Medical ProductsDigitech 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 Medicare Account Resolution Specialist is responsible for managing and resolving Medicare claims after submission to ensure accurate and timely processing. This role requires strong analytical skills, exceptional attention to detail, and the ability to manage multiple tasks in a fast-paced billing environment. The ideal candidate is thorough, dependable, and skilled at navigating Medicare guidelines, denials, and follow-up processes.Essential Duties and Responsibilities:Work Medicare claims that are pending, unable to be released, denied, or paid incorrectly, ensuring each claim is resolved appropriately and returned to payment statusReview and resolve claims placed on hold by identifying the reason for the hold, correcting errors, and completing all required follow up actionsAnalyze Medicare denials to determine accuracy, identify next steps, and complete appeals, adjustments, or resubmissions as neededProvide Medicare with any additional documentation or information necessary for accurate claim adjudicationPrepare, process, and track correspondence such as letters, emails, supporting documents, and required refundsMaintain detailed and accurate notes, documentation, and workflow updates within billing systems to support claim progression and audit requirementsAdditional job duties as assignedSkills/Experience Required:Education: High School Diploma or equivalent requiredStrong computer skills, including working knowledge of MS Outlook, Word, and ExcelAbility to type 40 WPM with accuracyProven ability to handle high volume workloads, prioritize effectively, and meet tight deadlinesExperience in an environment with call monitoring, productivity metrics, or performance scoring is preferredAbility to remain calm, professional, and effective during phone interactions while maintaining a positive company imageExcellent written and verbal communication skills, with the ability to explain information clearly and professionallyHigh attention to detail with strong accuracy in claim review and documentationStrong organizational and time management skills with the ability to prioritize work and complete assigned tasks efficientlyAbility to independently manage all aspects of the job role including required goals and business practices in a remote environmentPhysical Requirements:Ability to talk, hear, and see clearly to read and interpret informationRegular use of a computer, phone, and standard office equipmentAbility to secure confidential informationPerform all duties in a professional environment free of noise or anything that would create a negative customer experienceWork 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. #digitechOriginally posted on Himalayas