Medicare Claims Resolution Specialist - Remote -Digitech

Shift M-F 830am-5pm EST. Fully Remote. Work from the comfort of your home. The Medicare Claims Resolution Specialist is primarily responsible for working claims after they’ve been submitted to Medicare. This position requires an individual who demonstrates strong follow-through, close attention to detail, and the ability to multi-task.

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Emergency Medical Products

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 Medicare Billing Representative is primarily responsible for working claims after they’ve been submitted to Medicare. This position requires an individual who demonstrates strong follow-through, close attention to detail, and the ability to multi-task.

Organizational Impact

In this role for Digitech, you are our brand ambassador for our clients and the Medicare patients that they serve. You impact your line of business by ensuring Medicare’s rules, regulations and timely filing limits are adhered to and identifying and addressing issues causing claims to remain on hold, so that all claims are paid.

Essential Duties and Responsibilities

• Handle all correspondence via mail, email and any necessary refunds; perform other duties as assigned by management
• Work claims that are pending too long at Medicare, are unable to be released or have been denied or incorrectly paid by Medicare.
• Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold
• Provide Medicare additional information as necessary to process a claim correctly and/or send an appeal.
• Work denials aiming to identify whether or not Medicare denied the claim correctly, and handle follow-up accordingly.

Skills/Experience Required

• Experience in an environment where calls were monitored and scored as well as metrics applied to individual performance is helpful.
• Ability to handle large volumes of work while meeting tight deadlines
• Strong computer skills. Basic understanding of MS Outlook, Word and Excel.
• Able to organize and prioritize tasks in order to complete all work assigned.
• Ability to deal calmly and effectively with situations via telephone while maintaining and promoting a positive company image.
• Minimum typing of 40 wpm.
• Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner.
• Excellent attention to detail and accuracy.

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401 (k) Plan.

EEO/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.