Medical Claim Resolution Specialist - Digitech - Remote
Job title: Medical Claim Resolution Specialist - Digitech - Remote in USA at Sarnova
Company: Sarnova
Job description: Job Description:OverviewDigitech is seeking Claims Resolution Specialists (Insurance Biller) to work claims after they’ve been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong follow-through, close attention to detail, and the ability to multi-task.100% Remote OpportunityThe 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.ResponsibilitiesSummary:Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they’ve been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong follow-through, close attention to detail, and the ability to multi-task.This role is a remote, work from home position. The Claims Resolution Specialist will work Monday through Friday, standard business hours. The team works on an Eastern Time schedule.Equipment is provided, but the use of a personal phone will be required to place outbound calls to insurance carriers.Organizational Impact:In this role for Digitech, you are our brand ambassador for our clients and the patients that they serve. You impact your line of business by ensuring all insurance rules, regulations, and timely filing limits are adhered to and identifying and addressing issues and finding resolutions.Essential Duties and Responsibilities:
- Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers.
- Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold.
- Work denials aiming to identify why claims have been denied, and handle follow-up accordingly.
- Provide insurance companies with additional information as necessary to process a claim correctly and/or send an appeal.
- Handle all correspondence via mail, email, and any necessary refunds.
- Performs other duties as assigned by management.
- Strong computer skills with a basic understanding of MS Outlook, Word, and Excel.
- Minimum typing speed of 40 wpm.
- Ability to handle large volumes of work while meeting tight deadlines.
- Experience in an environment where calls were monitored and scored as well as metrics applied to individual performance is helpful.
- Ability to deal calmly and effectively with situations via telephone while maintaining and promoting a positive company image.
- 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.
- Able to organize and prioritize tasks in order to complete all work assigned.