Medicaid Account Resolution Specialist - 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 Medicaid Account Resolution Specialist is responsible for resolving Medicaid claims after submission, ensuring accurate reimbursement and timely follow up throughout the billing lifecycle. This role requires strong attention to detail, consistent follow through, the ability to manage multiple priorities, and a commitment to delivering high quality service to both clients and patients.
Essential Duties and Responsibilities:

Review Medicaid claims that are pending, on hold, denied, or paid incorrectly, and take appropriate steps to resolve issues and secure accurate reimbursement

Identify the reasons claims are on hold by reviewing account details, correcting errors, and ensuring all required information is complete and compliant with Medicaid guidelines

Evaluate denial reasons, determine the next steps for correction or resubmission, and complete timely follow up to move claims toward payment

Submit additional documentation or clarification to Medicaid as needed, including adjustments, corrections, and appeal requests when claims require further review

Monitor and manage incoming correspondence—mail, email, and electronic notifications—responding promptly and processing refunds or adjustments when required

Document all actions taken on each claim in the billing system to maintain accurate records and support compliance with payer and internal requirements

Recognize recurring issues or trends (such as missing information or common denial codes) and alert management when patterns may impact claim processing or reimbursement timelines

Maintain productivity and quality standards while managing a high volume of claims and meeting required timelines and filing limits

Additional job duties as assigned

Skills/Experience Required:

Education: High School Diploma or equivalent

Strong computer proficiency, including MS Outlook, Word, and Excel

Ability to multi task effectively in a fast paced environment

Minimum typing speed of 40 WPM with accuracy

Proven ability to manage a high volume of work while meeting strict deadlines

Experience working in metrics driven environments—such as call centers or performance based roles—is helpful

Ability to remain calm, professional, and solution oriented during phone interactions while representing the company positively

Excellent written and verbal communication skills; able to clearly present information and resolve issues

High attention to detail with strong accuracy and follow through

Ability to organize, prioritize, and manage workload independently

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.
#digitech
Originally posted on Himalayas