Medicare 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 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 status
Review and resolve claims placed on hold by identifying the reason for the hold, correcting errors, and completing all required follow‑up actions
Analyze Medicare denials to determine accuracy, identify next steps, and complete appeals, adjustments, or resubmissions as needed
Provide Medicare with any additional documentation or information necessary for accurate claim adjudication
Prepare, process, and track correspondence such as letters, emails, supporting documents, and required refunds
Maintain detailed and accurate notes, documentation, and workflow updates within billing systems to support claim progression and audit requirements
Additional job duties as assigned

Skills/Experience Required:

Education: High School Diploma or equivalent required
Strong computer skills with working knowledge of MS Outlook, Word, and Excel
Ability to type a minimum of 40 WPM with accuracy
Proven ability to manage high‑volume workloads while meeting strict deadlines
Experience in an environment with call monitoring, productivity metrics, or performance scoring is preferred
Ability to remain calm, professional, and effective during phone interactions while maintaining a positive company image
Excellent written and verbal communication skills, with the ability to explain information clearly and professionally
High attention to detail with strong accuracy in claim review and documentation
Strong organizational and time‑management skills with the ability to prioritize work and complete assigned tasks efficiently
Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Physical Requirements:

Ability to talk, hear, and see clearly to read and interpret information
Regular use of a computer, phone, and standard office equipment
Ability to secure confidential information
Perform all duties in a professional environment free of noise or anything that would create a negative customer experience

Work 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.

Work Schedule: Employee will be required to work forty (40) hours of per week as defined by their schedule.

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.

Last Reviewed Date: 3/9/2026
Last Reviewed By: Haley Bowman, Medicare Manager