Medicare Account Resolution Specialist

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🕒 Julho 28

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Sarnova

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2008

🏥 Saúde

🤝 B2B

☁️ SaaS

💰 $500.000 Venture Round - Sarnova em 2009-12

Healthcare • B2B • SaaS

A Sarnova é uma empresa de distribuição e serviços focada em saúde, cujo grupo de negócios (incluindo Bound Tree Medical, Tri-anim Health Services, Cardio Partners e Digitech) fornece produtos, equipamentos, serviços e tecnologia para todo o continuum de serviços médicos de emergência (EMS) e cuidados agudos. Há quase 50 anos, o grupo distribui mais de 100 mil produtos de saúde e segurança para prestadores de EMS, hospitais, escolas, empresas e agências governamentais, além de fornecer soluções para cuidados respiratórios/anestesia/atenção crítica, vendas e gestão de programas de DEA, treinamento de RCP e uma plataforma de faturamento e inteligência de negócios em nuvem para EMS. A Sarnova é uma empresa do portfólio de Patricia Industries/Investor AB.

Descrição

• Manage and resolve Medicare claims after submission to ensure accurate and timely processing • Work Medicare claims that are pending, unable to be released, denied, or paid incorrectly • Review and resolve claims placed on hold by identifying the reason for the hold and correcting errors • Analyze Medicare denials to determine accuracy and complete appeals, adjustments, or resubmissions as needed • Provide Medicare with any additional documentation 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

🎯 Requisitos

• High School Diploma or equivalent required • Strong computer skills, including working knowledge of MS Outlook, Word, and Excel • Ability to type 40 WPM with accuracy • Proven ability to handle high‑volume workloads, prioritize effectively, and meet tight 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

🏖️ Benefícios

• Competitive salary, commensurate with experience • Comprehensive benefits package including 401(k) Plan • Equal Opportunity Employer