Account Resolution Specialist – Insurance HMOs

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Sarnova

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

🏥 Healthcare

🤝 B2B

☁️ SaaS

💰 $500k Venture Round - Sarnova on 2009-12

Healthcare • B2B • SaaS

Sarnova is a healthcare-focused distribution and services company whose family of businesses (including Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Digitech) supplies products, equipment, services and technology across the emergency medical services (EMS) and acute care continuum. For nearly 50 years the group has distributed more than 100,000 health and safety products to EMS providers, hospitals, schools, businesses and government agencies, and also provides respiratory/anesthesia/critical care solutions, AED sales and program management, CPR training, and a cloud-based EMS billing and business intelligence platform. Sarnova is a portfolio company of Patricia Industries/Investor AB.

📋 Description

• Research and resolve outstanding insurance claims, including pending, unreleasable, denied, or incorrectly paid claims • Investigate claims on hold, identify root causes, correct errors, and follow up to release claims • Analyze insurance denials and complete appeals, corrections, or resubmissions • Contact insurance carriers by phone to obtain claim status and clarify discrepancies • Prepare and submit documentation requested by insurance carriers • Draft and submit appeals supported by documentation, regulatory guidelines, and payer requirements • Process incoming correspondence, including mail, emails, EOBs, information requests, and refunds • Maintain detailed notes in billing systems for follow-up activities, findings, and next steps • Identify recurring issues and escalate concerns to supervisors or internal teams • Meet daily productivity and accuracy expectations

🎯 Requirements

• 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 • Ability to handle high-volume workloads, prioritize effectively, and meet tight deadlines • Experience in a structured environment using call monitoring, performance metrics, or productivity scoring is helpful • Strong verbal communication skills for professional phone interactions with insurance carriers • Excellent written communication skills for documentation and correspondence • Exceptional attention to detail and accuracy in reviewing claims and identifying discrepancies • Highly organized, self-paced, and capable of managing work independently in a remote environment • Dependable, punctual, and accountable • Ability to independently manage all job responsibilities, goals, and business practices in a remote environment

🏖️ Benefits

• Competitive salary, commensurate with experience • Comprehensive benefits package • 401(k) Plan • Inclusive workplace that promotes and values diversity