Medicaid Account Resolution Specialist

🔥 6 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Review Medicaid claims that are pending, on hold, denied, or paid incorrectly, and take appropriate steps to resolve issues and secure accurate reimbursement • Identify reasons claims are on hold by reviewing account details, correcting errors, and ensuring required information is complete and compliant with Medicaid guidelines • Evaluate denial reasons, determine correction or resubmission steps, and complete timely follow-up to move claims toward payment • Submit documentation or clarification to Medicaid, including adjustments, corrections, and appeal requests • Monitor and manage incoming mail, email, and electronic notifications • Respond promptly and process refunds or adjustments when required • Document all claim actions in the billing system to maintain accurate records and support compliance • Recognize recurring issues or trends and alert management when patterns may affect claim processing or reimbursement timelines • Maintain productivity and quality standards while managing a high volume of claims and meeting required timelines and filing limits • Perform additional duties as assigned

🎯 Requirements

• 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

🏖️ Benefits

• Competitive salary, commensurate with experience • Comprehensive benefits package • 401(k) Plan