Medicare Account Resolution Specialist

🔥 0 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

• 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 required follow-up actions • Analyze Medicare denials to determine accuracy, identify next steps, and complete appeals, adjustments, or resubmissions as needed • Provide Medicare with 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 • Perform additional job duties as assigned

🎯 Requirements

• 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 • 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 • Ability to work in a professional environment free of noise or anything that would create a negative customer experience • Ability to work forty (40) hours per week as defined by the schedule

🏖️ Benefits

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