Medicare Account Resolution Specialist

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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

• 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

🎯 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 • 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

🏖️ Benefits

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