Insurance Account Resolution Specialist - Digitech - Remote

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The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services and Cardio Partners.

Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.

Summary:

Digitech is seeking a highly motivated and detail oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial insurance carriers. This role is responsible for ensuring timely, accurate, and compliant claim resolution by reviewing pending, denied, or incorrectly paid claims and following through until payment is secured. Success in this role requires strong analytical skills, excellent follow through, and the ability to manage a high volume workload in a fast paced environment.

This is a remote, work from home position, operating Monday through Friday during standard business hours, aligned with the team’s 8:00am–4:30pm Eastern Time schedule.

Essential Duties and Responsibilities:

Research and resolve outstanding insurance claims, including those that are pending, unable to be released, denied, or paid incorrectly by commercial insurance carriers

Investigate claims placed on hold, identifying root causes, correcting errors, and executing needed follow up actions to release claims for processing

Analyze insurance denials, determining denial reasons, assessing validity, and completing the appropriate resolution steps such as appeals, corrections, or resubmissions

Communicate directly with insurance carriers via outbound calls to obtain claim status, clarify discrepancies, and secure detailed explanations for pending or denied claims

Prepare and submit additional documentation requested by insurance carriers to support claim adjudication and ensure accurate processing

Draft and submit appeals when necessary, ensuring they are supported by proper documentation, regulatory guidelines, and payer specific requirements

Process and manage incoming correspondence, including mail, emails, EOBs, requests for information, and any necessary refunds

Maintain accurate, detailed notes in billing systems for all follow up activities, findings, and next steps

Identify trends or recurring issues, escalating concerns to supervisors or appropriate internal teams to support process improvement

Meet daily productivity and accuracy expectations, contributing to a high performing team environment

Additional job duties as assigned

Skills/Experience Required:

Education: 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 a structured environment where call monitoring, performance metrics, or productivity scoring are used is helpful

Strong verbal communication skills with the ability to remain calm, professional, and effective during phone interactions with insurance carriers

Excellent written communication skills for crafting clear, accurate documentation and correspondence

Exceptional attention to detail and accuracy in reviewing claims, identifying discrepancies, and documenting findings

Highly organized, self paced, and capable of managing work independently in a remote environment

Dependable, punctual, and accountable, with a willingness to ask questions and seek clarification when needed

Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled.

Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity. #digitech

Originally posted on Himalayas