Health Insurance Claims Resolution Specialist

GRK Unlimited; United States; A distancia; USD 25.000 - 28.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

PTO (paid time off)

9 holidays per year

Tuition Reimbursement

Wellness Account

Medical, Dental, Vision and Life

Descripción de la vacante

Digitech Computer is seeking a Health Insurance Claims Resolution Specialist to work remotely full time. You will handle claims after submission to commercial carriers, focusing on resolving denials, appeals, and follow-up with insurers from a provider perspective.

The role emphasizes accuracy, strong communication, and the ability to manage high volumes in a remote setting. Equipment is provided, PTO and holidays accompany a full benefits package.

Formación

• Experience with medical claims resolution from the provider's side.

Responsabilidades

• Work claims that are pending, unable to be released or denied or incorrectly paid by Insurance carriers.
• Review claims on hold, identify causes, address issues.
• Work denials and submit appeals as needed.
• Handle correspondence via mail and email.

Conocimientos

Claims resolution

Attention to detail

Communication skills

Typing speed 40 wpm

Multi-tasking

MS Outlook

MS Word

MS Excel

Customer service

Herramientas

MS Outlook

MS Word

MS Excel

Descripción del empleo

My client, Digitech Computer, is seeking a Health Insurance Claims Resolution Specialist to work remotely full time.

Digitech is seeking a Health Insurance Claims Resolution Specialist to work claims after they’ve been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong follow-through, close attention to detail, and the ability to multi-task.

This is a fully remote position. Work from the comfort of your home. All necessary equipment will be provided so you can succeed in the role.

Organizational Impact:

In this role for Digitech, you are our brand ambassador for our clients and the patients that they serve. You impact your line of business by ensuring all insurance rules, regulations, and timely filing limits are adhered to and identifying and addressing issues and finding resolutions.

Digitech’s parent company, Sarnova, is the leading national specialty distributor of health care products in emergency medical services (EMS) and respiratory markets and is the industry leader in revenue cycle management within emergency medical services (EMS). The company operates through several market-leading companies including Tri-anim Health Services, the largest specialty distributor of respiratory products, Bound Tree Medical, the largest supplier of EMS products, EMP and Cardio Partners, a full Sudden Cardiac Arrest Solution provider, and Digitech, the leader in EMS revenue cycle management.

Responsibilities

• Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers
• Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold
• Work denials aiming to identify why claims have been denied, and handle follow-up accordingly
• Provide insurance companies with additional information as necessary to process a claim correctly and/or send an appeal
• Handle all correspondence via mail, email, and any necessary refunds.
• Performs other duties as assigned by management

Qualifications

• Experience with medical claims resolution from the provider's side
• Proven ability to review health insurance claim denials and submit appeals
• Strong computer skills with a basic understanding of MS Outlook, Word, and Excel
• Minimum typing speed of 40 wpm
• Ability to handle large volumes of work while meeting tight deadlines
• Experience in an environment where calls were monitored and scored as well as metrics applied to individual performance is helpful
• Ability to deal calmly and effectively with situations via telephone while maintaining and promoting a positive company image
• Excellent communication skills, both written and verbal. Able to present information and solutions in a professional and courteous manner
• Excellent attention to detail and accuracy
• Able to organize and prioritize tasks in order to complete all work assigned
• 3 weeks of PTO, increases with tenure
• 9 paid holidays
• Tuition Reimbursement
• Company funded Wellness Account
• Medical, Dental, Vision and Life insurance
• 401(k) plan

The pay range for this role is $18-20/hr., depending on experience

Digitech’s 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.

This is an ongoing pipeline posting, and applications will be accepted on a rolling basis.