Remote Insurance Claims Resolution Specialist

Tri-anim Health Services, Inc.; Northern (KY); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

401(k) Plan

Job summary

Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on timely, accurate, and compliant resolution with thorough documentation in billing systems.

This remote position operates Monday through Friday during standard Eastern Time business hours, with strong emphasis on follow‑through, analytics, and process improvement in a fast‑paced environment.

Qualifications

• High School Diploma or equivalent required.
• Strong computer skills including MS Outlook, Word, and Excel.
• Ability to type 40 WPM with accuracy.
• Proven ability to handle high‑volume workloads and meet tight deadlines.

Responsibilities

• Research and resolve outstanding insurance claims across Medicare HMOs, Medicaid MCOs, and facilities.
• Investigate claims on hold, identify root causes, and perform follow‑up actions to release processing.
• Analyze denials, determine validity, and complete resolutions such as appeals or resubmissions.
• Communicate with insurance carriers to obtain status, clarify discrepancies, and obtain explanations.

Skills

Typing 40 WPM

High-volume workload

Remote work independence

Education

High School Diploma

Tools

MS Outlook

MS Word

MS Excel

Job description

Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities. The role focuses on timely, accurate, and compliant resolution with thorough documentation in billing systems.

This remote position operates Monday through Friday during standard Eastern Time business hours, with strong emphasis on follow‑through, analytics, and process improvement in a fast‑paced environment.