Remote Medicaid Claims Resolution Specialist

Digitech; United States; On-site; USD 42,000 - 62,000; Full time

Job summary

Digitech is seeking a Medicaid Account Resolution Specialist to join our remote billing team. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle.

Ideal candidates have sharp attention to detail, the ability to manage multiple priorities, and a commitment to quality service for clients and patients. You will review pending or denied claims, correct errors, submit documentation, and document actions in the billing

Qualifications

• High School Diploma or equivalent required.
• Proficiency with MS Outlook, Word and Excel.
• Ability to multi-task in a fast-paced environment.
• Minimum typing speed of 40 WPM with accuracy.
• Experience in metrics-driven environments is helpful.
• Excellent written and verbal communication skills.

Responsibilities

• Review Medicaid claims pending, on hold, denied, or paid incorrectly and pursue accurate reimbursement.
• Identify hold reasons, correct errors, and ensure complete, compliant information.
• Evaluate denials and follow up to move claims toward payment.
• Submit documentation to Medicaid, including adjustments and appeal requests.
• Monitor mail, email, and electronic notifications and process refunds or adjustments.
• Document actions in the billing system to support compliance.
• Identify recurring issues and alert management to potential delays.
• Maintain productivity and quality while meeting deadlines.
• Perform additional duties as assigned.

Skills

MS Outlook

MS Word

MS Excel

Multitasking

Attention to detail

Typing 40 WPM

Communication skills

Remote work ability

Education

High School Diploma or equivalent

Tools

MS Outlook

MS Word

MS Excel

Job description

Digitech is seeking a Medicaid Account Resolution Specialist to join our remote billing team. You will resolve Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up across the billing lifecycle.

Ideal candidates have sharp attention to detail, the ability to manage multiple priorities, and a commitment to quality service for clients and patients. You will review pending or denied claims, correct errors, submit documentation, and document actions in the billing