Medicaid Account Resolution Specialist - Digitech - Remote

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: The Medicaid Account Resolution Specialist is responsible for resolving Medicaid claims after submission, ensuring accurate reimbursement and timely follow up throughout the billing lifecycle. This role requires strong attention to detail, consistent follow through, the ability to manage multiple priorities, and a commitment to delivering high quality service to both clients and patients. Essential Duties and Responsibilities: Review Medicaid claims that are pending, on hold, denied, or paid incorrectly, and take appropriate steps to resolve issues and secure accurate reimbursement Identify the reasons claims are on hold by reviewing account details, correcting errors, and ensuring all required information is complete and compliant with Medicaid guidelines Evaluate denial reasons, determine the next steps for correction or resubmission, and complete timely follow up to move claims toward payment Submit additional documentation or clarification to Medicaid as needed, including adjustments, corrections, and appeal requests when claims require further review Monitor and manage incoming correspondence—mail, email, and electronic notifications—responding promptly and processing refunds or adjustments when required Document all actions taken on each claim in the billing system to maintain accurate records and support compliance with payer and internal requirements Recognize recurring issues or trends (such as missing information or common denial codes) and alert management when patterns may impact claim processing or reimbursement timelines Maintain productivity and quality standards while managing a high volume of claims and meeting required timelines and filing limits Additional job duties as assigned Skills/Experience Required: Education: High School Diploma or equivalent Strong computer proficiency, including MS Outlook, Word, and Excel Ability to multi task...

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