Insurance Account Resolution Specialist - Digitech - Remote

Sarnova•Boydton, VA

110d•Remote

About The Position

Digitech, part of the Sarnova family of companies, is seeking a highly motivated and detail-oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial insurance carriers. The role ensures timely, accurate, and compliant claim resolution by reviewing pending, denied, or incorrectly paid claims and following through until payment is secured. Success 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 8:00 a.m.–4:30 p.m. Eastern Time schedule. The position includes a competitive salary commensurate with experience and a comprehensive benefits package, including a 401(k) plan.

Requirements

High school diploma or equivalent.
Strong computer skills, including working knowledge of MS Outlook, Word, and Excel.
Ability to type 40 words per minute accurately.
Ability to handle high-volume workloads, prioritize effectively, and meet tight deadlines.
Strong verbal communication skills and ability to remain calm, professional, and effective during phone interactions with insurance carriers.
Excellent written communication skills for preparing clear, accurate documentation and correspondence.
Exceptional attention to detail and accuracy when reviewing claims, identifying discrepancies, and documenting findings.
Highly organized, self-paced, and able to manage 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 role, including required goals and business practices, in a remote environment.

Nice To Haves

Experience in a structured environment where call monitoring, performance metrics, or productivity scoring are used.

Responsibilities

Research and resolve outstanding insurance claims, including claims that are pending, unable to be released, denied, or paid incorrectly by commercial insurance carriers.
Investigate claims placed on hold, identify root causes, correct errors, and complete follow-up actions needed to release claims for processing.
Analyze insurance denials, determine denial reasons and validity, and complete appropriate resolution steps, such as appeals, corrections, or resubmissions.
Contact insurance carriers by outbound phone calls to obtain claim status, clarify discrepancies, and secure explanations for pending or denied claims.
Prepare and submit additional documentation requested by insurance carriers to support claim adjudication and accurate processing.
Draft and submit appeals when necessary, supported by appropriate documentation, regulatory guidelines, and payer-specific requirements.
Process and manage incoming correspondence, including mail, emails, EOBs, requests for information, and necessary refunds.
Maintain accurate, detailed billing-system notes for follow-up activities, findings, and next steps.
Identify trends or recurring issues and escalate concerns to supervisors or appropriate internal teams to support process improvement.
Meet daily productivity and accuracy expectations and contribute to a high-performing team environment.
Perform additional job duties as assigned.