Claim Rejections Specialist

Zotec Partners

4d•Remote

About The Position

At Zotec Partners, our People make it happen. Transforming the healthcare industry isn’t easy. But when you build a team like the one we have, that goal can become a reality. Our accomplishments can’t happen without our extraordinary people – the men and women across the country who make up our diverse Zotec family and help make this company a best place to work. Over 25 years ago, we started Zotec with a clear vision, to partner with physicians to simplify the business of healthcare. Today we are more than 900 employees strong and we continue to use our incredible talent and energy to bring that vision to life. We are a team of Innovators, Collaborators and Doers. We’re seeking a Claims Rejections Specialist to join us. This is a remote position. As a Claim Rejections Specialist, you will be responsible for directly supporting the needs of the medical billing/clearinghouse business. This position requires the coordination across internal and external partners, including clients. You will be responsible for performing the appropriate steps or actions needed to reprocess rejected claims, complete inquiries with carriers to resolve issues, and address inquiries from other departments.

Requirements

High school diploma or equivalent
Ability to work under deadlines and in high volume conditions
Proficient MS Office skills
Excellent written communications and organizational skills
Exceptional verbal communication and interpersonal skills
Flexible mentality; willing and capable of performing varied tasks and adapting to change
Must be detail-oriented and able to work independently while prioritizing your workload
Professionally exercises discretion and independent judgment in day-to-day work

Nice To Haves

Knowledge and understanding of medical billing highly preferred

Responsibilities

Research and resolve rejected claim filing issues
Submit corrected claims to appropriate carriers / clearinghouses
Communicate identified issues with internal Zotec employees
Respond professionally to emails from management regarding client A/R issues
Review provider and client setups to identify and notify the appropriate team to correct the issue
Follow up on issues consistently until they are resolved
Communicate with internal partners and outside carriers / clearinghouses to research issues and gather information to resolve rejections
Respond with appropriate urgency when inquiries are received
Utilize problem solving, organizational, and priority management skills
Complete all other duties as assigned