About the role
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.
AR Specialist – AR Triage & Investigations We're seeking an AR Specialist to join our AR Triage & Investigations team. In this role, you'll dig into claim rejections and denials, get to the root of billing discrepancies, and work directly with insurance carriers to keep outstanding claims moving toward resolution.
What you'll do: * Review and triage Salesforce Cases, directing them to the appropriate teams or departments within the Enterprise * Follow up on claims rejections and denials to determine cause and appropriate next action * Identify billing issues and route or correct them as needed * Communicate with insurance companies to obtain status on outstanding claims * Work daily correspondence work files, prioritizing by age and dollar impact * Process and follow up on appeals, tracking outcomes through resolution * Resolve correspondence issues, including EOB discrepancies and payer requests for additional information * Document all account activity clearly and accurately in the billing system * Escalate trends or recurring denial patterns to leadership when identified * Meet daily/weekly productivity and quality standards for case resolution
What you'll bring: * Prior experience in medical billing, accounts receivable, or healthcare claims follow-up * Working knowledge of insurance claim processes, EOBs, denial codes, and appeals procedures * Familiarity with payer portals and/or clearinghouses * Strong written and verbal communication skills for payer correspondence * Comfort working in a high-volume, deadline-driven environment * Detail-oriented with strong organizational and time-management skills * Proficiency with Microsoft Excel and Salesforce
Nice to have: * Knowledge of CPT, ICD-10, and HCPCS coding * Prior experience in a revenue cycle management (RCM) environment