AR Specialist - Triage & Investigations

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

At Zotec, you will enjoy a network of highly experienced professionals in an environment where you can operate with autonomy yet have the resources and backing of other professionals in a similar role. Entrepreneurial and enterprising is the spirit of our team. If you are an original thinker and opportunity seeker, we'd like to talk to you!

Learn more about our organization, by visiting us at www.zotecpartners.com

E-Verify and Equal Opportunity Employer

Originally posted on Himalayas