Job Detail

JOB PURPOSE: The Claims Resolution Specialist will be able to promptly follow up on the status of claims as well as resolve any issues or denials. They will be well versed in the ability to verify benefits as well as attempt an appeals process.

Job Duties and Responsibilities

• Follow Zinnia Health's policies and procedures.
• Ability to complete verification of benefits with health insurance plans for both in and out of network benefits.
• Following up on and providing claim status.
• Following up on and communicating actions that need to be taken to adjudicate claims, including the ability to properly correct claims.
• Updating A/R
• Managing spreadsheets for reporting and advanced ability on excel.
• Ability to well navigate in CMD and document all correspondence in CMD.
• Ability to reconcile claims in CMD and apply payments and credits to accounts.
• Types and performs data entry as needed.
• Organizes client files. (if applicable)
• Answers phone calls and maintains professionalism with patients and insurance companies.
• Assists staff and clients with scheduling concerns or conflicts.
• Reads and routes incoming mail.
• Conducts research, and compiles and types statistical reports.
• Makes copies of correspondence or other printed materials and be able to interpret explanation of payments and benefits.
• Prepares outgoing mail and correspondence, including e-mail and faxes.
• Perform high volume of collection calls and/or correspondence in a fast paced, goal-oriented collections department.

Minimum Qualifications

Education / Experience

• Has a high school diploma or GED
• Previous experience working with insurance billing for facility preferred.

Knowledge

• Exceptional attention to detail and an eye for spotting errors and discrepancies.
• Strong communication and customer service skills with the ability to see issues through to resolution.
• Intermediate to advanced levels of skills in Microsoft Office and a proven aptitude for computers.
• Strong understanding of current ICD-10, CPT and HCPCS coding practices.

Job Type: Full-time

Salary: $17.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

COVID-19 considerations:

COVID Vaccination Required

Work Location: One location

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical Setting:

• Office

Schedule:

• 8 hour shift

Work Location: One location