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In our community, everyone is an important part and makes their individual contribution. For this reason, we are able to offer diverse and good jobs.

  • Be part of a great community
  • Work with us and shape the future
  • We can’t do it without you. We need you!

Data Capture Specialist

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 – those 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 purpose, to make a difference by improving the way that healthcare works for everyone. Today we are more than 1000 employees strong, and we continue to use our incredible talent and energy to bring that purpose to life.

We’re seeking a Data Capture Specialist to join us.

As a Data Capture Specialist, you will be responsible for ensuring medical claims are processed in a timely manner by investigating and resolving carrier issues.
What you’ll do:
Translate insurance carriers that come from client electronic demographic files
Research pending medical claims to identify the appropriate carrier
Utilize cZar Reports to prioritize clients by volume/aging/SLA
Work alerts daily for any client cross referencing issues
Create carriers when required
Identify special client specific rules/carriers
Review audit reports and make appropriate updates
Work on special projects as needed
What you’ll bring to Zotec:
High School diploma or equivalent
Medical billing experience working with explanation of benefits (EOBs) and AR follow-up preferred
Experience analyzing and interpreting medical insurance plan information required
Detail oriented and must be self-motivated
Ability to multitask in a fast-paced environment
Strong attention to detail
Good problem solving skills
Ability to follow-through, assume responsibility and use good judgment
Ability to prioritize workload and meet specific goals and objectives timely
Ability to maintain professionalism in stressful situations
Ability to work as part of a team
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

Claims Processor 2

Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services.

Benefits info:
•    Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
•    Short- and long-term disability benefits 
•    401(k) plan with company match and immediate vesting
•    Free telehealth benefits
•    Free gym memberships
•    Employee Incentive Plan
•    Employee Assistance Program
•    Rewards and Recognition Programs
•    Paid Time Off and Paid Sick Leave 

SUMMARY STATEMENT
This position is responsible for entering paper and/or electronic claims into the claims system and examining and determining whether to return, request additional information, deny or pay claims following organizational policies and procedures after entry.

ESSENTIAL DUTIES & RESPONSIBILITIES 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  This list of essential job functions is not exhaustive and may be supplemented as necessary.

90% of time will be spent on one or more of the following activities depending on assignments:
•    Accurately examine, interpret and enter claims; resolve edits and first/second level suspense utilizing the claims processing system. 
•    Perform necessary research and effectively make decisions to properly adjudicate claims utilizing processing manual. 
•    Identify and communicate problems relevant to the claims processing system and the processing manual and/or guidelines. 
•    Adhere to all established standard operating procedures.   
•    Support continuous improvement by identifying process improvements and/or quality enhancements.  
•    Initiate and respond to written and verbal communications from internal and external sources. 

10% Performs other duties as the supervisor may, from time to time, deem necessary.

REQUIRED QUALIFICATIONS 
•    High School Diploma or GED 
•    1 year of data entry experience, including accurate keyboard skills
•    Proficient with PC’s and in Windows based environments; including Microsoft Office (Word, Excel, Outlook)
•    Demonstrated analytical skills
•    Strong verbal and written communication skills 
•    Strong interpersonal skills

PREFERRED QUALIFICATIONS
•    Knowledgeable of medical terminology, procedure and denial codes


The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company.  These years of residence do not have to be consecutive.


“We are an Equal Opportunity Employer/Protected Veteran/Disabled”
 

Financial Purchase Specialist – Part Time

Description

Company Overview

RTS Financial, a Shamrock brand, is a factoring company that provides working capital solutions to businesses across multiple industries, primarily trucking and oilfield services. By providing accounts receivable financing, we help our customers build the cash flow necessary to grow their companies.

Shamrock Trading Corporation is the parent company for a family of brands in transportation services, finance and technology. Headquartered in Overland Park, KS, Shamrock has regularly been named “Best Places to Work” by the Kansas City Business Journal. We also have offices in Atlanta, Chicago, Dallas, Ft. Lauderdale, Laredo, Midland, Nashville and Phoenix.

Responsibilities

RTS Financial and Shamrock Trading Corporation are looking for a Financial Purchase Specialist. This position is responsible for reviewing, auditing and processing invoices and related documentation per procedural and contractual requirements. The Financial Purchase Specialist will focus on the daily purchase queues of designated client portfolios

  • Daily account review and audit procedures for RTS Financial customers
  • Regularly update account information to maintain customer records
  • Prepare audit reports by collecting and analyzing customer information to ensure that purchases are billed and processed correctly
  • Maintain financial account details to ensure that processing customer adjustments are done correctly
  • Provide daily funding for assigned work queues
  • Perform risk assessments and ensure that procedures are in place and followed to minimize risk associated with funding client accounts
  • Manage purchase issues, including clarifying the issue, determining the cause, expediting the correction or adjustment and following up to ensure resolution
  • Other duties as assigned
  • Note: This is a part-time position and fully remote. Hours are Monday – Friday, 8 AM – 12 PM
  • Hourly range: $20-25 per hour

Qualifications

  • Bachelor’s degree in business administration, finance or related field preferred, but not required.
  • Reliable high speed internet connection (required for remote workers)
  • Effective verbal, written and interpersonal communication skills
  • Problem-solving and conflict-resolution skills
  • Detail orientated with analytical and technical skills
  • Proficient in Microsoft Office and data entry
  • Demonstrated ability to meet deadlines
  • Experience in the financial industry a plus
  • Company issued laptop and monitor/s provided 

#LI-MK #LI-Remote #rtsfinancial

Claims Examiner

Date:  Oct 26, 2023

Location:  

Remote, Remote, US

Requisition ID:  5276

Description: 

Are you ready to take your next big career step with a respected BPO services company? Join us at Firstsource Transaction Services! We are a leading Business Process Management company, providing customer-centric business process services. With a diverse array of resources, we can tap into our talent pools to ensure client proximity, deep market and domain expertise, and superior communication; called our ‘Right-shore’ delivery model. We leverage this model to serve organizations in the Banking, Financial Services and Insurance, Healthcare, Telecommunications & Media verticals. Our brand’s promise is – Business Process. Simplified.

Due to our continued growth, Firstsource is looking for Provider Data Specialist

Responsible for performing manual provider demographic and contract linkage loads and maintenance based on work requests for physician groups, while ensuring we synchronize multiple systems platforms. 

Qualifications – External

Responsibilities:

  • Processing and data entry for routine types of physician and contract linkage transactions such as:
    • Load new physician demographics and contract linkage using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
    • Perform physician demographics and contract linkage data using the appropriate loading instruction guidelines (i.e. Managed Care Forms, Provider Data Loading Templates, etc.)
    • Responsible for ensuring all data elements necessary to complete the request are provided and responds to the submitter with a detailed outline if additional information is needed
    • Use desk-top macros whenever possible to ensure data loading accuracy and efficiency
    • Send large requests capable of being automated as defined by management to the AST
  • Provide excellent customer service to customers (physician, health plans, affiliates, delegates, insured, and all associated business partners) by:
    • Quickly and accurately identifying and assessing customer needs and taking appropriate action steps to satisfy those needs
    • Solve problems systematically using sound business judgment and following through on commitments using an automated approach whenever possible
    • Respond to customers in a polite and professional manner
    • Complete assigned work within established TAT and Quality metrics while remaining within downtime parameters to ensure customer satisfaction
    • Establish successful working relationship with business partners
  • Ability to resolve quality validation issues concerning any quality process
  • Consistently meet established service, productivity, and quality standards
  • Special projects as required

Qualifications:

Pre-Requisites

  • High school diploma or equivalent
  • Basic knowledge of the health care industry and managed care preferred
  • Working knowledge of systems platforms preferred
  • Excellent telephone/customer service skills required
  • PC skills (Power Point, Word, Excel, Access, Lotus Notes, Intranet) preferred
  • Data entry experience preferred
  • Strong customer service orientation required
  • Excellent attendance
  • Ability to work independently

Critical Success Factors

  • Strong communication skills
  • Attention to detail
  • Quality focused
  • Decision making skills
  • Organizational skills
  • Problem solving
  • Team player
  • Self starter who needs minimal direction

We are an Equal Opportunity Employer.  All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.