Payor Services Analyst - Remote

Overview

As a Payor Services Analyst at Zotec Partners, you will play a crucial role in transforming the healthcare industry by ensuring compliance with billing and claims submission requirements.

In Short

• Research and analyze payor guidelines for compliance.
• Implement updated payor guidelines across teams.
• Monitor billing requirements for Advanced Practice Providers.
• Identify and implement changes in payor-specific billing requirements.
• Maintain subscriptions to payor portals for updates.
• Conduct legal and regulatory analysis of billing requirements.
• Document changes to payor billing requirements.
• Communicate updates to internal staff.
• Collaborate across departments.
• Work independently with a proactive approach.

Requirements

• Bachelor's degree in business administration or healthcare management preferred.
• 3+ years of experience in healthcare billing or claims submission.
• Proficiency in EDI systems and healthcare billing software.
• Knowledge of claim formatting and submission processes.
• Proficiency in Microsoft Excel and analytics tools.
• Exceptional analytical and research skills.
• Ability to interpret complex regulatory requirements.
• Strong communication and organizational skills.
• Detail-oriented with a proactive problem-solving approach.
• Knowledge of ANSI X12 Transactions.

Benefits

• Work in a network of experienced professionals.
• Operate with autonomy while having support from colleagues.
• Opportunity for original thinkers and opportunity seekers.