Zotec Partners

Analyst

• Directly supporting the EDI needs of the medical billing/clearinghouse business
• Monitor business processes to ensure service level agreements are met
• Define business requirements and acceptance criteria/test cases that support EDI Interfaces related to healthcare business platform including but not limited to 837, 834, 820, 835, 999, 275, 277, 270 EDI transactions
• Interact with new and current trading partners to capture and analyze requirements, mapping specifications and project objectives
• Perform business analysis of identified process and software gaps or inefficiencies and develop plans to fill those gaps for internal business processes and for external clients
• Mapping documents to and from various formats including but not limited to ANSI X12, XML, and flat file layouts
• Investigate EDI transactions
• Investigate image issues related to PDF, .tif, and .text files
• Respond with appropriate urgency when process variations are discovered
• Communicate with outside agencies, carriers or facilities as research requires to gather information to resolve issues
• Work with banks and collection agencies to set up file formats to load into our system
• Troubleshoot to ensure different file formats load into Zotec system
• Act as an ambassador for Zotec’s Mission, initiatives and goals.

EDI Analyst

Account Manager

• Serve as the primary liaison with assigned clients
• Work within Zotec departments to optimize Revenue Cycle Management results
• Work proactively with clients to shape RCM goals and expectations
• Provide reimbursement analysis and management reporting
• Advise clients of industry and regulatory trends
• Inform clients of Zotec’s role in healthcare challenges

Client Relationship Manager – Multi-Specialty

Insurance

• Contribute to the standardization and communication of new operational processes
• Maintain present processes to keep them current and accurate
• Administrative functions including denial rule and/or claim response setup
• Promote Zotec while maintaining positive relationships with governmental payors
• Assist in delivery of SOC-1 AR process flow evidence
• Consult with AR Operational leaders on efficiency opportunities
• Complete other duties as assigned

Insurance Friction Analyst

Financial Planning and Analysis

• Manage financial and accounting business matters in accordance with established procedures and standards
• Develop and train bookkeeping and accounting support personnel to deliver quality service in accordance with established controls and standards
• Independently manage financial services toward the company objective of quality service and high satisfaction; recommend actions to this end
• Independently provide strategic management advice and service, including special complex requirements of large group practices, by gaining a strong working knowledge of the Group’s business and industry
• Attend and conduct regular face-to-face meetings
• Collaborate with Billing Manager to deliver service in a team approach with continuous communication and coordination
• Occasional Travel as needed
• Perform all other duties as assigned

Assistant Finance Manager

IT Support

• Drive audit process improvements, reporting and automation for the overall improvement of client billing
• Lead detailed conversations with physician group/client service leaders, operations teams, and coding and billing experts to validate information identified during historical data analysis; work with these resources to bridge any remaining gaps in their historical charging workflows
• Implement charge capture process automation to eliminate existing manual processes and lead charge audit process improvement projects
• Monitor daily productivity regarding identifying missing charges and efficient ways in retrieving data for billing purposes
• Execute SQL queries to gather historical charging & billing data to help research order vs. performed
• Utilize analytical skills to work with complex data to identify trends, workflow issues, and root cause of issues to prevent potential issues from reoccurring
• Promote internal teamwork and build effective client relationships to meet all charge audit requirements and expectations

Charge Audit Specialist

Accounts Receivable

• Pull medical records from various EMR systems
• Scan medial records
• Link medical records to patient accounts
• Process Appeals online and through our EBC software
• Learn various Carrier portals & Appeal Forms
• Other duties as assigned

AR Specialist, Medical Records

• Follow up on claims rejections and denials
• Identify billing issues
• Communicate with insurance companies for status on outstanding claims
• Work daily correspondence work files
• Process and follow up on appeals
• Resolve correspondence issues

AR Specialist

Accounting Manager

• Oversee financial data for multiple companies, maintaining accurate books on accounts payable and receivable, payroll, and daily financial entries and reconciliations
• Manage workflow to ensure all accounting transactions are processed accurately and timely
• Perform daily accounting department operations and data entry processing
• Reconcile bank statements
• Administer proper general ledger coding of transactions
• Process payroll and reimbursement transactions
• Research and professionally communicate with appropriate audiences
• Maintain files and documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices
• Prepare filings such as Federal Forms 1099/1096 and tangible property tax reports
• Reconcile payroll tax filings to general ledger activity
• Identify and resolve discrepancies
• Respond to routine client and management inquiries in a timely and professional manner
• Participate in professional development activities
• Import, sync and post bank transactions in QuickBooks daily
• Schedule and process Retirement Plan contributions
• Adhoc Projects as Needed
• Be flexible with changes in management style to meet the needs of this demanding client

Accounting Associate

Customer Support

• Respond to inbound calls from patients regarding medical bills, insurance coverage, and payment options
• Explain billing statements, balances, and payment plans in a clear and compassionate manner
• Document interactions accurately in billing and patient management systems
• Collaborate with other Zotec Teams to resolve patient concerns
• Maintain compliance with HIPAA and company policies at all times
• Meet quality, productivity, and customer satisfaction standards

Bilingual Customer Services Representative

Implementation Specialist

• Execute required implementation tasks according to the implementation plan and make adjustments as necessary
• Meet established schedule deadlines for implementation completion
• Support established communication schedule and provide updates to team members so they may communicate on the progress of implementations
• Work with the implementation manager to ensure proper system set up and functionality for each client
• Appropriately document implementation activities
• Participate in required client calls to be available for questions regarding implementation completion
• Ensure that the implementation deliverables are on time and at the required level of quality
• Support current client base with new or existing implementation needs
• Other duties as assigned

• Serve as the primary liaison with assigned clients
• Work within Zotec departments to optimize Revenue Cycle Management results
• Work proactively with clients to shape RCM goals and expectations
• Provide reimbursement analysis and management reporting
• Advise clients of industry and regulatory trends that may impact their practice
• Inform clients of Zotec’s role in helping navigate healthcare challenges through specialized processes and innovative tools
• Conduct client meetings to review RCM performance, practice trends, and advise clients on business/industry issues impacting the practice
• Appropriately educate client groups on the benefits, capabilities, and value proposition of Zotec
• Proactively communicate with client groups and appropriate organizational departments regarding open items and opportunities
• Keep the organization informed regarding ongoing client satisfaction and feedback
• Provide client feedback to organization