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

EDI Analyst

Client Relationship Manager – Multi-Specialty

Insurance Friction Analyst