BILLING SPECIALIST

DEPARTMENT: Revenue Cycle Management

JOB TYPE: Full-Time

SCHEDULE: 8 AM- 5 PM

LOCATION: Johns Creek, GA – Flexible/Hyrid/Remote

REPORTS TO: VP of Revenue Management

SUMMARY: Founded in 2014, Zywie Healthcare is a cardiac monitoring company. We record and transmit patients’ EKGs through holter monitor, event monitor, & mobile cardiac telemetry monitors. We are a trendsetter in the industry by putting doctors’ offices and hospitals in complete control of their cardiac monitoring. As an organization on the cutting-edge of medical science, we plan to expand beyond the confines of a cardiac device company to become the gold standard for patient care. We want you to help us make this a reality.

We currently have an opening for a Billing Specialist in our Johns Creek office. A Billing Specialist will handle our inbound/outbound communication (phone and email) related to patient billing including claims processing, EOB review, insurance verification, medical records request and taking patient payments. This role will provide billing assistance to patients, medical providers, and insurance agencies.

DUTIES AND RESPONSIBILITIES:

Communicating with patients, providers and insurance companies via phone and email.
Handling high volume of patient calls.
Reviewing patient claims and medical records to identify billable ICD-10s.
Verifying patient insurance eligibility and resolving COB issues.
Calculate patient responsibility and give estimates over the phone.
Process patient payments.
Obtaining pre-authorizations and medical records requests.

Prepare reports and correspondence as needed.
Perform other related duties as assigned by management.

QUALIFICATIONS:

A minimum of 1 year working in medical billing and coding	Ability to work with minimal supervision
1-2 years of ICD-10 w/ basic understanding of medical terminology	Acute attention to detail
Call Center experience	Commitment to excellence and high standards
Excellent customer service skills	Strong organizational, problem-solving, and analytical skills
Excellent oral and written communication skills	Ability to manage priorities and workflow
Proficient on Microsoft Office – including excel	Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm

COMPETENCIES:

Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

Frequently required to stand/walk/sit
Continually reviewing computer screens
Continually required to utilize hand and finger dexterity
Frequently required to climb, balance, bend, stoop, kneel or crawl
Continually required to talk or hear
Continually utilize visual acuity to operate equipment, read technical information, and/or use a keyboard
Occasionally required to lift/push/carry items up to 50 pounds
Additional remarks regarding work environment
Specialized equipment, machines, or vehicles used

BENEFITS:

Health Insurance
PTO and Holidays
401(K)
Life Insurance
AD & D Insurance

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Zywie is an Equal Opportunity Employer. Zywie does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

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