The role at Zen Medical Services involves focusing on maximizing revenue and minimizing administrative burden in medical billing. This includes ensuring accuracy and compliance by prioritizing timely cash flow, verifying insurance policies, checking claim accuracy, and efficiently managing denials. The ideal candidate should possess analytical skills to assess financial data, communication skills to interact with clients and insurance companies, and a background in finance and accounting. Experience in medical billing or revenue cycle management is crucial, along with knowledge of ICD/CPT/Modifier combinations. Attention to detail and accuracy are essential qualities for this role, as well as proficiency in using billing software. Additionally, holding a relevant certification or degree in Finance or Accounting would be beneficial for this position.,
Job Description Role Overview: As a member of Zen Medical Services, you will play a crucial role in maximizing revenue and minimizing administrative burden in medical billing. Your primary focus will be on ensuring accuracy and compliance by verifying insurance policies, checking claim accuracy, and efficiently managing denials to prioritize timely cash flow. Key Responsibilities: - Utilize analytical skills to assess billing processes and identify opportunities for improvement - Communicate effectively with team members and clients to address billing concerns and ensure accurate submissions - Apply finance and accounting knowledge to optimize revenue cycle management strategies - Utilize your experience in medical billing to navigate complex billing procedures and resolve issues efficiently - Demonstrate proficiency in managing ICD/CPT/Modifier combinations to ensure accurate coding and billing - Maintain attention to detail and accuracy while processing billing information - Utilize billing software effectively to streamline billing processes and improve efficiency Qualifications: - Possess strong analytical skills to assess and improve billing processes - Exhibit excellent communication skills to address billing concerns with team members and clients - Have a background in finance and accounting to optimize revenue cycle management strategies - Prior experience in medical billing to navigate complex procedures and resolve issues efficiently - Knowledge of ICD/CPT/Modifier combinations to ensure accurate coding and billing - Attention to detail and accuracy while processing billing information - Proficiency in using billing software to streamline processes and improve efficiency - Relevant certification or degree in Finance or Accounting to support your qualifications,
Company Description Zen Medical Services focuses on optimizing revenue and reducing administrative challenges for healthcare providers by ensuring accuracy and compliance in medical billing processes. Our team is dedicated to verifying insurance policies, validating precise ICD/CPT/Modifier combinations, and maintaining a seamless cash flow for our clients. We emphasize proactive claim management by following up on unpaid claims within 30 days and keeping Account Receivables (A/R) beyond 90 days below 5%. Additionally, we perform daily monitoring of clearinghouse rejection logs and handle denial management to deliver efficient and reliable services. Role Description An authorization specialist for U.S. medical billing is responsible for obtaining prior authorization from insurance companies for medical services before they are provided. This role involves verifying patient insurance eligibility, managing referrals, submitting requests for approval, tracking authorization statuses, and ensuring all necessary documentation is collected for seamless billing Key responsibilities Obtain prior authorizations: The primary duty is to submit requests to insurance providers and get approval for services to ensure they are covered under the patient's plan. Verify insurance eligibility: Confirming that a patient's insurance plan is active and benefits are valid before services are rendered. Manage referrals: Facilitating the process of a patient being referred to a specialist for further treatment. Data entry and tracking: Accurately entering and tracking data related to authorization requests, including follow-ups on expedited reviews and appeals. Documentation management: Collecting and organizing all required patient and medical information to support the authorization request. Communication: Clearly communicating with insurance companies, healthcare providers, and patients about the authorization process. Compliance: Staying up-to-date with relevant regulations and ensuring all processes comply with laws and insurance policies. Skills and qualifications Understanding of medical billing: Knowledge of the medical billing cycle, including CPT codes, diagnosis codes, and claim submission. Strong communication skills: Ability to clearly and effectively communicate with various parties. Attention to detail: Meticulous attention to detail is crucial for handling complex rules and sensitive information. Problem-solving: Ability to navigate and resolve issues that arise during the authorization process. Technical and administrative skills: Proficiency with the specific software and systems used for medical billing and patient management
As an Authorization Specialist at Zen Medical Services, your role is crucial in obtaining prior authorization from insurance companies for medical services. Your primary responsibilities include: - **Obtain prior authorizations:** Submit requests to insurance providers to ensure coverage under the patient's plan. - **Verify insurance eligibility:** Confirm the patient's insurance plan is active and benefits are valid. - **Manage referrals:** Facilitate patient referrals to specialists. - **Data entry and tracking:** Accurately enter and track data related to authorization requests. - **Documentation management:** Collect and organize all necessary patient and medical information. - **Communication:** Clearly communicate with insurance companies, healthcare providers, and patients. - **Compliance:** Stay updated with regulations and ensure processes comply with laws and insurance policies. To excel in this role, you should possess: - **Understanding of medical billing:** Familiarity with the medical billing cycle, CPT codes, diagnosis codes, and claim submission. - **Strong communication skills:** Ability to effectively communicate with various stakeholders. - **Attention to detail:** Meticulous attention to detail is essential for handling complex information. - **Problem-solving skills:** Ability to navigate and resolve issues during the authorization process. - **Technical and administrative skills:** Proficiency in relevant software and systems for medical billing and patient management. At Zen Medical Services, we focus on optimizing revenue and reducing administrative challenges for healthcare providers through accurate medical billing processes. Our proactive approach to claim management and emphasis on compliance ensure efficient and reliable services for our clients.,