About Company
Are you ready to make a tangible impact from the comfort of your home? Career.zycto isn’t just a recruitment firm; we’re architects of career success, connecting talented professionals with opportunities that redefine their trajectories. For a Remote Healthcare Claims Assistant, we offer a pathway to thrive in an environment that values precision, dedication, and a deep understanding of the healthcare landscape. We pride ourselves on fostering connections that lead to fulfilling careers, providing support and resources to ensure our placed candidates excel. Join us in shaping the future of healthcare administration, where your meticulous skills are recognized and rewarded.
Job Description
Embark on a rewarding career path as a Remote Healthcare Claims Assistant with Career.zycto, supporting our esteemed clients in the dynamic healthcare sector. This pivotal remote role offers the opportunity to contribute significantly to the smooth operation of medical billing and claims processing, ensuring accuracy and efficiency from your home office in the Old Town, San Diego area. As a crucial member of the administrative team, you will be instrumental in the end-to-end management of healthcare claims, a process that demands meticulous attention to detail, a strong understanding of medical terminology, and exceptional organizational skills.
In this role, you will be responsible for reviewing, verifying, and processing a high volume of medical claims, interacting with various internal systems and, at times, external stakeholders. Your expertise will directly impact revenue cycles and patient satisfaction, making your contribution invaluable. We are seeking a proactive individual who is comfortable working independently in a remote setting, possesses a keen eye for discrepancies, and is committed to upholding the highest standards of data integrity and compliance. The ideal candidate will be adept at navigating complex healthcare regulations and insurance policies, ensuring that all claims are submitted accurately and promptly.
This is more than just a data entry position; it’s an opportunity to apply your analytical skills in a fast-paced environment, resolve complex claim issues, and contribute to the financial health of healthcare providers. You will be provided with the necessary tools and training to succeed, fostering a collaborative yet independent work culture. If you are passionate about healthcare administration, thrive in a detail-oriented role, and are looking for a remote position that offers both challenge and growth, we encourage you to apply. Your dedication will ensure that patients receive the care they need, and providers are reimbursed appropriately, making a real difference in the healthcare ecosystem.
Key Responsibilities
- Process and verify healthcare claims for accuracy, completeness, and adherence to regulations.
- Review patient information, medical records, and coding to ensure proper claim submission.
- Identify and resolve claim discrepancies, rejections, and denials through investigation and follow-up.
- Communicate with insurance companies, healthcare providers, and patients to gather necessary information.
- Maintain accurate and organized records of all claim activities and correspondence.
- Assist with medical billing and coding tasks as needed.
- Stay updated on industry changes, healthcare regulations (e.g., HIPAA), and insurance policies.
- Ensure timely and compliant submission of all claims.
- Utilize practice management software and electronic health record (EHR) systems effectively.
Required Skills
- Minimum of 2 years of experience in healthcare claims processing or medical billing.
- Strong understanding of medical terminology, CPT, ICD-10, and HCPCS codes.
- Proficiency with medical billing software and electronic health record (EHR) systems.
- Excellent attention to detail and accuracy.
- Strong analytical and problem-solving abilities.
- Exceptional organizational and time management skills.
- Ability to work independently in a remote environment with minimal supervision.
- Effective written and verbal communication skills.
- High school diploma or equivalent.
Preferred Qualifications
- Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field.
- Certification in Medical Billing and Coding (e.g., CPC, CCS-P, RHIT).
- Experience with specific insurance portals and payer guidelines.
- Familiarity with various types of health insurance plans (e.g., HMO, PPO, Medicare, Medicaid).
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Perks & Benefits
- Competitive hourly wage.
- Flexible remote work schedule.
- Opportunities for professional development and training.
- Health, dental, and vision insurance options.
- Paid time off and holidays.
- 401(k) retirement plan with company match.
- Supportive team environment and dedicated resources for remote employees.
How to Apply
Interested candidates are invited to click on the application link below to submit their resume and a cover letter detailing their relevant experience and why they are an ideal fit for this remote role. Please ensure your application highlights your experience with healthcare claims processing and your ability to work effectively in a virtual setting.
