Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. The organization prioritizes high quality services and improving patient health outcomes. The team is composed of skilled professionals passionate about impactful healthcare.
The position supports accurate verification and billing workflows for medical directorship services in skilled nursing facilities. Responsibilities include administrative support, patient communication, client relations, and initiating revenue cycle processes.
Reporting to the Director of Revenue Cycle Management, the role contributes to compliance and efficient revenue cycle workflows. Collaboration with SNF partners to maintain precise patient data and performing billing duties ensures clean claims and timely reimbursement.
This is a full-time, in-office role with potential to transition to a hybrid work schedule at manager's discretion.
Key Responsibilities:
- Verify patient insurance eligibility, benefits, and coverage
- Update patient demographics and coverage details with clients and facilities
- Patient outreach for missing info or clarifications
- Communicate with payors to validate coverage and resolve discrepancies
- Conduct routine audits of insurance and patient data
- Maintain compliance with payor guidelines, HIPAA, and policies
- Support reconciliation and resolve discrepancies
- Collaborate with SNF clients, providers, administrative and billing teams
- Contribute to process improvements reducing claim rejections
Helpful Knowledge, Skills, and Abilities:
- 3 to 5+ years front end medical billing or revenue cycle experience preferred
- Knowledge of billing workflows, claim submission, denial management
- Understanding insurance requirements, eligibility verification, authorizations
- Familiarity with medical terminology, HIPAA regulations, EHR systems
- Experience with multi-state or multi-facility billing workflows
- Knowledge of payor requirements (Medicare, Medicaid, commercial insurance)
- Ability to work independently
- Proficiency in Microsoft Excel, Outlook, Word
- Strong communication skills
- Ability to manage confidential information professionally
- Highly organized with attention to detail
Benefits:
- Comprehensive health, dental, vision insurance
- Health savings account
- Paid time off plus six company holidays
- Professional development and career advancement opportunities
3 to 5+ years of front end medical billing or revenue cycle experience preferred In-depth knowledge of medical billing workflows, including claim submission and denial management Strong understanding of insurance requirements, eligibility verification, and authorization processes Familiarity with medical terminology, HIPAA privacy regulations, and EHR systems Experience with multi-state or multi-facility billing workflows Knowledge of payor requirements across Medicare, Medicaid, and commercial insurance Ability to work independently and assume assigned responsibilities Proficiency in Microsoft applications including Excel, Outlook, and Word Strong verbal and written communication skills Ability to manage confidential information with professionalism and discretion Highly organized with strong attention to detail
Comprehensive benefits package including health insurance, dental, vision, and more Health savings account Paid time off plus six company paid holidays Opportunities for professional development and career advancement within a growing healthcare organization
Location
Utah, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$45,000 - $55,000
Remote work allowed
Yes
Posted
1 month ago