Zaya Care · 1 day ago
Claims Specialist
United States
Full-time
Remote
Entry, Mid Level
$20/hr - $26/hr
2+ years expZaya Care is a venture-backed startup focused on affordable prevention and recovery care beyond the hospital setting. The Claims Specialist will manage the processing of healthcare claims, including reviewing and resolving claim issues, while developing and maintaining clear SOPs for compliant claims handling.
HealthcareWellnessHealth InsuranceInformation TechnologyHealth Care
Hiring Manager
Amin F., CPC
Responsibilities
Make outbound calls to payer representatives or supervisors to clarify the cause of claim denials and gather any missing information
Correct and resubmit claims when errors are identified, using your knowledge of CMS-1500 requirements as well as common coding, data, and policy issues
Prepare and submit appeal letters for denied claims (when necessary), ensuring all documentation aligns with each insurer’s medical policies and guidelines
Verify that all patient and claim information in the system is accurate and current, and follow up with the appropriate team members when discrepancies arise
Manage daily claim work by prioritizing tasks based on claim age and urgency
Qualification
Required
At least 2 years of experience handling claims, benefits, and patient financial responsibilities
Strong attention to detail
Excellent communication skills
Working knowledge of payer policies and procedures
Strong organizational skills
Ability to think operationally and work through issues thoroughly
Comfortable working in a dynamic start-up environment
Ability to work well with others and value team success
Tech-savvy and comfortable using digital tools to complete work
Benefits
Medical, Dental and Vision Insurance
Unlimited PTO and company wide week off during winter holidays
Company
Zaya Care
Empowering private practices to thrive by accepting insurance at rewarding terms.
2-10 employees
Funding
Current Stage
Early StageTotal Funding
$7.6MKey Investors
Inspired Capital Partners
2022-03-09Seed· $7.6M
2021-03-01Pre Seed
Leadership Team
Leoni Runge
Founder & CEO
Recent News
inspiredcapital.com
2025-03-14
2023-10-06
Fierce Healthcare
2023-03-13
Company data provided by crunchbase