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Full Time Trizetto Provider Solutions Jobs (NOW HIRING)

Autonomize Inc

Solutions Architect

Austin, TX · On-site

$62.50 - $82.25/hr

Provide feedback to product and engineering teams on customer needs, industry trends, and ... Exposure to healthcare-specific enterprise systems like Epic, TriZetto, Optum, etc. * Startup ...

3B Staffing LLC

Business Associate

Columbia, TN · On-site

... Trizetto Facets - Billing, Accounting, Enrollment, Claim, provider, Workflow Expert in US healthcare Added advantage to have working knowledge on Medicare Work experience in design; develop solutions ...

New

3B Staffing LLC

Business Associate

Columbia, TN · On-site

... Trizetto Facets - Billing, Accounting, Enrollment, Claim, provider, Workflow Expert in US healthcare Added advantage to have working knowledge on Medicare Work experience in design; develop solutions ...

New

HealthEdge

Senior Solution Architect

... solutions and support technical system implementations. Candidate should have deep experience in ... Integrate Claims, Enrollment, Provider, Authorization, Payment systems * Ensure architecture ...

New

HealthEdge

Senior Solution Architect

... solutions and support technical system implementations. Candidate should have deep experience in ... Integrate Claims, Enrollment, Provider, Authorization, Payment systems * Ensure architecture ...

New

3B Staffing LLC

Manual QA Claims Tester

Getzville, NY · On-site

Facets- hands-on experience in configuration and administration of Trizetto claims solution. * Hea ... provide solutions. * Prepared Test cases and Test scripts from the requirements and Functional ...

3B Staffing LLC

Manual QA Claims Tester

Getzville, NY · On-site

Facets- hands-on experience in configuration and administration of Trizetto claims solution. * Hea ... provide solutions. * Prepared Test cases and Test scripts from the requirements and Functional ...

3B Staffing LLC

Manual QA Claims Tester

Albany, NY · On-site

Facets- hands-on experience in configuration and administration of Trizetto claims solution. * Hea ... provide solutions. * Prepared Test cases and Test scripts from the requirements and Functional ...

3B Staffing LLC

Manual QA Claims Tester

Albany, NY · On-site

Facets- hands-on experience in configuration and administration of Trizetto claims solution. * Hea ... provide solutions. * Prepared Test cases and Test scripts from the requirements and Functional ...

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All JobsFinance and Insurance JobsFull Time Trizetto Provider Solutions Jobs

Full Time Trizetto Provider Solutions information

What is the difference between Full Time Trizetto Provider Solutions vs Full Time Trizetto Analyst?

AspectFull Time Trizetto Provider SolutionsFull Time Trizetto Analyst
CredentialsTypically requires healthcare IT certifications and knowledge of Trizetto platformsRequires similar certifications, often with additional analytical skills
Work EnvironmentHealthcare provider or insurance company settings, focusing on platform implementation and supportOffice-based, analyzing data, and optimizing Trizetto systems
Employer & IndustryHealth insurance companies, healthcare providers, and IT service firmsInsurance companies, healthcare organizations, and consulting firms

Both roles involve working with Trizetto systems, but Full Time Trizetto Provider Solutions focuses more on platform support and implementation, while Full Time Trizetto Analyst emphasizes data analysis and system optimization. Understanding these differences helps candidates choose the right career path in healthcare IT.

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Full Time Trizetto Provider Solutions jobs near you
Infographic showing various Full Time Trizetto Provider Solutions job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 8% Part Time, and 5% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution.

Billing Specialist

Southwest Ohio ENT Specialists

Dayton, OH • On-site

$17 - $22/hr

Full-time

Re-posted 24 days ago

Job description

POSITION OVERVIEW
The Billing Specialist is responsible for Accounts Receivable Management, working all denied claims, seeks full payment from the specific insurance carriers they are responsible for. In addition, prepares appeals for incomplete or non-payments with proper documentation along with researching, analyzing and reconciling billing and reimbursement practices.
ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Works in our practice management systems Collection Module and/or Aging Reports to identify aged/denied claims and pull necessary information to investigate claims.
  • Actively follow-up on outstanding claim balances by checking claims on the carrier's website or by calling the insurance companies and other payers as needed.
  • Prepare appeals paperwork for all payers by gathering supporting documentation as needed.
  • Recognize and appropriately report problems or negative patterns in support of maximization of billing and collections.
  • Work claims hitting edits in TriZetto Provider Solutions (Clearinghouse).
  • Avoid and/or resolve errors which may lead to undo write-offs or insurance rejections.
  • Identify accounts requiring charge or payment corrections.
  • Credentialing new physicians, nurse practitioners, audiologists and SLP's for the insurance carriers they are responsible for.
  • Run collection reports per physician call to collection outstanding balance prior to next visit or communicate to the scheduler to cancel appointment.
  • Respond to emails from Patient Services team regarding patients in collections then calling the patient to collect outstanding balance.
  • Phone work as scheduled to include incoming calls requesting account information and making outgoing calls for account investigation.
  • Review weekly statements sending letters or emails to patients to collect payment prior to sending to collections.
  • Provide backup phone coverage and other office responsibilities as a member of the Billing Team.
  • Handle other duties and special projects as assigned.

Requirements
EDUCATION, EXPERIENCE & KNOWLEDGE REQUIREMENTS
Education
  • High School Diploma or equivalent

Experience
  • Minimum 3-5 years medical billing experience.

Knowledge & Skills
  • Proficiency in using computers and ability to learn various software.
  • Superior organizational and problem-solving skills, and attention to detail
  • Familiarity with medical billing systems, ICD-10, CPT, medical coding, and basic medical terminology.
  • Ability to work well in a team environment.
  • Strong communication (verbal and written) skills.

Salary Description
$17-22/hr

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