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Trizetto Provider Solutions Jobs (NOW HIRING)

Cognizant

Facets Solution Architect

Floral City, FL · On-site

$120 - $135/hr

Partner with client and internal stakeholders to ensure solutions align with business objectives ... or TriZetto platforms. * Ability to provide thought leadership and mentor teams on healthcare ...

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Quantix

Facets Solutions Architect

Englewood, CO · Remote

$62.25 - $82/hr

Payer Finance Solution Analyst provides implementation, optimization, verification, and issue ... The candidate should be familiar with the TriZetto Core Administration Applications. Travel up to ...

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 ...

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Trizetto Provider Solutions information

What are the key skills and qualifications needed to thrive in Trizetto Provider Solutions, and why are they important?

To excel in a Trizetto Provider Solutions role, you need a solid understanding of healthcare revenue cycle management, claims processing, and industry compliance standards, often supported by a background in healthcare administration or information technology. Proficiency with Trizetto applications, EDI systems, and knowledge of HIPAA regulations are typically required, and relevant certifications in medical billing or health information management are advantageous. Strong analytical thinking, customer service orientation, and effective communication skills help individuals navigate complex technical issues and foster positive client relationships. These competencies are vital for ensuring accurate, timely claims management and maintaining high client satisfaction in a fast-paced healthcare technology environment.

What is a Trizetto Provider Solutions?

A Trizetto Provider Solutions job typically involves working with healthcare technology to optimize revenue cycle management, claims processing, and payer-provider connectivity. Employees may work in roles related to software development, customer support, sales, or implementation of Trizetto’s healthcare solutions. The goal is to help healthcare providers and payers improve efficiency, reduce costs, and ensure accurate claims processing.

What are the primary responsibilities of someone working in Trizetto Provider Solutions?

Professionals in a Trizetto Provider Solutions position are primarily responsible for managing and optimizing healthcare claims processing, troubleshooting EDI and claim submission issues, and ensuring that billing practices comply with relevant regulations. Daily tasks often include working closely with healthcare providers, payers, and technical teams to resolve claims denials, streamline workflows, and provide end-user training on Trizetto systems. Team collaboration, regular communication with clients, and problem-solving are integral parts of the job. This role offers valuable exposure to the intersection of healthcare operations and technology, making it a strong stepping stone for career advancement in healthcare IT or revenue cycle management.

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Trizetto Provider Solutions jobs near you
Infographic showing various Trizetto Provider Solutions job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Billing Specialist

Southwest Ohio ENT Specialists Inc

Dayton, OH

$17 - $22/hr

Full-time

Re-posted 26 days ago

Job description

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.



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