Billing Specialist - Remote - Nationwide

Remote, Nationwide – Seeking Billing Specialist Everybody Has A Role To Play In Transforming Healthcare

As a Billing Specialist, you play a vital role in our mission to improve lives. As part of Billing Operations, you will be verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. At Vituity we know the impact you can have.

Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.

• Identifies the correct Financial Class and enters in billing system.
• Posts extracts and correct validation errors in system.
• Identify trends and communicates to leadership team.
• Reviews incoming documentation to identify correct payer to accounts.
• Researches eligibility to ensure correct insurance coverage of payer.
• Ensures payer mapping (crosswalk) is set-up correctly.
• Identifies contract matrix discrepancies and/or gaps and communicates accordingly.
• Analyzes decision log errors related to the daily census.
• Identifies trends with incoming data and communicates to leadership team.
• Analyzes pre-submission errors to identify root cause and recommends a solution.
• Processes denials related to eligibility to identify correct payer or payer request.
• Processes electronic rejections, identifies root cause, and recommends/makes appropriate updates to accounts.
• Processes returned mail, write-off accounts, and daily exception reports.
• Processes Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processing timely.
• Identifies Work in Process (WIP) and creates exception reports for management.
• Processes activity codes for Account Classification or account suspended issues.
• Retrieves missing documentation for payer accounts from various applications and/or site portal.
• Prints, sorts, and files miscellaneous billing related documentation.
• Completes daily log via manual entry into billing system.
• Time tracking for manual sites.
• Trains fellow team members as requested or needed.

• High school diploma or GED required.
• One or more years of experience in billing operations required.
• Prior experience working in the healthcare industry preferred.
• Knowledge of payer Financial Classifications for billing.
• Knowledge of account exception processes in billing operations.
• Ability to read and interpret Explanation of Benefits (EOB) from various payers.
• Ability to communicate trends to leadership team clearly.
• Ability to problem solve challenges that may not be previously outlined in a payer manual.
• Ability to communicate effectively in writing and verbally.
• Ability to analyze, interpret, and create various billing related reports.
• Knowledge of and ability to apply basic math concepts.
• Ability to complete duties with attention to detail and high degree of accuracy.
• Ability to prioritize workflow and work autonomously.
• Basic understanding of Microsoft Office applications (Word, Excel, and Outlook).
• Ability to comply with RCM billing policies and procedures.

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more
• Trainings to help support and advance your professional growth
• Team building activities such as virtual scavenger hunts and holiday celebrations
• Flexible work hours
• Opportunities to attend Vituity community…