Billing Specialist - Remote - Nationwide

The Opportunity

• Identifies the correct Financial Class and enters in billing system.
• Posts extracts and correct validation errors in system.
• 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.

Required Experience And Competencies

• A high school diploma or GED.
• One or more years of experience in billing operations.
• 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.

The Community

We offer plenty of opportunities to engage with other Vitians 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 Vitian community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond

• Superior health plan options.
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more.
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service).
• Generous paid time off starting 3-4 weeks’ annually.
• Student Loan Refinancing Discounts.
• Professional and Career Development Program.
• EAP and travel assistance included.
• Wellness program.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

Pay

We are excited to share the base salary range for this position is $17.12 per hour, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer.