Billing Specialist - Remote - Nationwide

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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, processing billing exceptions, and more. At Vituity we know the impact you can have.

At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. Founded in a culture that values teamwork over individual achievements—our "culture of brilliance"—we leverage our strengths to make a positive impact in local communities. We celebrate recognition and provide gratitude for a job well done.

Vituity Locations: Opportunities at 475 sites across the country, serving 9 million patients a year. If you ever need to move, you can take your job with you.

• Identify the correct Financial Class and enter it in乾billing system.
• Post extracts and correct validation errors in system.
• Identify trends and communicate them to the leadership team.
• Review incoming documentation to identify the correct payer for accounts.
• Research eligibility to ensure correct insurance coverage of payer.
• Ensure payer mapping (crosswalk) is set‑up correctly.
• Identify contract matrix discrepancies and/or gaps and communicate accordingly.
• Analyze decision log errors related to the daily census.
• Identify trends with incoming data and communicate to leadership.
• Analyze pre‑submission errors to identify root cause and recommend a solution dispon
• Process denials related to eligibility to identify correct payer or payer request.
• Process electronic rejections, identify root cause, and recommend/make appropriate updates to accounts.
• Process returned mail, write‑off accounts, and արդյունքում exception reports.
• Process Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processing timely.
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• Identify Work in Process (WIP) and create exception reports for management.
• Process activity codes for Account Classification or account suspended issues.
• Retrieve missing documentation for payer accounts from various applications and/or site portal.
• Print, sort, and file miscellaneous billing related documentation.
• Complete daily log via manual entry into billing system.
• Time tracking for manual sites.
• Train 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 implec 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 prioritizerétiens workflowην 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 events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

• Superior health plan percentual.
• Dental,…