Billing Specialist - Remote - Nationwide ($16.50 / Hour)

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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 Billing Operations, 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, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

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

Required Experience And Competencies

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

The Community

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 act