Billing Specialist - Remote - Nationwide

Vituity in; Sacramento (CA); Remote; USD 80,000 - 100,000; Full time

Job summary

An innovative healthcare organization is looking for a Billing Specialist to join their remote team. In this role, you will be crucial in ensuring accurate billing processes, verifying insurance coverage, and identifying trends to enhance operational efficiency. The company fosters a culture of collaboration and recognition, emphasizing the importance of teamwork in improving healthcare outcomes. With a commitment to professional growth and a supportive work environment, this position offers a unique opportunity to make a significant impact while enjoying a flexible work schedule and comprehensive benefits. If you are detail-oriented and passionate about healthcare, this role is perfect for you.

Benefits

Superior health plan options

Dental and Vision coverage

401(k) retirement savings plan

Outstanding Paid Time Off

Student Loan Refinancing Discounts

Professional Development Program

Wellness program

Commuter Benefits Program

Flexible work hours

Monthly wellness events

Qualifications

• 1+ years experience in billing operations, preferably in healthcare.
• Ability to analyze and interpret billing-related reports.

Responsibilities

• Verify insurance coverage and process billing exceptions.
• Analyze trends and communicate findings to leadership.
• Ensure accurate payer mapping and handle electronic rejections.

Skills

Billing Operations

Insurance Coverage Verification

Problem Solving

Communication Skills

Attention to Detail

Basic Math Concepts

Education

High School Diploma or GED

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

Billing Specialist - Remote - Nationwide (Healthcare)

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.

The Opportunity

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

Required Experience and Competencies

• 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.

The Community

• 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, Dia 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%
• Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP, travel assistance, and identify theft included
• Wellness program
• Commuter Benefits Program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

We are excited to share the base salary range for this position is $16.50, 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. Please speak with a recruiter for more details.

Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants only. No agencies please.