Insurance Rep - FT - Days

Vitruvian Health; Hamilton, Northern (NJ, KY); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

403(b) Matching

Dental insurance

Employee assistance program

Employee wellness program

Life and AD&D insurance

Disability insurance

ICHRA health insurance

Paid annual leave

Vision insurance

Job summary

Vitruvian Health is seeking a Billing Specialist to support patient accounts and claims processing. You will submit and follow up on primary and secondary claims, aiming for timely payments across payer systems.

Under supervision, you will review claim edits and transmit daily submissions, monitor outstanding items, and maintain positive business relationships with payers and internal teams to resolve issues.

Qualifications

• High school diploma required; college courses preferred.
• HFMA CPAR certification preferred.
• 0-5 years experience in insurance claims billing and follow-up.

Responsibilities

• Submit and follow up on primary and secondary claims.
• Review claims edits in Soarian Financials and ePremis.
• Transmit accurate claims daily via the ePremis system.
• Monitor outstanding claims to ensure prompt payment.
• Coordinate with customers and vendors to support services.

Skills

Claims processing

Payer follow-up

Healthcare billing

Education

High school diploma

HFMA CPAR certification

Job description

Who We Are

At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‑being of every team member.

Our Legacy

Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‑driven team making a difference every day.

Our Values

Our core values—Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)—guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.

Your Career With Us

Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact. Excellence. Every person. Every time.

JOB SUMMARY

Works under direct supervision of the Patient Accounts Manager and follows written policies and procedures to perform the job duties. Performs basic administrative job duties relating to submitting claims and following up with third party payers for both primary and secondary claims. Responsible for reviewing and correcting all claims edits in both the Soarian Fiancials and the ePremis systems. Transmits accurate claims daily via the ePremis electronic claims system. Monitors all outstanding submitted claims to ensure prompt payment. Follows up with insurance carriers via websites and occassional telephone calls to obtain payment as quickly as possible. Completes required daily activity reporting, this includes but is not limited to verifying claims data, report reconciliation, account database maintenance, file maintenance, etc. Interfaces with customers/vendors, establishes and maintains positive business relationships internally and externally to ensure effective & efficient coordination of services to promote individual and departmental goals. Ensures the accuracy and timeliness of all claims submission. Provides support to team members. Works reports and worklists including denial management reports and the EBEW to correct errors or identify and resolve missing information. Must have the ability to learn, follow oral and documented instructions and/or apply general knowledge of the CBO’s department procedures, practices, standards, etc. Resolves routine questions and problems and refers more complex issues to higher levels. Performs additional duties as assigned in a courteous and professional manner.

JOB QUALIFICATIONS

Education: Completion of a high school diploma required. College level courses preferred. Licensure: HFMA CPAR certification preferred. Experience: Perfer experience in a same or similar position in a hospital or physician practice is desirable. Insurance Representatives will have 0-5 years experience in insurance claims billing and follow-up at Hamilton Medical Center.

Full-Time Benefits

• 403(b) Matching (Retirement)
• Dental insurance
• Employee assistance program (EAP)
• Employee wellness program
• Employer paid Life and AD&D insurance
• Employer paid Short and Long-Term Disability
• Flexible Spending Accounts ICHRA for health insurance
• Paid Annual Leave (Time off)
• Vision insurance

Who We Are At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‑being of every team member. Our Legacy Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‑driven team making a difference every day. Our Values Our core values—Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)—guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Your Career With Us Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact. Excellence. Every person. Every time.