Billing Specialist - Remote - Nationwide at Vituity in Sacramento, California

Job Description:

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

• 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

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, Dia de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• 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: Four weeks' vacation, Paid holidays, Sabbatical
• Student Loan Repayment Program
• Professional and Career Development Program
• EAP, travel assistance and identify theft included
• Wellness program
• Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

Hourly rate for this role is $16.50 per hour.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. 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.