[Hiring] Billing Specialist @Vituity

Role Description

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
• Identifying the correct Financial Class and entering it in the billing system
• Posting extracts and correcting validation errors in the system
• Identifying trends and communicating to the leadership team
• Reviewing incoming documentation to identify the correct payer to accounts
• Researching eligibility to ensure correct insurance coverage of payer
• Ensuring payer mapping (crosswalk) is set up correctly
• Identifying contract matrix discrepancies and/or gaps and communicating accordingly
• Analyzing decision log errors related to the daily census
• Analyzing pre-submission errors to identify root causes and recommending solutions
• Processing denials related to eligibility to identify the correct payer or payer request
• Processing electronic rejections, identifying root causes, and recommending/making appropriate updates to accounts
• Processing returned mail, write-off accounts, and daily exception reports
• Processing Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processed timely
• Identifying Work in Process (WIP) and creating exception reports for management
• Processing activity codes for Account Classification or account suspended issues
• Retrieving missing documentation for payer accounts from various applications and/or site portal
• Printing, sorting, and filing miscellaneous billing-related documentation
• Completing daily log via manual entry into the billing system
• Time tracking for manual sites
• Training fellow team members as requested or needed

Qualifications

• 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 the 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 a 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

Benefits

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offer a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Generous paid time off starting 3-4 weeks annually
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees