[Hiring] Medical Biller @Vytalize Health

Role Description

The Medical Biller is central to Vytal Health Partners' revenue cycle, owning the follow-up and resolution of outstanding insurance claims so the practices VHP supports are paid accurately and on time. This role investigates denied claims, manages appeals, and works directly with payers to remove barriers to reimbursement. By keeping accounts receivable moving and documentation complete, the Medical Biller protects the financial stability that lets VHP practices stay focused on delivering value-based care to their patients.

What you will do

• Claims Follow-Up & Resolution
  • Follow up on pending insurance claims to ensure timely processing and reimbursement.
  • Review Explanations of Benefits (EOBs) to determine the appropriate next steps on each account.
  • Contact insurance companies through phone and payer portals to obtain claim status and resolve outstanding issues.
• Denials & Appeals Management
  • Investigate denied claims to identify root causes and determine the path to resolution.
  • Prepare, submit, and track appeals, including assembling the supporting documentation each payer requires.
  • Escalate complex or aged denials that require additional review or intervention.
• Documentation & Accounts Receivable Integrity
  • Maintain detailed, accurate documentation of all follow-up activity within the billing system.
  • Monitor the status of assigned accounts to keep accounts receivable current and aging minimized.
  • Surface recurring denial and payer trends to support process improvement across the billing team.

Qualifications

• High school diploma or equivalent.
• 2-3 years of experience in medical billing, accounts receivable, or insurance follow-up.
• Working knowledge of the healthcare revenue cycle and reimbursement processes.
• Ability to read and interpret Explanations of Benefits (EOBs) and apply them to account decisions.
• Strong problem-solving and analytical skills, with attention to detail across high claim volumes.
• Clear written and verbal communication skills for working with payers and internal teams.
• Proficiency with computers and standard office software.

Preferred Qualifications

• Experience with Epic or a comparable practice management or billing system.
• Professional billing or coding certification such as CPB, CPC, or RHIT.
• Familiarity with a value-based care or multi-practice physician group environment.
• Experience working denials and appeals across multiple payer types.

Benefits

• Competitive base compensation.
• Annual bonus potential.
• Health benefits.