MedAmerica logo
MedAmerica

Vituity is a 100% physician-owned partnership and is led by frontline physicians that are all equitable owners. We foster an environment where passion thrives, and success comes through shared purpose. Together, we leverage our strengths and experiences to make a positive impact in our local communities. Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. Even when you are working remotely, you are an important part of the Vituity 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, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Billing Specialist

Billing SpecialistBilling SpecialistFull TimeRemoteMid LevelTeam 201-500

Location

United States

Posted

12 days ago

Salary

$17 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Billing Specialist

MedAmerica

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 for 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 cause and recommending a solution - Processing denials related to eligibility to identify the correct payer or payer request - Processing electronic rejections, identifying root cause, 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 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 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

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