Account Executive, Zero Balance

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November 21

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Virtix Health

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Healthcare Insurance • Technology • Wellness

Virtix Health is a company that partners with health plans across the country to enhance clinical, financial, and operational outcomes. They offer a variety of services, including virtual wellness visits, in-home health risk assessments, retrospective chart review, workflow technology, and patient engagement services. They specialize in risk adjustment coding and clinical data connectivity, providing technology solutions that automate data acquisition and improve the management of medical records. Their aim is to innovate how healthcare data is exchanged to elevate the performance of health plans of all sizes.

11 - 50 employees

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Account Executives are subject matter experts of zero balance projects, conducting in depth research of hospital contracts, data, and other sources to address client questions • Manage external project relationships, which includes compiling and presenting reports and analysis • Manage internal projects and assignments • Manage client projects and relationships by participating in meetings, managing action items through to completion, answering client questions, and independently writing client emails • Compile, QA, and independently manage client processes from start to finish • Research and determine next steps for complex and new payer issues and reimbursement areas to uncover potential opportunities • Create and update project plans • Review and summarize pricing documents based on hospital contracts to calculate expected payments • Make thorough client observations and recommendations after completing a project audit • Work with other account executives and managers to effectively submit bulk listings of accounts to insurance companies for reprocessing • Escalate accounts to insurance provider relations for resolution and payment • Examine feedback from other internal teams on project activity and provide teams appropriate direction regarding account action when auditing and/or pursuing payments • Help create and implement process improvements and trainings to protect future revenue

🎯 Requirements

• A minimum of 3 years of experience in areas of research and analysis • A minimum of 3 years of verifiable work history • A minimum of 3 years of experience with managed care contracts and hospital reimbursement • A minimum of 2 years of experience working with clients or equivalent • Must have achieved High School Diploma or GED • 3 years of experience working in MS Office, with emphasis on advanced Excels skills, requiring experience with formulas, graphing, and reports to manipulate pricing tools and edit project reports • Demonstrated problem solving and critical thinking skills • Demonstrated ability to meet project deadlines • Demonstrated excellent written and verbal communication skills, to include writing professional documents and delivering presentations • Diligent and strong attention to detail • Access: Update and link queries and tables, create steps to calculate reimbursement • Understanding the basics of MySQL (specifically: modification in a field or table- following field and data requirements)

🏖️ Benefits

• We seek to create an environment that cultivates your professional development and personal growth • We build long-term careers by investing in YOU