Medical Biller

🔥 17 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Vytalize Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🤝 B2B

☁️ SaaS

⚕️ Healthcare Insurance

💰 $100M Series C - Vytalize Health on 2023-02

B2B • SaaS • Healthcare Insurance

Vytalize Health is a healthcare technology and services company that helps primary care practices and Accountable Care Organizations (ACOs) transition to value-based care. It combines data-driven analytics, virtual and in-home clinical support, and care management services to improve patient outcomes, enable Medicare-approved remote services for chronic conditions, and help practices earn shared savings under value-based contracts. Vytalize partners with independent PCPs, group practices, community health centers and existing ACOs to deliver clinical enablement, practice-tailored workflows, and performance insights.

📋 Description

• 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 • 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 • 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

🎯 Requirements

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

🏖️ Benefits

• Competitive base compensation • Annual bonus potential • Health benefits