About the job
Remote, Nationwide – Seeking Accounts Receivable Specialist
Everybody Has A Role To Play In Transforming Healthcare
At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.
Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
Vituity Locations: Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
- Thoroughly reviews account notes and details in accordance to resolve the account.
- Completes accounts receivable related Activity Codes for all payers.
- Works with various payers on special projects, as assigned.
- Processes write-off accounts.
- Identifies trends with payers and communicates to leadership team.
- Completes payer correspondence resulting in resolution of account.
- Completes patient correspondence resulting in resolution of account.
- Completes denials and rejections for various payers resulting in resolution of account.
- Identifies payer trends and effectively communicate to leadership team.
- Creates and interprets various reports to identify trends, work special projects, and resolve outstanding payer challenges.
- Analyzes various reports as assigned to make decisions on appropriate follow-up actions.
- Completes account financial classification as needed.
- Completes write-offs and bad address, as needed.
- Trains fellow team members as needed or requested.
- Performs related duties as required.
Required Experience And Competencies
- High school diploma or GED required.
- One or more years of experience in Accounts Receivable or Billing Operations required.
- Prior experience working in the healthcare industry desired.
- Knowledge of Accounts Receivable processes and procedures in a specialist role.
- Knowledge of all payer Financial Classifications including AR management, denial management, and correspondence.
- Ability to make phone calls seeking account resolution.
- 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.
- Knowledge of and ability to apply basic math concepts.
- Ability to calculate payer allowable vs. payment and takes necessary follow-sup action.
- Ability to prioritize workflow and work autonomously.
- Ability to communicate effectively in writing and verbally.
- Ability to analyze, interpret, and create various billing related reports.
- Basic understanding of Microsoft Office applications (Word, Excel, and Outlook).
- Ability to comply with RCM billing policies and procedures.