Billing Specialist

Vivent Health

15h•Remote

About The Position

The Billing Specialist plays an integral role in Vivent Health's growing Healthcare Revenue team. This person is goal-oriented, compliant, revenue-driven, highly organized/accurate, and motivated. This role focuses on all areas of the revenue cycle for specific Vivent Health Clinics and Departments. Joining Vivent Health offers a chance to be part of an organization dedicated to fostering a workforce that reflects diverse backgrounds, perspectives, and experiences, enabling a meaningful impact in communities and the lives of patients. Vivent Health is committed to cultivating a supportive and inclusive environment that champions advocacy, education, and compassionate care for everyone in their diverse community.

Requirements

High school diploma or equivalent.
Minimum of 2-3 years of experience in medical billing or healthcare revenue cycle management, preferably in a clinic or healthcare setting.
Proficiency in EPIC Resolute Billing.
Excellent experience with Microsoft Office applications.
Experience with CPT and ICD-10 coding; familiarity with medical terminology.
Experience in filing claim appeals with insurance companies to ensure compliant, maximum reimbursement.
Excellent customer service skills.
Strong written and verbal communication skills.
Meticulous attention to detail in reviewing billing codes, claims, and payments to ensure accuracy and compliance.
Strong analytical skills to identify trends, and address billing issues effectively.
Ability to manage relationships with various Insurance payers, including Credentialing Managers and Regional payer representatives.
Understanding of HIPAA compliance and responsible use of confidential information.
Ability to handle multiple projects and work courteously and respectfully with fellow employees, clients and patients.
Effective problem-solving skills and can-do attitude to resolve billing discrepancies, denials, and appeals in a timely manner.
Commitment to staying updated on industry trends, regulations, and best practices in medical billing and revenue cycle management.

Nice To Haves

Associates degree preferred.
HIV experience in a not-for-profit environment.

Responsibilities

Review medical records and assign appropriate diagnosis and procedure codes based on guidelines.
Efficient and timely Revenue Cycle work within EPIC including: Charge Review, Claim Edit, Payment Posting, AR Follow-up, Refunds, Patient Support, and Billing Performance vs. Budget.
Work closely with the Clinic Department Manager, Health Services Administrator, Patient Services Representatives, Coders, EPIC Site Specialist and Vendors (Resolute Analyst, Contracting and Provider Enrollment) to ensure the entire Revenue Cycle is managed well.
Monitor and follow up on outstanding claims, denials, and appeals to resolve billing discrepancies and ensure maximum reimbursement.
Prepare and maintain billing reports, metrics, and documentation to track billing activities, revenue trends, and collections performance.
Meet and exceed patient satisfaction expectations and goals aligned with Vivent health mission.
Special Department or payer projects.
Assist with payment posting, credentialing projects, fee schedule analysis and additional projects that support the Healthcare revenue cycle department.
Other duties as assigned.
Adhere to all agency policies, including but not limited to Confidentiality, Employee Handbook, Health Care Corporate Compliance Plan, Standards of Conduct, training, and other relevant policies.

Benefits

generous paid time off
12 paid holidays
401k with 100% employer match up to 5%
12 weeks of fully paid parental leave
employer subsidized medical benefits
employer subsidized dental benefits
employer subsidized vision benefits
gender-affirming care benefits
employer paid short and long-term disability
tuition reimbursement
certification assistance
licensure assistance
benefits for part-time roles
Equity Practices: Fair treatment, access, and opportunities for all employees, creating an environment where everyone feels valued, respected, and empowered to contribute.
Professional Growth: Opportunities for professional development and advancement, along with training programs and events that promote cultural competence, unconscious bias training, and awareness.
Collaboration on an inter-disciplinary team: Within our integrated HIV care and prevention model, we employ a high level of collaboration across disciplines. That means that, in your role, you will have the opportunity to be exposed to whole person-care across medical, behavioral health, pharmaceutical, research, and more!
Delivery of quality patient care: Our integrated HIV care and prevention model is proven to help patients achieve positive health outcomes.
Public Student Loan Forgiveness eligibility