Medical Biller - Vytal Health Partners at Vytalize Health | Torre
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Medical Biller - Vytal Health Partners

You'll secure financial stability for practices, enabling patient-focused value-based care.
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Full-time

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Emma of Torre.ai
7 days ago

Requirements and responsibilities


Your Opportunity The Medical Biller is central to Vytal Health Partners' revenue cycle, owning the follow-up and resolution of outstanding insurance claims so the practices VHP supports are paid accurately and on time. This role investigates denied claims, manages appeals, and works directly with payers to remove barriers to reimbursement. By keeping accounts receivable moving and documentation complete, the Medical Biller protects the financial stability that lets VHP practices stay focused on delivering value-based care to their patients.What you will do Claims Follow-Up & ResolutionFollow up on pending insurance claims to ensure timely processing and reimbursementReview Explanations of Benefits (EOBs) to determine the appropriate next steps on each accountContact insurance companies through phone and payer portals to obtain claim status and resolve outstanding issuesDenials & Appeals ManagementInvestigate denied claims to identify root causes and determine the path to resolutionPrepare, submit, and track appeals, including assembling the supporting documentation each payer requiresEscalate complex or aged denials that require additional review or interventionDocumentation & Accounts Receivable IntegrityMaintain detailed, accurate documentation of all follow-up activity within the billing systemMonitor the status of assigned accounts to keep accounts receivable current and aging minimizedSurface recurring denial and payer trends to support process improvement across the billing teamWhat you will need EducationHigh school diploma or equivalentExperience2-3 years of experience in medical billing, accounts receivable, or insurance follow-upWorking knowledge of the healthcare revenue cycle and reimbursement processesSkills & CompetenciesAbility to read and interpret Explanations of Benefits (EOBs) and apply them to account decisionsStrong problem-solving and analytical skills, with attention to detail across high claim volumesClear written and verbal communication skills for working with payers and internal teamsProficiency with computers and standard office softwarePreferred Qualifications Experience with Epic or a comparable practice management or billing systemProfessional billing or coding certification such as CPB, CPC, or RHITFamiliarity with a value-based care or multi-practice physician group environmentExperience working denials and appeals across multiple payer typesPerks/BenefitsCompetitive base compensationAnnual bonus potentialHealth benefits
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