Medical Biller - Vytal Health Partners (VHP)
WFA Digital Insight
Vytalize Health’s Medical Biller sits at the heart of the revenue‑cycle for the VHP network, turning denied claims into paid invoices. Unlike generic billing roles, this position demands daily interaction with multiple payer portals and a deep dive into Explanation of Benefits to chart the next action for each claim. The job also asks the biller to surface trends that can improve the whole team’s workflow, turning individual case work into strategic insight. Candidates will report to the billing operations lead and collaborate with clinical staff who rely on timely reimbursement to keep patient care focused on value‑based outcomes. Knowing how to navigate Epic or a comparable system will shorten the learning curve and make the candidate an immediate asset.
Job Description
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 & Resolution • 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 Denials & Appeals Management • 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 Documentation & Accounts Receivable Integrity • 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 What you will need Education • High school diploma or equivalent Experience • 2-3 years of experience in medical billing, accounts receivable, or insurance follow-up • Working knowledge of the healthcare revenue cycle and reimbursement processes Skills & Competencies • 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 Preferred Qualifications • Experience with Epic or a comparable practice management or billing system • Professional billing or coding certification such as CPB, CPC, or RHIT • Familiarity with a value-based care or multi-practice physician group environment • Experience working denials and appeals across multiple payer types Perks/Benefits - Competitive base compensation - Annual bonus potential - Health benefits Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we every interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com http://vytalizehealth.com
How to Stand Out
- Keep a copy of your most recent EOB analyses ready; showing concrete examples demonstrates your expertise.
- Highlight any experience with Epic, Meditech, or similar systems in your resume and be prepared to discuss navigation nuances.
- During interviews, describe a specific denial you turned around and the step‑by‑step process you followed.
- Emphasize strong written communication by sharing a brief appeal letter you drafted (remove patient identifiers).
- Research Vytalize Health’s value‑based care philosophy so you can speak to how accurate billing supports that model.
- If asked about salary expectations, reference the typical range for remote medical billers with 2‑3 years’ experience and focus on total compensation, including bonuses.
- Watch for interviewers who push for personal financial details beyond your resume; legitimate recruiters will not request that information.
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