Electronic Remittance Specialist

Employer: Vituity

Everybody Has A Role To Play In Transforming Healthcare

As an Electronic Remittance Specialist, you play a vital role in Billing Operations, balancing, interpreting EOBs’ and/or ERA files for posting of insurance, patient payments and denials which can be received via Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA) or paper EOB. You contribute to our team’s success. At Vituity we know the impact you can have.

Join the Vituity Team. At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart. With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first. An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole. Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change. Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

  • Review and interpret Electronic Remittance Advice (ERA) files or Explanation of Benefits (EOB) to ensure they balance to the corresponding Electronic Transfer Fund (EFT) Deposits.
  • Follow up on outstanding and/or out of balance deposits in PARM (Payment Automation/Reconciliation Manager).
  • Contact insurance carriers and utilize payer websites to obtain necessary information for processing of EFT deposits
  • Review and update patient accounts to reflect the correct Financial Classification (FC), Contract ID (CID) and Insurance key based on the Electronic Remittance Advice Query to ensure accounts reflect payment from the correct payer.
  • Review outstanding Electronic Remittance Advice (ERA) batches for assigned payers to ensure timely posting and aging requirements are met. Aging is to be kept within 45 days of creation date.
  • Post Electronic Payments and Denials in the Electronic Funds Transfer (EFT) tab in Payment Automation Reconciliation Manager (PARM) application and CPU/AS400 Billing System.
  • Review Open Batch Query to resolve outstanding aging electronic batches.
  • Maintain current knowledge of payment posting practices by attending meetings, training sessions and seminars.
  • Post paper check payment packs via PARM (Payment Automation/Reconciliation Manager).
  • Process ACT Code (SC) Share of Cost, (OC) Outside Collections, (RT) Retractions.
  • Complete ACT (Activity Code Tracking) codes related to Billing Team inquiry on payments pending for outstanding patient accounts receivable.

Required Experience and Competencies:

  • High school diploma or GED required
  • At least one year of work experience in a related field required
  • Payment representative or equivalent experience is preferred

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

  • Monthly wellness events and programs such as yoga, HIIT classes, and more
  • Trainings to help support and advance your professional growth
  • Team building activities such as happy hours and holiday celebrations
  • Flexible work hours
  • Opportunities to attend Diversity, Equity and Inclusion (DEI) events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

  • Superior health plan options
  • Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
  • Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
  • Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical
  • Student Loan Repayment Program
  • Professional and Career Development Program
  • EAP, travel assistance and identify theft included
  • Wellness program
  • Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
  • Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. We know that when we work together across sites and specialties as an integrated healthcare team, we can exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.

Vituity appreciates differences; our dedication to diversity, equity and inclusion is at the heart of our organization. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.

*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.

Applicants Only. No agencies please.

APPLY HERE

Inpatient Coding

Employer: AQuity Solutions

Company Description:

Headquartered in Cary, NC, a suburb of Raleigh, Aquity Solutions employs more than 7,000 clinical documentation production staff throughout the U.S., India, Canada, and Australia. With over 40 years of experience and recognized by both KLAS and Black Book as the top outsourced transcription service vendor, Aquity Solutions is focused on delivering superior business results. Aquity Solutions provides healthcare professionals with key services including Medical Scribing, Interim HIM Services, Medical Coding and Medical Transcription.

Schedule: Remote

Part time weekends/weekdays, covering PTO, sick time, and increased volume as needed.

Position Summary:

As an experienced inpatient coder, you will be responsible for providing coding and abstracting for Hospital Acute Care Trauma I/II services using ICD-10 CM/PCS coding systems. You will use established coding principles, software and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record to obtain the appropriate DRG. As a coding professional, we may ask you to mentor new hires by providing education and training. We may need for you to perform other responsibilities when production requirements allow.

Essential Functions:

  • Reviews Medical Records to identify pertinent diagnoses and procedures relative to the patients healthcare encounter
  • Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition. Ensures appropriate DRG assignment.
  • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
  • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
  • May act as a mentor to training coders and/or new hires by providing education and training.
  • Maintains current knowledge of the information contained in the Coding Clinic and the Official Inpatient Guidelines for Coding and Reporting.
  • Ability to meet productivity standards while maintaining a 95% accuracy rate.
  • Assists with other responsibilities when requested.
  • Maintains effective and professional communication skills.
  • Contributes to a positive company image by exhibiting professionalism, adaptability and mutual respect.

Requirements:

  • Licenses/Certifications; CCS, RHIT, RHIA preferred.
  • Must have a minimum of 2 years acute Care Hospital Trauma I/II experience
  • Extensive knowledge of ICD-10 CM/PCS coding principles and guidelines, DRG Assignment, MCC/CC capture, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing
  • Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes
  • A high-level of coding accuracy, critical thinking skills and attention to detail
  • Excellent oral and written communication skills, must be detailed and articulate
  • Strong knowledge of Microsoft Word, Excel, PowerPoint and Outlook

APPLY HERE

Profee Coder

Employer: AQuity Solutions

Position Summary:

As an experienced Aquity coder you will be responsible for providing coding and abstracting services for clients on inpatient, outpatient, and clinic visits for professional fee (physician services) medical records using ICD-10-CM and CPT-4 data sets for a wide variety of medical specialties. You will use established coding principles, software and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record. As a coding team member, you may participate in industry forums as well as support coding education within the team. This position is fully remote.

Essential Functions:

  • Reviews medical records to identify pertinent diagnoses and procedures relative to the patient’s health care encounter.
  • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
  • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
  • May act as a mentor to training coders and/or new hires by providing education and training.
  • Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
  • Maintains effective and professional communication skills.
  • Contributes to a positive company image by exhibiting professionalism, adaptability and mutual respect.

Requirements:

  • CCS, RHIT, RHIA, CCS-P, CPC, or CIC required.
  • Excellent verbal and written communication skills.
  • Must have a minimum of 2 years of professional fee coding experience; 5-7 years preferred. Deep understanding of physician E+M guidelines.
  • Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
  • Extensive knowledge of ICD-10-CM and CPT-4 coding principles and guidelines, reimbursement systems, federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing.
  • Must pass coding proficiency test.

Why Work for Aquity?

We offer competitive benefits such as:

  • Competitive hourly pay!
  • Three weeks of paid time off (120 hours) annually!
  • Seven paid holidays annually!
  • Job related education reimbursement, CEU and credentials!
  • Medical, dental, vision, 401K with match and more!

APPLY HERE

TRANSCRIPTION FOR BEGINNERS

where you want

We are looking for highly proficient English first language speakers from the following countries and regions: South Africa, the United Kingdom, countries in the European Union, the United States, Canada, Australia, New Zealand, Malaysia, Singapore and Hong Kong.

Freelance or full time. Earn between $0.45 – $1.73 per audio minute based on project turnaround time.

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Service Delivery Processing Specialist

Position Description

RESPONSIBILITIES:

Assist ADP customers via email regarding payroll concerns

Assist ADP partnering banks with bank end inquires

Assists with the clerical functions (i.e., processing incoming mail, client requests, etc.) associated with the set up and conversion process.

Performs other related duties as assigned

Hours:

3:30 pm pst -12:00 am pst

QUALIFICATIONS REQUIRED:

High School Diploma required

Prior general office experience with a proven proficiency operating a PC.

Excel and Work knowledge required

Customer Service experience requiredCan role be virtual?YesCompensation TypeRange Minimum (Colorado Only)Range Maximum (Colorado Only) 

PREFERRED QUALIFICATIONS:

Basic knowledge of mathematics or accounting principles essential.

Good communication and organizational skills required.

Ability to follow operating procedures and instructions necessary.

Previous bank experience preferred  

APPLY HERE