Medical Biller -Vytal Health Partners
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 ...