This is a fully remote role
If you are currently employed at Vivent Health, please log into UKG and submit
your application through the My Company/View Opportunities page.
We’re on a mission to end HIV/AIDS through integrated, personalized,
judgment-free care. That means meeting people where they are and supporting the
whole person - medically, socially, and emotionally. And every role here plays a
part in that mission.
We believe healthcare works best when it’s rooted in equity, dignity, and access
for all. At Vivent Health, we’re building a culture where every person - both
patients and employees - feels seen, respected, and empowered to thrive.
But what truly sets us apart is how we work.
You’ll be part of a deeply collaborative, interdisciplinary team united around
one goal: better outcomes for the communities we serve. Our model brings
together medical care, behavioral health, pharmacy, research, and prevention,
creating a holistic approach that changes lives every day.
This isn’t just a workplace.
It’s a community.
It’s a mission.
It’s your chance to be part of something bigger.
Choose Vivent Health and turn your work into purpose.
YOUR CONTRIBUTION:
Deliver Excellence. Oversee with Integrity. Drive Progress. Exceed Expectations.
The Billing Specialist plays an integral role in our growing Healthcare Revenue
team. This person is goal-oriented, compliant, revenue-driven, highly
organized/accurate and motivated employee. This person is focused on all areas
of the revenue cycle for specific Vivent Health Clinics and Departments.
OUR EXPECTATIONS:
Winning skills and behaviors for success.
Essential Job Duties
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.
The Billing Specialist works 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.
This job description is not all-inclusive and outlines the main
responsibilities and requirements of the role. Employees may be asked to
perform additional job-related tasks as needed.
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.
NOTE: Reasonable accommodation may be made to enable individuals with
disabilities to perform essential functions.
KNOWLEDGE REQUIRED:
Required and preferred knowledge and experiences to succeed.
Education:
High school diploma or equivalent. Associates degree preferred.
Work Experience:
Minimum of 2-3 years of experience in medical billing or healthcare
revenue cycle management, preferably in a clinic or healthcare setting.
Technical Experience:
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.
Soft Skills:
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.
Additional Preferred Qualifications:
HIV experience in a not-for-profit environment.
STATEMENT OF INCLUSION:
Vivent Health is an equal opportunity employer and will recruit, hire, promote,
and transfer qualified persons into all job classifications regardless of race,
gender, religion, skin color, national origin or ancestry, physical disability
(including pregnancy), mental disability, age, gender identity, sexual
orientation, legally protected medical condition, family care status, marital
status, veteran status, genetic characteristics, or any other characteristic
protected by federal or state law. Vivent Health complies with other expanded
protected classifications that specific county or municipal regulations may
mandate.
Vivent Health is deeply committed to fostering respect, dignity, and
understanding for all individuals affected by HIV, regardless of race,
ethnicity, sexual orientation, gender identity, socioeconomic status, or any
other characteristic. We are dedicated to cultivating a supportive and inclusive
environment that champions advocacy, education, and compassionate care for
everyone in our diverse community.
Going beyond the law’s requirements, Vivent Health places great importance on
fostering a culture that celebrates diversity, equity, inclusion, and belonging.
We actively seek qualified candidates from different racial, cultural, and
economic backgrounds, as we believe that differing perspectives and experiences
make us stronger as an organization. Vivent Health encourages all interested
persons to apply for this position, and we look forward to learning more about
your unique background and qualifications.
As a recipient of federal funding, Vivent Health will not hire nor enter a
contractual relationship with any party debarred, suspended, or excluded from
federal assistance programs.
Salary Range:
$24.00/hourly - $25.00/hourly (Depending on Experience)
The final salary will be determined based on factors such as market data,
internal equity, candidate experience and qualifications. Please note that it is
uncommon for an individual to be hired at or near the top of the range.
Why join us?
Generous PTO, including 12 paid holidays
401(k) with 100% employer match up to 5%
12 weeks fully paid parental leave for benefits-eligible employees after one
year
Employer-subsidized medical, dental, vision, and gender-affirming care
Tuition reimbursement and licensure assistance
Benefits for full-time and eligible part-time roles
Public Student Loan Forgiveness
Employment at our organization may qualify you for federal student loan
forgiveness programs. We do not directly pay for – nor forgive – federal student
loans; however, our status as a not-for-profit organization under Section 501
(c) (3), makes us an eligible employer. There may be other determining factors
for one to qualify.
Please follow this URL to review one such program and their requirements:
https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service
[https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service]