Job Details

Remote, Nationwide Seeking Insurance Control Specialist

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside.

Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Perform comprehensive D120 research and creation, including assignment of valid FSC codes, appropriate no activity days, and applicable timely filing deadlines.
• Create and apply FSC entries to associated D120s, as needed.
• Maintain and update accurate no activity days and timely filing deadlines across all D120, FSC, and D120/FSC combinations.
• Perform quality control for D48012 (dictionary mapping), D120, and D19 (FSC) dictionary records to ensure accurate mapping and system integrity.
• Assign generic insurances to the correct FSC and D120 values.
• Collaborate with regional teams and cross-functional departments, including Payments and PDR (Provider Disputes), to ensure ongoing accuracy and completeness of D48012 insurance mapping.
• Work the daily ERA (Electronic Remittance Advice) scrub report, which identifies edits and mismatches in data prior to electronic remittance posting; conduct timely research and resolution.
• Act as a resource for new teams transitioning to the IDX system, providing assistance with initial and ongoing insurance mapping and configuration needs.
• Ensure adherence to internal processes and external payer guidelines while identifying opportunities for process improvement.
• Document and escalate discrepancies or system errors to the appropriate team for resolution.
• Maintain current knowledge of payer policies, system updates, and organizational standards impacting insurance controls.

Required Experience and Competencies

• High School Diploma or GED required.
• One (1) year of experience in an Accounts Receivable Specialist role OR a minimum of two (2) years of experience in Revenue Cycle Management or a related healthcare administrative role required.
• At least three (3) months of experience working within the Athena IDX system preferred.
• Familiarity with D120, FSC, and D48012 dictionaries and mapping processes in an RCM environment preferred.
• Strong knowledge of healthcare insurance processes and terminology.
• Excellent verbal and written communication skills to work effectively across multiple departments.
• Strong collaboration skills with the ability to work in cross-functional and regional teams.
• Effective problem-solving and critical thinking skills to resolve mapping and system discrepancies.
• High level of attention to detail, accuracy, and organization.
• Ability to manage multiple tasks and priorities in a fast-paced environment.
• Proficiency with Microsoft Office Suite (Excel, Outlook, Word).

We are excited to share the base salary range for this position is $20.80 $25.83, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.

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.