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ACO Revenue Implementation Specialist (Remote)

Company: Vytalize Health
Location: Myrtle Point
Posted on: November 26, 2022

Job Description:

*About Vytalize Health: *

Vytalize Health is a technology-enabled primary care provider focused on delivering state of the art primary care to Medicare members. Vytalize specializes in providing expanded primary care services including house calls, telemedicine, preventive screenings, care coordination, chronic care management, and behavioral health.

With offices in Hoboken, NJ and Orangeburg, NY, Vytalize currently serves northern New Jersey and Rockland County, NY, with plans to be nationwide.

*The Position: *

*Job Application Link: *

We are currently looking for an *ACO Revenue Implementation Specialist (Remote)* that will provide top-tier physician and practice support on behalf of the ACO REACH Division of the Revenue Cycle Management (RCM) team. This specialized, forward-facing team will be working closely with physician practices to ensure successful claim-revenue transition and program acclimation to the CMS-developed ACO REACH Model program for 2023 and beyond.

The right candidate will have a strong background in the technical aspects of RCM including, but not limited to, *EDI payer enrollment, ERA import and export, claims submission process and error correction. *This candidate will be reporting to the Senior Revenue Cycle Manager.

*What You Will Do*

* Implement and manage organizational accounts of our ACO REACH 2023 program

* Adjudicated payment distribution / claim funds disbursement

* Executive level physician and practice support

* Dispute resolution in a professional manner

* EDI enrollment assistance

* Educate providers and office staff on ACO REACH process

* Identify and present system issues with third party claims processing vendors

* Maintenance of incoming data in claims ingestion portal

* Receive incoming calls and host on-demand virtual support meetings for ACO practices

* Troubleshoot, manage, and escalate support issues to team lead

* Review practice ERA and EOBs as needed

* Ongoing provider and practice outreach and education sessions

* Create and improve upon process where it is needed

* Support your fellow team members to achieve department goals and projects

* Participate in weekly huddles and manager 1-on-1s

*What will make you successful here*

* High School Diploma / GED or some college courses

* Minimum of 6 years in healthcare revenue billing required.

* CPC or CPB required.

* Working knowledge of clearinghouse use and functionality including but not limited to EDI payer enrollment and ERA import and export required.

* eCW / Trizetto / Availity / Change Healthcare knowledge highly desired.

* Experience with Medicare Parts A and B claims highly desired.

* Excellent verbal and written communication skills.

* Excellent organizational skills, time management and attention to detail.

* Entrepreneurial spirit, a sense of ownership and comfortable operating in ambiguity.

* Solution oriented with the ability to think strategically and creatively in decision-making, with investigative problem-solving skills.

* Strong work ethic to exceed expectations and goals.

* Coachable and able to take direction and feedback well yet being forward-thinking to challenge the status quo.

* Ability to act with integrity, professionalism, and confidentiality.

* Proficient with Microsoft Office Suite or related software highly desired.


* Competitive base compensation

* Annual bonus potential

* Stock options

* Health benefits effective on start date

* 401K with company match

Job Type: Full-time

Pay: $1.00 - $2.00 per year


* 8 hour shift

* Day shift

* Monday to Friday

Work Location: Remote

Keywords: Vytalize Health, Medford , ACO Revenue Implementation Specialist (Remote), Other , Myrtle Point, Oregon

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