About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

This Billing Specialist is responsible for supporting the back-end billing, claims submissions, and overall claim integrity functions for RCM department within CityMD. The primary goal is to ensure the compliant, timely, and accurate management of all claim submissions impacting revenue for CityMD. The Billing Specialist would possess the knowledge and skill to deliver top services by fixing claim rejection & pending errors, resolving any claim edits, working all relevant billing reports and responding to inquiries from various stakeholders within the RCM department.

How You Will Get Things Done:

Actively review patient accounts ensuring claims are accurate and billable
Identify and resolve claim edits through understanding of billing guidelines and payer requirements
Proactively fix claim rejection errors and resubmit claims based on payer requirements
Comply with all Government and Third party payers regulatory mandated requirements for billing and collections
Maintain all established trackers driving processes within the billing and submissions functions

How You Will Build Trust:

Effectively participate during team meeting, payer discussions/meetings and conference calls/meetings as needed
Ability to consistently maintain productivity and quality expectations as defined by management
Alert management to irregularities, insurance trends and areas of concern with reimbursement
Maintain communication with direct manager and/or any Team Leads and promptly follow-up with other departments as needed especially when seeking further information on delayed submissions
Ability to maintain confidentiality of all information under HIPPA guidelines and policies and maintain PHI integrity

How You Will Innovate:

Responsible for assisting all new Rev Cycle cross-team members in the onboarding and training process to educate new CityMD employees on Billing & Claim Submission Management
Assists other departments within the Revenue Cycle department with various tasks/duties as assigned

Experience to Drive Change:

High School Diploma, GED or Equivalent Required
Minimum of 2-4 successful years in a business collection environment preferred
Familiarity with MS Word, Excel, Google (GMAIL, G Drive) necessary
Solid understanding of state laws and insurance fee schedules and their impacts on billing and collection
Strong attention to detail
Understanding how to read an EOB (Explanation of Benefits).
Strong attention to detail
Excellent organizational and multitasking skills
Flexible and approachable to colleagues and inter-departmental stakeholders
Enhanced communication and customer service skills.
Ability to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.
Ability to perform functions at established CityMD RCM Support Center
Prior medical billing experience and healthcare insurance knowledge a plus

This is a non-exempt position. The base hourly compensation range for this role is $19.00 to $24.00. At VillageMD, compensation is based on several factors including, but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan.

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.