Vaco LLC

Compensation

Full Description

Position Overview The Healthcare Claims Specialist ensures accurate claim creation and submission to insurance carriers, playing a vital role in our revenue cycle management. This position requires meticulous attention to detail, strong knowledge of billing compliance, and the ability to work independently in a remote environment to maximize reimbursement and minimize claim denials. Remote Work Requirements: Candidates must maintain a dedicated workspace with minimal distractions and reliable high-speed internet (minimum 25 Mbps download / 10 Mbps upload). Key Responsibilities Claims Processing & Documentation • Generate insurance claims based on provider documentation and completed billing reviews • Verify accuracy of CPT, ICD-10, and HCPCS codes against services rendered • Apply payer-specific billing guidelines and internal compliance rules to all claims • Validate patient demographics, insurance eligibility, authorizations, and referrals before submission Quality Assurance & Problem Resolution • Identify and flag incomplete or inconsistent documentation for provider or coder review • Collaborate with coding and billing teams to resolve issues that impact claim processing • Meet or exceed established productivity and accuracy performance metrics • Maintain strict adherence to HIPAA regulations and organizational privacy standards Additional Duties • Support other revenue cycle activities as assigned by supervisor • Stay current on payer rule changes and coding updates Required Qualifications Education & Experience • High school diploma or equivalent required • Minimum 2 years of experience in healthcare billing, claims processing, or related administrative role • Working knowledge of medical terminology and insurance billing practices Technical Skills • Proficiency with Microsoft Office Suite • Experience using practice management systems and Electronic Health Records (EHR) • Basic understanding of CPT, ICD-10, and HCPCS coding systems • Familiarity with payer-specific billing edits and requirements Core Competencies • Exceptional attention to detail and organizational abilities • Self-motivated with proven ability to work independently with minimal supervision • Strong analytical and problem-solving capabilities • Clear written and verbal communication skills • Ability to manage competing priorities and meet tight deadlines Preferred Qualifications • Experience with specialty practice billing (orthopedics, cardiology, etc.) • Medical billing or coding certification (CPC, CPB, CBCS, or similar) • Coursework or training in healthcare administration or revenue cycle management • Previous remote work experience in healthcare setting Physical Requirements & Work Environment This position requires: • Extended periods of sitting and computer work • Eye-hand coordination and manual dexterity for operating keyboard, phone, and office equipment • Visual acuity and hearing sufficient for documentation review and team communication • Ability to maintain focus and productivity in a remote work environment • Flexibility to work under deadline pressure and occasionally irregular hours Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. EEO Notice Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law. Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com . Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal. Privacy Notice Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies. • California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here. • Virginia residents may access our state specific policies here. • Residents of all other states may access our policies here. • Canadian residents may access our policies in English here and in French here. • Residents of countries governed by GDPR may access our policies here. Pay Transparency Notice Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: • the individual’s skill sets, experience and training; • licensure and certification requirements; • office location and other geographic considerations; • other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses. Remote Skills: Analysis Skills, Billing, Billing Records, Broadband, Cardiology, Certified Professional Coder (CPC), Claims Processing, Communication Skills, Current Procedural Terminology (CPT), Detail Oriented, Documentation, Documentation Review, English Language, HIPAA (Health Insurance Portability and Accountability Act), Hair Styling, Health Insurance, Healthcare, Healthcare Administration, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Insurance, Insurance Claims, Keyboards, Maintain Compliance, Manual Dexterity, Medical Billing, Medical Coding, Medical Record System, Medical Records, Medical Terminology, Microsoft Office, Office Equipment, Organizational Skills, Orthopedics, Performance Metrics, Physical Demands, Presentation/Verbal Skills, Problem Solving Skills, Regulatory Compliance, Reimbursement, Revenue Management, State Laws and Regulations, Time Management, Work From Home, Writing Skills About the Company: Vaco LLC Vaco provides expert consulting, permanent placement, executive search and strategic staffing for companies around the world, in the areas of accounting, finance, technology, healthcare, operations, administration and more. As a premier talent solutions firm, Vaco connects people to their dream jobs and helps leading companies find talent to grow their business. Since its founding in 2002, Vaco has grown to more than 35 offices across the globe, 700+ employees, more than 3,000 consultants and $450M in revenue. Vaco has been named to Inc. magazine’s list of the fastest-growing private companies for past 11 years and is dedicated to developing long-term relationships, life-long careers and creative client solutions. Company Size: 2,500 to 4,999 employees Industry: Staffing/Employment Agencies Founded: 2002 Website: http://www.vaco.com/