Claims Payables Specialist

Vytalize Health

Claims Payables Specialist in healthcare processing value-based care claims. Collaborating with departments to ensure compliance and efficiency in claims management.

Posted 5/30/2026full-timeRemote • Alabama, Mississippi, Tennessee • 🇺🇸 United StatesJuniorMid-Level💰 $50,000 - $70,000 per yearWebsite

About the role

Key responsibilities & impact

Process and adjudicate value-based care claims in accordance with established policies, procedures, and regulatory requirements.
Review processed claims for accuracy, completeness, and compliance with contractual agreements and reimbursement guidelines.
Investigate and resolve discrepancies in claim information.
Ensure timely and accurate payment of value-based care claims.
Maintain thorough documentation of claims processing activities.
Collaborate with other departments to address claim-related inquiries.
Assist in the development and implementation of process improvements.

Requirements

What you’ll need

Bachelor's degree in Finance, Accounting, Healthcare Administration, or a related field
Minimum of 2 years of experience in claims processing, preferably in value-based care or healthcare reimbursement
Proficient in claims processing systems and EDI technology
Available to work full-time with occasional travel for training and provider engagement activities
Certification in healthcare billing or claims management (CPC, CPPS, or similar) is a plus
Must complete interviews and assessments independently without external assistance.

Benefits

Comp & perks

Offers Bonus 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingvalue-based carehealthcare reimbursementclaims reviewdiscrepancy resolutiondocumentationprocess improvementsaccuracycompletenesscompliance

Soft Skills

collaborationindependenceproblem-solvingattention to detailcommunication

Certifications

CPCCPPS