Medical Biller

About the Role:

Atria is seeking a detail-oriented and highly organized Medical Biller to join our growing Finance team. The ideal candidate will have extensive experience in medical billing and coding, as well as a deep understanding of insurance processes, claims management, and patient account reconciliation. As a key member of the administrative team, you will ensure that medical claims are accurately processed, payments are timely, and billing operations run smoothly to support the continuous delivery of top-quality healthcare services to our members.

Essential Job Duties:

• Billing and Coding: Accurately codes medical procedures and diagnoses based on CPT, ICD-10, and HCPCS standards. Submits claims for reimbursement to insurance companies, ensuring compliance with payer-specific requirements and guidelines.
• Claims Processing and Follow-Up: Submits and tracks claims with insurance companies, following up on rejected or unpaid claims to ensure proper reimbursement. Works closely with payers to resolve any discrepancies or denials.
• Payment Posting: Posts payments from insurance companies and patients into our billing system. Identifies discrepancies and works with the accounting department to resolve issues related to underpayments or overpayments.
• Patient Account Management: Manages patient accounts, ensuring accurate and up-to-date billing information. Addresses billing inquiries from patients, providing clear explanations regarding charges, insurance payments, and outstanding balances.
• Insurance Verification and Authorization: Verifies patient insurance coverage and eligibility before services are provided. Manages pre-certification and authorization requests, ensuring that services are covered under the patient’s insurance plan.
• Compliance and Documentation: Ensures all billing procedures comply with legal and regulatory standards, including HIPAA and insurance regulations. Maintains accurate and up-to-date records of all billing activities, insurance correspondences, and claim statuses.
• Reporting and Analysis: Prepares billing reports for management, analyzing trends in claims denials, rejections, and payment issues. Provides insights to improve revenue cycle operations and optimize payment processes.
• Collaboration: Works closely with clinicians, administrative teams, and insurance providers to resolve any billing issues and ensure seamless operations. Supports the CMO and leadership team with any special billing projects or audits as needed.
• Customer Service: Provides exceptional customer service to patients regarding their bills and payment inquiries, ensuring clear and respectful communication.

Compensation:

• $65,000 - 75,000

Requirements:

• 3+ years of experience in medical billing and coding, preferably in a healthcare practice or insurance company
• Proficiency in medical billing software and Electronic Health Record (EHR) systems 
• Strong understanding of CPT, ICD-10, and HCPCS coding
• Experience with insurance verification, prior authorization, and claims processing
• Knowledge of HIPAA regulations and compliance requirements
• Strong attention to detail, organizational skills, and the ability to work independently
• Excellent written and verbal communication skills
• Ability to thrive in a fast-paced, dynamic environment

At Atria, we are proud to offer every team member:

• Comprehensive Health Benefits (100% paid by Atria effective from the date of hire)
• Flexible Time Off for personal wellness and rest
• 401(k) Match at 4% starting from the date of hire
• Opportunity to Participate in Continuing Education programs to maintain certifications and advance your career
• Fitness Perks including access to Wellhub+
• Volunteer Time Off to give back to underserved communities
• Collaborative and Inclusive Team Environment to grow professionally while contributing to Atria’s mission of optimal health outcomes
  

If you are passionate about billing accuracy and helping to ensure smooth administrative operations in a fast-growing, patient-focused healthcare practice, we invite you to apply to join Atria’s dynamic team.