Medical Biller

VITRA Health • Boston, MA

1d • Hybrid

About The Position

Vitra Health is a mission-driven healthcare organization committed to improving the quality of life for individuals and families across Massachusetts. Through innovative home- and community-based services, Vitra supports aging adults, people with disabilities, and individuals with complex care needs— supported by a Nurse, and Case Manager, Vitra ensures clients receive compassionate, personalized, and dignified care. To help share our mission and expand our community impact, Vitra Health is seeking a Medical Biller who is passionate about community engagement and helping people access the care and resources they deserve.

Requirements

• Second language is strongly preferred.
• Bachelor's degree required; concentration in Healthcare Administration, Business Administration, Finance, or related field preferred.
• Minimum of 5 years of progressive experience in medical billing, revenue cycle management, claims analysis, authorization management, and reimbursement optimization.
• Demonstrated experience independently resolving complex payer issues and recommending operational improvements.
• Advanced proficiency with Microsoft Office Suite, including reporting and analysis tools.
• Excellent analytical, problem-solving, customer service, and communication skills.
• Prior experience with Salesforce, Optum, WellSky, RingCentral, or similar healthcare technology platforms.
• Strong understanding of healthcare reimbursement methodologies, payer regulations, and revenue cycle best practices.
• Proven ability to exercise independent judgment and make decisions affecting billing operations and financial outcomes.
• Experience analyzing trends, interpreting data, and developing recommendations to improve organizational performance.
• Demonstrated ability to work independently with minimal supervision and manage multiple priorities effectively.
• Ability to withstand varying job pressures, organize and prioritize responsibilities, and maintain exceptional attention to detail.
• Adheres to client confidentiality.

Responsibilities

• Lead the management of billing and reimbursement activities across multiple insurance payers, ensuring timely and accurate revenue collection.
• Analyze and resolve complex claim denials, payment discrepancies, and reimbursement issues through independent review and decision-making.
• Evaluate payer trends and reimbursement patterns, recommending process improvements to enhance revenue cycle performance.
• Review and approve claim submissions to ensure compliance with payer requirements, organizational policies, and regulatory standards.
• Manage the eligibility and authorization processes, identifying risks and implementing corrective actions to minimize disruptions in reimbursement.
• Oversee reauthorization activities and develop strategies to ensure continuity of services and payment.
• Collaborate with clinical, operational, and leadership teams to assess billing practices and implement solutions that improve efficiency and financial outcomes.
• Serve as a subject matter expert on payer requirements, reimbursement methodologies, and revenue cycle best practices.
• Monitor billing performance metrics, prepare reports, identify trends, and make recommendations to leadership regarding operational improvements.
• Develop, document, and implement billing workflows, procedures, and process enhancements that support organizational objectives.
• Provide guidance and training to team members regarding billing procedures, payer updates, and reimbursement best practices.
• Remain current on industry regulations, payer changes, and reimbursement trends through professional development and participation in relevant organizations.
• Foster a culture of customer service, operational excellence, and commitment to quality care.
• Serve as a brand ambassador for Vitra, reflecting our vision, mission, and values.
• Show genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.
• Other duties as assigned.

Benefits

• Employer sponsored health Insurance with a generous employer match.
• Dental and Vision Benefits.
• Supplemental Benefits Life, Accident, Critical Illness and Disability Insurance.
• 401K with a 5% company match.
• Accrued Paid-Time-Off.
• Ten company paid holidays.
• Wellness Benefits.
• Tuition Reimbursement.
• Supportive team structure and company culture with a focus on work/life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level