Medical Biller

About the position

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.

Responsibilities

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• Provides exceptional customer service to patients regarding their bills and payment inquiries, ensuring clear and respectful communication.

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.

Benefits

• 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.