• Medical Biller

    Vitra Health (Braintree, MA)


    Vitra Health is hiring, and we believe that our team is the key to our success. That is why we are looking for a Medical Biller to join our team. If you're a passionate, caring, motivated professional who is looking to make a difference in your community, we encourage you to apply today!

     

    VITRA Health understands that most caregivers face tremendous financial and emotional challenges, often without compensation or support for their selfless efforts. That's why, at VITRA, we provide comprehensive assistance to caregivers with financial support, a customized care plan, community resources, and caring teams of nurses and case managers.

     

    The Medical Biller will manage all aspects of patient billing, including claim processing, payment, and revenue generation.

    Perks and Benefits:

    + Health Insurance with a 75% employer contribution!

    + Dental and Vision Benefits

    + Supplemental Benefits including Life, Accident, Critical Illness and Disability Insurance.

    + 401K with a company match

    + Generous Paid-Time-Off

    + Competitive pay rate

    + Supportive team structure and company culture with a focus on work/life balance

    + Wellness Benefits

    + Tuition Reimbursement

    Essential Functions:

    + Submit claims through various insurance payers

    + submits for extension of services and tracks reauthorization to avoid disruptions in payment

    + Communicate with all relevant insurance payers to ensure that all claims are processed accordingly

    + Follow up regarding denied claims with appropriate insurance payers

    + Reconcile claims that have been paid to ensure accuracy

    + Resubmit delayed or denied claims as needed.

    + Resolve any billing related issues as they arise.

    + Review and manage the eligibility process.

    + Identify opportunities for improvement Work with necessary departments to gather data to ensure accurate billing

    + Develop and implement billing procedures by analyzing current procedures and recommend changes

    + Answering related questions by researching and interpreting data Maintain appropriate documentation and reporting per regulatory requirements

    + Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations Submit for re-authorization for services to multiple insurance companies

    + Demonstrate ability to manage and influence change, work independently Willingness to tackle new challenges and new ways of doing business

    + Foster culture of customer service 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

    Education, Experience and Licensure Requirements:

    + Second language is strongly preferred.

    + A bachelor's degree is strongly preferred.

    + A minimum of 3 years' experience billing in a clearinghouse, checking eligibility, authorizations, and managing denials

    + 2+ years' experience and complete comfort using Microsoft Suite

    + Excellent problem-solving, customer service, and communication skills required.

    + Prior experience with Salesforce, Optum, Wellsky, RingCentral or similar platforms

    + Strong ability to take initiative and confidently directs client interaction.

    + Knowledge of medical terminology

    + Ability to multitask, learn new skills and adapt to change.

    + Demonstrated ability to work independently, and willingness to work in the field if needed.

    + Ability to withstand varying job pressures, organize/prioritize related job tasks, and excellent attention to detail.

    + Adheres to client confidentiality.

    Physical and Environmental Demands:

    + Works in a clean well-lit environment with fluctuating temperatures in close proximity to others.

    + Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse.

    + Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.

     

    Vitra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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