Privia Health
Medical Claims Billing Specialist
6 days agoWhat's your preference?
Job Description
- Req#: REF1220J
Employer Industry: Healthcare Technology Services
Why consider this job opportunity:
- Salary up to $26/hr
- Eligible for an annual bonus targeted at 10%
- Comprehensive benefits package including medical, dental, vision, life, and pet insurance, as well as 401K and paid time off
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Flexible remote work options available
What to Expect (Job Responsibilities):
- Manage accounts receivable (AR) including analysis of aged AR and root cause issues
- Investigate and resolve denial sources and appeal denials by contacting payer representatives
- Make independent decisions regarding claim adjustments, resubmission, and other claim resolutions
- Collaborate with internal teams and care center staff to ensure optimal revenue cycle functionality
- Drive achievement of department’s daily and monthly Key Performance Indicators (KPIs)
What is Required (Qualifications):
- High School Graduate
- Minimum 3 years of experience in a physician medical billing office
- Understanding of revenue cycle optimal performance and ability to resolve complex claims
- Experience with major payers such as Anthem, Medicare/Medicaid, and United Healthcare
- Required experience with Athena EHR
How to Stand Out (Preferred Qualifications):
- Experience supporting medical claims billing in DC/MD/VA
- Advanced Microsoft Excel skills including pivot tables and VLOOKUP
- Familiarity with Washington payors
- Prior experience in a Rural Health Clinic environment is a plus
#HealthcareTechnology #MedicalBilling #RemoteWork #CareerGrowth #CompetitiveBenefits
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.