Privia Medical Group - Gulf Coast
Medical Claims Billing Specialist
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Job Description
- Req#: REF1271B
Employer Industry: Healthcare Technology
Why consider this job opportunity:
- Salary up to $26.45/hr
- Eligible for an annual bonus targeted at 10%
- Comprehensive benefits package including medical, dental, vision, life, and pet insurance, 401K, and paid time off
- Opportunity for career advancement and growth within the organization
- Supportive work environment that encourages diversity and inclusion
- Remote work flexibility with reimbursement for home office expenses
What to Expect (Job Responsibilities):
- Manage accounts receivable (AR) including analysis of aged AR and identifying root cause issues
- Investigate and resolve claims denials, including contacting payer representatives as necessary
- Make independent decisions regarding claim adjustments, resubmissions, and appeals
- Collaborate with internal teams and care center staff to optimize revenue cycle functionality
- Drive achievement of department’s daily and monthly Key Performance Indicators (KPIs)
What is Required (Qualifications):
- High School Graduate
- Minimum of 3 years of experience in a physician medical billing office
- Understanding of revenue cycle performance drivers and ability to resolve complex claims
- Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare, Carefirst
- Required experience with Athena EHR
How to Stand Out (Preferred Qualifications):
- Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP, sort/filtering, formulas)
- Experience with athenaHealth and/or athenaOne
- Proficiency in Google Sheets
#HealthcareTechnology #RevenueCycleManagement #MedicalBilling #RemoteWork #CareerGrowth
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