Privia Health
Medical Claims Billing Specialist (Unpostables)
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Job Description
- Req#: REF1060G
Employer Industry: Healthcare Technology
Why consider this job opportunity:
- Hourly pay range of $25.00 to $26.45, exclusive of bonuses or benefits
- 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 and collaborative work environment
- Chance to make a positive impact on revenue cycle management and physician practices
What to Expect (Job Responsibilities):
- Manage unpostables by researching and resolving unmatched records related to charges and payments
- Oversee accounts receivable, analyzing aged AR to identify root causes of issues
- Investigate and appeal denial sources, including contacting payer representatives
- Make independent decisions regarding claim adjustments, resubmissions, and appeals
- Train internal teams and ensure optimal revenue cycle functionality with practice consultants or physicians
What is Required (Qualifications):
- High School Graduate, Medical Office training certificate or relevant experience preferred
- Minimum of 3 years of experience in a medical billing office
- Understanding of revenue cycle optimal performance and ability to resolve complex claims
- Compliance with HIPAA rules and regulations
- Excellent written and verbal communication skills
How to Stand Out (Preferred Qualifications):
- Experience with Athena EMR preferred
- Experience in a people management function preferred
- Willingness to train and mentor other team members
- Excellent time management skills
- Technically capable and savvy
#HealthcareTechnology #RevenueCycleManagement #MedicalBilling #CareerOpportunity #CompetitivePay
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