Privia Health

Sr. Medical Claims Billing Specialist


PayCompetitive
LocationRemote
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: REF1108L
      Employer Industry: Healthcare Technology

      Why consider this job opportunity:
      - Salary up to $28.85/hr
      - Eligible for an annual bonus targeted at 10%
      - Comprehensive benefits package including medical, dental, vision, life, and pet insurance, 401K, paid time off, and wellness programs
      - Opportunity for career advancement and growth within the organization
      - Flexible remote work options available
      - Collaborative work environment that values diversity and inclusion

      What to Expect (Job Responsibilities):
      - Manage the accounts receivable (AR) process, including analysis of aged AR and identifying root causes of issues
      - Oversee denial management by investigating sources, resolving, and appealing denials
      - Make independent decisions regarding claim adjustments, resubmissions, and other claim resolution techniques
      - Collaborate with internal teams and care center staff to enhance revenue cycle functionality
      - Drive achievement of the department’s daily and monthly Key Performance Indicators (KPIs)

      What is Required (Qualifications):
      - High School Graduate
      - Minimum of 5 years experience in a physician medical billing office
      - Experience with major payers such as Anthem, Medicare/Medicaid, and United Healthcare
      - Proficiency in Athena EHR is required
      - Must comply with HIPAA rules and regulations

      How to Stand Out (Preferred Qualifications):
      - Experience supporting MD, VA, and Washington DC
      - Advanced Google Sheets skills
      - Experience working from home
      - Comfortable speaking in front of groups
      - Willingness to train and mentor other team members

      #HealthcareTechnology #RevenueCycleManagement #RemoteWork #CareerGrowth #DiversityAndInclusion

      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

      We improve the patient experience, accelerate the transition to value, reduce unnecessary costs and utilization, and create a high-quality healthcare experience.

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