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Insurance Credit Resolution Specialist - Remote

Posted 20 hours ago
Finance / Legal
Full Time
USA
$25.00 - $26.45/hour

Overview

The Insurance Credit Resolution Specialist is responsible for accurate processing of insurance-related credits, managing inquiries, and preparing refund checks.

In Short

  • Process insurance-related credits accurately and timely.
  • Implement workflows for void and insurance refund requests.
  • Research and resolve claims using athenaNet.
  • Manage worklists through Salesforce.
  • Process over 35 insurance refunds daily.
  • Utilize athenaNet for refund letter preparation.
  • Maintain compliance with HIPAA regulations.
  • Prepare and sort checks for mailing.
  • Handle returned checks appropriately.
  • Perform other related duties as needed.

Requirements

  • High School Graduate or relevant experience.
  • 3+ years in physician revenue cycle or claims management.
  • Experience with posting charges and payment posting.
  • Familiarity with athenahealth’s tools.
  • Must comply with HIPAA rules and regulations.

Benefits

  • Hourly pay range of $25.00-$26.45.
  • Eligible for an annual bonus targeted at 10%.
  • Includes benefits such as medical, dental, vision, and life insurance.
  • 401K and paid time off.
  • Expense reimbursement for remote work costs.
Privia Health logo

Privia Health

Privia Health™ is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to enhance physician practices, improve patient experiences, and incentivize doctors for delivering high-value care in both in-person and virtual environments. The Privia Platform, supported by top industry talent and exceptional physician leadership, features scalable operations and comprehensive, cloud-based technology designed to reduce unnecessary healthcare costs, achieve better outcomes, and enhance the health of patients while promoting the well-being of providers.

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