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Medical Claims Billing Specialist - Remote

Posted 11 hours ago
Finance / Legal
Full Time
USA
24 - 26 USD/hour

Overview

The Medical Claims Billing Specialist will manage accounts receivable, handle denial management, and ensure timely processing of claims while collaborating with internal teams and physicians.

In Short

  • Management of accounts receivable including analysis of aged AR.
  • Investigate and resolve denial sources.
  • Make decisions on claim adjustments and appeals.
  • Collaborate with internal teams and care center staff.
  • Support large care center go lives with potential travel.
  • Work with the Revenue Optimization team on reimbursement issues.
  • Drive achievement of department KPIs.
  • Other duties as assigned.

Requirements

  • High School Graduate.
  • 3+ years experience in medical billing.
  • Understanding of revenue cycle performance drivers.
  • Experience with major payers like Anthem, Medicare/Medicaid.
  • Athena EHR experience required.
  • Advanced Microsoft Excel skills preferred.
  • Compliance with HIPAA regulations.

Benefits

  • Competitive hourly pay range of $24 to $26.
  • Eligible for an annual bonus targeted at 10%.
  • Comprehensive benefits including medical, dental, and 401K.
  • Paid time off and wellness programs.
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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