Medical Claims Billing Specialist - Remote

Overview

The Medical Claims Billing Specialist at Privia Health is responsible for the complete, accurate, and timely processing of medical claims, addressing denial management, and collaborating with internal teams to optimize revenue cycle functionality.

In Short

• Hybrid full-time role with in-office requirements on Tuesdays and Thursdays.
• Responsible for denial management and resolving claims issues.
• Collaborate with various teams to support revenue optimization.
• Drive towards achieving departmental KPIs.
• 3+ years of experience in medical claims billing required.
• Advanced Microsoft Excel skills preferred.
• Experience with Athena EMR and Google Suite preferred.
• Excellent communication and problem-solving skills required.
• Must comply with HIPAA regulations.
• Eligible for an annual bonus based on performance.

Requirements

• High School diploma required.
• 3+ years of medical claims experience.
• Ability to investigate and resolve complex claims.
• Must provide a quiet workspace with high-speed internet for remote work.
• Self-starter with time management skills.
• Willingness to train and mentor others.
• Comfortable speaking in front of groups.
• Strong research skills.
• Ability to work independently in a fast-paced environment.
• Problem solver with analytical skills.

Benefits

• Medical, dental, vision, life, and pet insurance.
• 401K plan.
• Paid time off.
• Wellness programs.
• Annual bonus eligibility.