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About the Role:
- Under the direction of the Director or Manager of Revenue Cycle Management, responsible for complete, accurate, and timely processing of all designated claims.
- Resolve claim issues or questions that escalate to the RCM team, manage SalesForce cases, and support team resolution.
Key Responsibilities:
- Manage accounts receivable including aged AR analysis, root cause investigation, and rule writing to prevent errors.
- Perform denial management, investigation, resolution, and appeals; make independent decisions on claim adjustments and resubmissions.
- Collaborate with Performance, Operations, Sales, and care center staff; support large go-lives as needed.
Qualifications:
- High School Graduate with 3+ years in a physician medical billing office.
- Strong understanding of medical terminology and RCM; experience with Georgia payer policies preferred.
- CPT & ICD10 coding experience preferred; Athena EHR required; Google Sheets proficiency with VLOOKUP and pivot tables.
Additional Information:
- Salary range $50,000 to $55,000 base pay, plus annual bonus targeted at 10%.
- Remote work option with minimum internet speed requirements; expense reimbursement for home office.
- Privia Health is an equal opportunity employer committed to diversity and inclusion.
Privia Health
Privia Health is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers. It operates high-performance physician groups, accountable care organizations, and population health management programs, partnering with health plans, health systems, and employers to align reimbursements with quality and outcomes.