As a billing specialist, the job involves ensuring claims are submitted promptly and accurately to the appropriate payer, with the majority of these being Medicaid Managed Care Organizations (MCOs). The specialist will liaise with Mae Health’s program managers and health plan Electronic Data Interchange (EDI) / billing points-of-contact to identify and troubleshoot issues with claims submission and/or payment.
Under the direction of the Associate Director, of Revenue Cycle Management, the Senior Care Center Biller is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized. This role requires strong follow up skills, attention to detail, a solutions focused mindset, and a driving work ethic. This position works collaboratively with staff in our physician practices as well as team members at Privia Headquarters.