Senior Medical Claims Billing Specialist job at Privia Health

Remote; Deutschland; Remote; EUR 60.000 - 80.000; Vollzeit

Zusammenfassung

A healthcare company is seeking a Senior Medical Claims Billing Specialist to manage accounts receivable and improve revenue cycle processes. The ideal candidate will have over 5 years of experience in medical billing, familiarity with major payers, and expertise in Athena EHR. This remote position offers a competitive hourly wage and the possibility of annual bonuses based on performance.

Leistungen

Medical, dental, and vision insurance

401K

Paid time off

Wellness programs

Qualifikationen

• 5+ years experience in a physician medical billing office.
• Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare.
• Experience working from home preferred.

Aufgaben

• Management of AR including analysis of aged AR.
• Investigating and resolving denial sources.
• Collaborate with internal teams and care center staff to improve processes.

Kenntnisse

Management of accounts receivable (AR)

Denial management

Collaboration with internal teams

Support large care center go-lives

Revenue cycle functionality understanding

Advanced Google Sheets skills

Ausbildung

High School Graduate

Tools

Athena EHR

Jobbeschreibung

• Senior Medical Claims Billing Specialist

Senior Medical Claims Billing Specialist

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About the Role

Title: Senior Medical Claims Billing Specialist

Location: Remote United States

Job Description:

Under the direction of the Director or Manager of Revenue Cycle Management, the Sr. Accounts Receivable (AR) Manager 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, answering incoming SalesForce cases and providing information as requested or properly authorized. The AR Manager will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of SalesForce cases and management of issues and the team resolving the cases is a key element in this role.

Primary Job Duties:

• Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
• Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
• Collaborate internal teams (Performance, Operations, Sales) as well as care center staff when appropriate.
• At times, support large care center go lives which may include overnight travel.
• Works closely with our Revenue Optimization team, to support efforts to ensure reimbursement is in line with payer contract agreements. Performs Denial analysis utilizing the Trizetto platform.
• Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
• Drive toward achievement of department's daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.
• Other duties as assigned.
• High School Graduate
• 5+ years experience in a physician medical billing office
• Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare preferred
• Experience supporting MD, VA, Washington DC preferred
• Athena EHR experience required
• Experience working from home preferred
• Advanced Google Sheets skills preferred
• Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims
• Must comply with HIPAA rules and regulations

Interpersonal Skills & Attributes:

• Comfortable speaking in front of groups
• Willingness to train and mentor other team members
• Ability to work independently and multi-task in a fast paced environment

The salary range for this role is $26.45-$28.85/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only, not applicable for onsite/in office work):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.