AR Manager (Medical Claims Billing Specialist)

Privia Health; United States; Remote; USD 45,000 - 55,000; Full time

Job summary

A leading healthcare technology company seeks an AR Manager to oversee medical claims billing. This role involves managing accounts receivable, resolving claims, and collaborating with internal teams to optimize revenue cycle performance. The ideal candidate has experience in medical billing, excellent communication skills, and proficiency with Athena EHR. A commitment to compliance and a team-oriented approach are essential. The position offers a competitive salary and benefits, fostering an inclusive work environment.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K

Paid Time Off

Wellness Programs

Qualifications

• 3+ years experience in a physician medical billing office.
• Experience with major payers such as Anthem, Medicare/Medicaid.

Responsibilities

• Management of accounts receivable, including analysis and resolution of claims.
• Denial management—investigating and resolving denial sources.

Skills

Communication

Time Management

Problem Solving

Education

High School Graduate

Tools

Athena EHR

Microsoft Excel

Job description

AR Manager (Medical Claims Billing Specialist)

Company Description
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description
Under the direction of the Director or Manager of Revenue Cycle Management, the AR Manager is responsible for the complete, accurate, and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices promptly, answering incoming Salesforce cases, and providing information as requested or properly authorized. The AR Manager will take necessary steps 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 these cases is a key element in this role.

Primary Job Duties

1. Management of the accounts receivable (AR), including analysis of the aged AR, identifying root cause issues, and writing rules to prevent errors.
2. Denial management—investigating denial sources, resolving, and appealing denials, which may include contacting payer representatives.
3. Making independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
4. Collaborating with internal teams (Performance, Operations, Sales) and care center staff when appropriate.
5. Supporting large care center go-lives, which may include overnight travel.
6. Working closely with the Revenue Optimization team to support efforts ensuring reimbursement aligns with payer contract agreements. Performing denial analysis using the Trizetto platform.
7. Working directly with practice consultants or physicians to optimize revenue cycle functionality.
8. Driving achievement of department’s daily and monthly KPIs through a team-focused approach.
9. Other duties as assigned.

Qualifications

• High School Graduate
• 3+ years experience in a physician medical billing office
• Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare
• Athena EHR experience required
• Behavioral Health physician billing experience preferred
• Experience supporting medical claims billing in DC/MD/VA preferred
• Understanding of drivers of revenue cycle performance and ability to resolve complex claims
• Advanced Microsoft Excel skills
• Compliance with HIPAA rules and regulations

Interpersonal Skills & Attributes

• Comfortable speaking in front of groups
• Excellent written and verbal communication skills
• Willingness to train and mentor team members
• Strong time management skills
• Ability to work independently and multi-task in a fast-paced environment

The salary range for this role is $45,000 to $55,000 in base pay, excluding bonuses and benefits (medical, dental, vision, life, pet insurance, 401K, paid time off, wellness programs). An annual bonus targeted at 10% may also apply. The actual offer depends on experience, education, and location.

Additional Information

• Confidentiality in line with EEO guidelines.

Technical Requirements (Remote Workers)

• Minimum internet speed: 5 MBPS download, 3 MBPS upload (test at https://www.speedtest.net/)
• Support for remote work expenses reimbursement available.

Privia Health is committed to fostering an inclusive work environment that reflects the communities we serve, encouraging diversity regardless of age, race, gender, disability, veteran status, or other protected characteristics.