Hybrid Senior Manager, Revenue Cycle – Claims & AR

Privia Health, LLC; Houston (TX); Hybrid; USD 70,000 - 72,000; Full time

Benefits offered by this job

Annual bonus

RSUs

Healthcare benefits

401k plan

Paid time off

Job summary

Privia Health, LLC is seeking a Senior Manager, Revenue Cycle Management in Houston for a hybrid role with in-office Tuesdays and Thursdays at 1200 Binz St, Suite 1490. The role leads AR and claims operations, drives KPI attainment, and mentors staff to optimize billing performance.

Responsibilities include supervising AR workflows, payer project execution, and process improvements. Minimum 5+ years in revenue cycle management and strong leadership are required; salary ranges from $70,000 to

Qualifications

• 5+ years experience in managing physician revenue cycle
• 2+ years experience in management of personnel
• Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims
• Strong preference for experience working with athenaOne, Trizetto and Salesforce
• Must comply with HIPAA rules and regulations

Responsibilities

• Oversee the entire claims submission and follow-up process, ensuring claims are worked accurately for resolution, submitted accurately and on time
• Lead and manage large payer projects and care center support projects, updating leadership and affected stakeholders as needed
• Keep ADs AVP abreast of opportunities for improvement in daily operations along with recommendations on process improvements
• Management of the teams accountable for the accounts receivable (AR) including analysis and resolution of the aged AR
• Utilize data to identify patterns in claim denials or delays and develop actionable solutions to address them
• Independent decision making regarding claim adjustments, resubmission, appeals, and other claim resolution techniques
• Maks policy updates as needed, to all RCM policies
• Meets with the Performance Operations, Implementation, Sales and other Privia teams, review escalated issues and discuss payer or claim concerns
• Meets with Care Center leadership including the lead physician partners, office managers and other staff to discuss complex claim or other revenue cycle matters
• Laser focused drive toward achievement of department’s daily and monthly KPIs
• Identify gaps in the workflow and create training programs to address them
• Responsible for staffing duties including hiring, termination, coaching and training
• Provides ongoing feedback to staff regarding performance
• Counsels employees in disciplinary matters and coordinates with HR for actions
• Lead or co-presenter at various meetings such as Office Manager Summits and Market Retreats
• Other duties as assigned

Skills

Staff management

Revenue cycle knowledge

Process improvement

Training

Data analysis

Education

High School Diploma

Tools

athenaOne

Trizetto

Salesforce

Job description

Privia Health, LLC is seeking a Senior Manager, Revenue Cycle Management in Houston for a hybrid role with in-office Tuesdays and Thursdays at 1200 Binz St, Suite 1490. The role leads AR and claims operations, drives KPI attainment, and mentors staff to optimize billing performance.

Responsibilities include supervising AR workflows, payer project execution, and process improvements. Minimum 5+ years in revenue cycle management and strong leadership are required; salary ranges from $70,000 to