Privia Health is a technology-driven, national physician enablement company that partners with medical groups, health plans, and health systems to improve physician practices, patient experiences, and care outcomes.
This role supports revenue cycle management by ensuring accurate and timely processing of assigned claims, handling correspondence from physician practices, reviewing and appealing claim denials, following up on aged claims, and resolving issues escalated to the RCM team.
Key responsibilities include managing accounts receivable, analyzing aged AR for root causes, recommending billing rule or edit changes, performing denial analysis, collaborating with internal teams and care center staff, supporting go-lives when needed, and working to ensure reimbursement aligns with payer agreements.
Qualifications
- High school diploma or equivalent
- 3+ years of experience in a medical billing office or equivalent claims experience
- Strong understanding of revenue cycle performance drivers and the ability to investigate and resolve complex claims
- Advanced Microsoft Excel skills preferred, including pivot tables, VLOOKUP, sorting/filtering, and formulas
- Experience with athenaHealth and/or athenaOne required
- Orthopedic medical claims billing experience preferred
- Experience with California payers and portals preferred
- Must comply with HIPAA rules and regulations
Benefits and Perks
- Hourly base pay of $24.00 to $26.45
- Annual bonus targeted at 10%
- Medical, dental, vision, life, and pet insurance
- 401(k)
- Paid time off
- Other wellness programs
- Expense reimbursement for eligible home office costs for regular remote workers
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago