Privia Health is a technology-driven national physician enablement company that works with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and support high-value care in both in-person and virtual settings.
This role is responsible for the complete, accurate, and timely processing of designated claims, handling daily correspondence from physician practices, responding to Salesforce cases, and providing requested or authorized information. The position supports the resolution of escalated claim issues for the revenue cycle management team and oversees key accounts receivable functions, including Claims Worklists, Zero Pay, Unapplied, and Denials.
The role serves as a subject matter expert and escalation point for an internal sub-team and helps drive daily and monthly KPI performance. It also involves improving claims processes, supporting policy updates, and working directly with practice consultants and physicians to ensure strong revenue cycle performance.
High school diploma or equivalent
5+ years of experience in a physician medical billing office or equivalent claims experience
Strong understanding of revenue cycle performance drivers and the ability to investigate and resolve complex claims
Experience with Microsoft Excel, including pivot tables, VLOOKUP, sorting/filtering, and formulas, preferred
Experience with athenaOne suite of tools preferred
Experience using Salesforce for case management preferred
Access to a private, quiet workspace with high-speed internet if working remotely
Experience with VA payers and providers preferred
Must comply with HIPAA rules and regulations
Excellent written and verbal communication skills
Hourly base pay of $23 to $25 per hour
Eligible for an annual bonus targeted at 10%
Medical, dental, vision, life, and pet insurance
401(k)
Paid time off
Other wellness programs
Expense reimbursement for regular work-from-home office costs
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 week ago