Accounts Receivable Representative
New
P
Privia HealthHealthcare Administration
United StatesFull-TimeMiddle
Salary$24/hr - 26.45/ hr in base pay
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Job Details
- Experience
- 3+ years
- Required Skills
- SalesforceMicrosoft ExcelHIPAA
Requirements
- High School Graduate.
- 3+ years experience in a medical billing office or equivalent claims experience.
- Understanding of revenue cycle performance drivers.
- Ability to investigate and resolve complex claims.
- Advanced Microsoft Excel skills (pivot tables, VLOOKUP, formulas) preferred.
- Experience with athenaHealth and/or athenaOne highly preferred.
- Experience working with AZ payers and providers preferred.
- Must comply with HIPAA rules and regulations.
- Strong research skills and independent decision-making ability.
- For remote work: Minimum 5 MBPS download speed and 3 MBPS upload speed.
Responsibilities
- Manage accounts receivable including analysis of aged AR to identify root causes.
- Investigate, resolve, and appeal claim denials, including contacting payers via phone.
- Make independent decisions regarding claim adjustments, resubmissions, and resolution techniques.
- Collaborate with internal teams (Performance, Operations, Sales) and care center staff.
- Support large care center go-lives, which may include overnight travel.
- Work with Revenue Optimization team to ensure reimbursement aligns with payer contracts.
- Perform denial analysis utilizing the Trizetto platform.
- Drive achievement of department KPIs.
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