The Care Center Biller is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized. This person has strong follow up skills, attention to detail, a solutions focused mindset, and a driving work ethic. This position works collaboratively with the staff in our physician practices as well as team members at Privia Headquarters.

Primary Job Duties:

• Work directly with physicians and practice administrators on a daily basis to ensure optimal revenue cycle functionality
• Understand and explain various health plan options and requirements
• Understand and work with revenue cycle from point of scheduling to processing of claims
• Work back end edits and denials and facilitate submission of corrected claims and appeals
• Update patient demographics, perform eligibility verifications, create claims, ensure proper coding of claims
• Review medical documentation for accurate charge capture
• Query providers and provide feedback regarding errors and trends.,
• Work front-end, as well as coding-related, edits, scrubs, and denials
• Other duties as assigned

Qualifications

• Education: High School Graduate preferred
• Experience: 1+ years experience in a medical billing office.
• Preference for experience with athenaHealth’s suite of tools
• Strong preference for coding experience and knowledge of CCI edits
• CPC or CPC-A preferred
• Must comply with all HIPAA rules and regulations

Colorado, New York, New Jersey, California and Washington Residents Only:The salary range for this role is $36,800.00- $40,000.00 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

Physical Demands:

Definition: works constantly at a computer or other workstation

• Ability to constantly remain in a stationary position

• Ability to constantly operate a computer and other office productivity machinery, such as computer and printer

• Ability to read and use close vision, including the ability to do so on a computer screen

• Ability to frequently communicate and exchange information

• Ability to frequently adjust focus

Technical Requirements (for remote workers):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Technical Requirements (for remote workers):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

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