Sr. Care Center Biller

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers

Under the direction of the Associate Director, of Revenue Cycle Management, the Senior 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.

• 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
• Accurate and timely processing of all designated 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
• Work directly with manager on upcoming team projects, including taking the lead and overseeing some projects (including delegation of tasks and follow-up).
• Answers team questions and provides guidance on complex billing issues as needed
• Other duties as assigned

• High School Graduate
• 3+ years experience in a medical billing office
• Experience with athenaHeath and/or athenaOne preferred
• CPC certification required
• Must comply with all HIPAA rules and regulations

The salary range for this role is $45,900 - $51,000 n base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% .The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only, not applicable for onsite/in office work):

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. We understand that healthcare is local and we are better 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.