Privia Health is a technology-driven national physician enablement company that works with medical groups, health plans, and health systems to improve physician practices, patient experiences, and care delivery.
This full-time hybrid role requires on-site work in Houston, Texas on Tuesdays and Thursdays, with remote work typically on Mondays, Wednesdays, and Fridays.
The role is responsible for accurate and timely processing of assigned claims, addressing correspondence from physician practices, reviewing and appealing insurance denials, following up on aged claims, and resolving claim issues escalated to the revenue cycle management team. The position also supports Salesforce case management and collaborates with internal teams and care center staff as needed.
Key responsibilities include managing accounts receivable, analyzing aged AR for root cause issues, supporting denial resolution and appeals, making claim adjustment decisions, working with payer representatives when needed, supporting care center go-lives, and driving performance toward departmental KPIs.
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 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 preferred
- Must comply with HIPAA rules and regulations
Location
Houston, Texas, US
Employment Type
Temporary
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago