Care Center Billing Specialist

Company Description

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.

Job Description

Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely. The Sr. Care Center Support Billing Specialist supports our growing physician network. This person will assist customers with all questions around billing/claims resolution,via current email technology platforms and incoming calls. The role operates within a customer service oriented high-volume call center environment. Primary Job Duties

• Responding to high volume inquiries via email/phone
• Assist with triaging case volumes
• Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance
• Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion
• Identify issues that occur on a repeated basis and provide feedback to management
• Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding
• Provide support in team chat with questions from team members
• Remain flexible to take on other duties as assigned

Qualifications

• High School Diploma preferred, advance certification a plus
• Familiar with healthcare billing and claim resolution preferred
• Experience with AthenaNet, Salesforce a plus
• 2+ years of full time experience in a call center customer service environment
• Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications
• Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely

The hourly range for this role is $21/hr to $23/hr in hourly 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. Additional Information 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.

• Department: Customer/Member Experience

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