Privia Health

Claims Billing Specialist (New Jersey & Neurology)

Remote, us Full-time Remote
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Job Description

Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for ensuring the accurate and timely processing of all assigned claims. This role includes promptly addressing daily correspondence from physician practices, reviewing and appealing insurance claim denials and following up on aged claims. The AR Manager will take the steps necessary to resolve all claim issues or questions that escalate to the RCM team to include Salesforce case management. Primary Job Duties: Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; suggesting billed rules/edits when appropriate to stop errors from occurring Denial management - investigate denial sources, resolve and appeal denials which may include contacting payer representatives via phone Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques Collaborate with internal teams (Performance, Operations, Sales) as well as, care center staff when appropriate Support large care center go lives when applicable, which may include overnight travel Work closely with our Revenue Optimization team to support efforts to ensure reimbursement is in line with payer contract agreements. Perform denial analysis utilizing the Trizetto platform. Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs) Other duties as assigned

Frequently Asked Questions

What does the Claims Billing Specialist (New Jersey & Neurology) role at Privia Health involve?

The Claims Billing Specialist (New Jersey & Neurology) position at Privia Health in Remote, us is a full-time role. Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for ensuring the accurate and timely processing of all assigned claims. This role includes promptly addressing daily correspondence from physician practices, reviewing and appealing insurance claim denials and following up on aged claims. The AR Manager will take the steps necessary to resolve all claim issues or questions that escalate to the RCM team to include Salesforce case management.

What skills are required for Claims Billing Specialist (New Jersey & Neurology) at Privia Health?

Key skills for this role include: GO, Scala, Salesforce.

What is the salary for Claims Billing Specialist (New Jersey & Neurology) at Privia Health?

The salary for this position is not publicly listed. You can negotiate during the interview process. Check Glassdoor or Levels.fyi for estimates.

Is the Claims Billing Specialist (New Jersey & Neurology) position at Privia Health remote or on-site?

This position is Remote. You can work from anywhere, subject to the employer's remote work policy.

How do I apply for Claims Billing Specialist (New Jersey & Neurology) at Privia Health?

You can apply for this position directly through the employer's careers page. Click the 'Apply Now' button on this page to be redirected to the original listing. Make sure your resume is ATS-optimized. Use SpotChange's free ATS test to check.

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About This Role

Claims Billing Specialist (New Jersey & Neurology) at Privia Health is a full-time other position in Remote, us. Key skills include GO, Scala, Salesforce. Education: Master's Degree preferred. Experience: 3+ years.

This role is classified as remote and is suitable for mid level-level professionals. Ghost Score 15/100 (Probably Active) indicates this listing is probably active with recent employer engagement.

To apply, visit the official application page through the Apply Now button above. SpotChange Jobs provides AI-powered career tools including resume optimization, ATS testing, interview preparation, and salary negotiation assistance.