Privia Health

Insurance Credit Resolution Specialist (Hybrid)

Arlington, us Full-time Hybrid
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Job Description

This role requires hybrid work in our Arlington, VA office Under the direction of the Sr. Manager, Revenue Cycle Management, the Insurance Credit Resolution Specialist is responsible for complete, accurate and timely processing of all assigned insurance related credits. Processing of these credits includes reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming inquiries, preparing insurance refund checks for mailing, and processing returned checks.   Identify and review patient accounts with insurance overpayments, ensuring accuracy and compliance with payer guidelines Reconcile account balances by applying, transferring, or refunding credits where necessary Analyze explanation of benefits (EOBs) and insurance payments to verify credits and resolve discrepancies Process refunds for insurance companies in a timely and accurate manner Prepare and submit refund requests according to established policies and procedures, to include payer specific workflows Ensure proper documentation and communication regarding refund transactions with all relevant parties Resolve any outstanding credits or account discrepancies by working with insurance companies, patients, and internal teams Ensure all refund and credit transactions are conducted in compliance with healthcare regulations, including HIPAA and payer-specific guidelines. Maintain detailed records of all credit and refund activities for auditing and reporting purposes. Respond to inquiries regarding refunds, and resolve issues in a timely and customer-focused manner. Be able to work independently to meet productivity expectations Use Salesforce to manage worklists and requests/inquiries from Care Centers

Frequently Asked Questions

What does the Insurance Credit Resolution Specialist (Hybrid) role at Privia Health involve?

The Insurance Credit Resolution Specialist (Hybrid) position at Privia Health in Arlington, us is a full-time role. This role requires hybrid work in our Arlington, VA office Under the direction of the Sr. Manager, Revenue Cycle Management, the Insurance Credit Resolution Specialist&xa0;is responsible for complete, accurate and timely processing of all assigned insurance related credits. Processing of these credits includes reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming inquiries, preparing insurance refund checks for mailing, and processing returned checks.

What skills are required for Insurance Credit Resolution Specialist (Hybrid) at Privia Health?

Key skills for this role include: RDS, Salesforce.

What is the salary for Insurance Credit Resolution Specialist (Hybrid) 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 Insurance Credit Resolution Specialist (Hybrid) position at Privia Health remote or on-site?

This position is Hybrid. Expect a combination of office and remote work, typically based in Arlington, us.

How do I apply for Insurance Credit Resolution Specialist (Hybrid) 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

Insurance Credit Resolution Specialist (Hybrid) at Privia Health is a full-time other position in Arlington, us. Key skills include RDS, Salesforce. Education: Master's Degree preferred. Experience: 3+ years.

This role is classified as hybrid and is suitable for mid level-level professionals. Ghost Score 5/100 (Fresh) indicates this listing is very likely active and recently refreshed.

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.