Insurance Credit Resolution 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 This role requires hybrid in‑office work at our HQ office in Arlington, VA. 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. Responsibilities Implement payer specific workflows for void requests, take back requests and insurance refund initiations Research and resolve overpaid and denied claims in athenaNet Use Salesforce to manage worklists and requests/inquiries from Care Centers Successfully process 35+ insurance refunds daily In-Office Specific Duties Utilize athenaNet software to identify and print appropriate insurance refund letters Enter insurance refund check #s into athenaNet for tracking In the absence of a payer refund letter, use letter template to make custom refund letters Prepare checks to be mailed including matching checks with refund letter, folding, inserting, addressing and sealing envelopes Sorting checks by payer Retrieve and process returned checks accordingly Other duties as needed Qualifications Education: High School Graduate, Medical Office training certificate or relevant experience 3+ years experience in physician revenue cycle / claims management Background with posting charges, claim follow up, collections, and payment posting Must have experience working with athenahealth’s suite of tools Must comply with HIPAA rules and regulations Compensation and Benefits The hourly range for this role is $25.00-$26.45 in 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. EEO Statement All your information will be kept confidential according to EEO guidelines. #J-18808-Ljbffr Privia Health