Priviahealth
Medical Claims Billing Specialist
Houston, TX, United States · Full-time
Sponsorship not specifiedDetected 8 days ago
ComplianceAccessibilitySalesforceExcelAR/VRHIPAAEHR/EMRResearchLeadershipCommunicationTime Management
About the role
- The Medical Claims Specialist will take steps necessary to resolve all claim issues or questions that escalate to the RCM team.
- Resolution of SalesForce cases and management of issues and the team resolving the cases is a key element in this role.
- The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Responsibilities
- Collaborate with internal teams (Performance, Operations, Sales) as well as care center staff when appropriate
- Drive toward achievement of department's daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals
Requirements
- Work with your internet provider if you have questions about your connection.
Skills
- Must understand Explanation of Benefit (EOB) statements
- Google Suite experience preferred
- Athena EMR experience preferred
- Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely for days not in the office
- Comfortable speaking in front of groups
- Excellent written and verbal communication
- Willingness to train and mentor other team members
- Self-starter with great time management skills
- Ability to work independently and multi-task in a fast paced environment
- Problem solver with good analytical skills and solution-oriented approach
- Independent decision maker with strong research skills
- Must comply with HIPAA rules and regulations
Benefits
- Works closely with our Revenue Optimization team, to support efforts to ensure reimbursement is in line with payer contract agreements.
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This listing is sourced directly from Priviahealth's careers page and normalized into a canonical job model.