Priviahealth

Priviahealth

Revenue Integrity Specialist

Remote, USA, United States

Sponsorship not specified$55k-$60kDetected 1 day ago
ComplianceSalesforceExcelAuditingAR/VRHIPAALeadership

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odds of building a lasting career here

37Risky
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70

Thin sponsorship signal and lottery-bound (~15% per draw). A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.

Lottery odds assume a STEM candidate.

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About the role

  • Manager, Revenue Optimization the Revenue Integrity Specialist is responsible for complete, accurate and timely processing of reimbursement/payment audits in compliance with Privia policies, payer contracts and government fee schedules.
  • This position works collaboratively with our operations consultants, RCM AR staff and management.
  • The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Requirements

  • Work with your internet provider if you have questions about your connection.

Skills

  • 3+ years payer contracts (language) and/or auditing payer payments required
  • Experience working in Trizetto (Facets, Cognizant, Gateway EDI, QNXT) tool preferred
  • Availity portal experience preferred
  • Salesforce case management experience preferred
  • AthenaOne software system experience is preferred
  • Must comply with HIPAA rules and regulations

Compensation

  • $55k-$60k

Company info

  • We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve.

This listing is sourced directly from Priviahealth's careers page and normalized into a canonical job model.