Priviahealth
Revenue Cycle Specialist (Athena EMR)
Remote, USA, United States
Sponsorship not specifiedDetected 9 days ago
ComplianceSalesforceExcelAR/VRHIPAAEHR/EMRLeadershipAccounts Payable
About the role
- 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.
- 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.
Nice to have
- 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
- Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques
- Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
- Other duties as assigned
- High School Graduate
- Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims
Skills
- Experience with California payers and portals preferred
- Must comply with HIPAA rules and regulations
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This listing is sourced directly from Priviahealth's careers page and normalized into a canonical job model.