Full-Time AR Manager

AR Manager responsibilities include ensuring accurate and timely claim processing, promptly addressing practice correspondence, reviewing and appealing denials, and following up on aged claims.

Primary Duties:

• Manage accounts receivable (AR) including AR analysis for root cause issues and suggesting billing rule/edit suggestions to prevent future errors.
• Manage denial management; investigate denial sources, resolve, and appeal denials including contacting payer representatives.
• Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
• Collaborate with internal teams (Performance, Operations, Sales) and care center staff.
• Support large care center go-lives, which may include overnight travel.
• Support Revenue Optimization team efforts to ensure reimbursement aligns with payer contracts, performing denial analysis using Trizetto.
• Work directly with practice consultants or physicians to ensure optimal revenue cycle function.
• Drive toward achievement of department KPIs.
• Other duties as assigned.

Qualifications:

• High School Diploma or equivalent
• 3+ years of medical billing office or equivalent claims experience
• Understanding of revenue cycle optimal performance drivers
• Ability to investigate and resolve complex claims
• Advanced Microsoft Excel skills (pivot tables, VLOOKUP, sorting/filtering, formulas)
• Experience with athenaHeath and/or athenaOne (preferred)
• Compliance with HIPAA rules and regulations

Salary: $41,000 - $48,000 base pay, plus potential 10% annual bonus.

Remote Work Requirements (if applicable): 5 Mbps Download Speed, 3 Mbps Upload Speed.

Benefits: Expense reimbursement for employees working remotely.

EEO Statement: Privia Health is committed to creating an inclusive work environment and values diversity.

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