Full-Time Insurance Credit Resolution Specialist
Privia Health is hiring a remote Full-Time Insurance Credit Resolution Specialist. The career level for this job opening is Experienced and is accepting Arizona, USA based applicants remotely. Read complete job description before applying.
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Privia Health
Job Title
Insurance Credit Resolution Specialist
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
Arizona, USA
Salary
HOUR $24 - $26
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Job Details
Under the direction of the Sr. Manager, Revenue Cycle Management, the Insurance Credit Resolution Specialist is responsible for processing insurance related credits.
Primary Job Duties:
- Identify and review patient accounts with insurance overpayments.
- Reconcile account balances.
- Analyze explanation of benefits (EOBs) and insurance payments.
- Process refunds for insurance companies.
- Prepare and submit refund requests.
- Ensure proper documentation and communication regarding refund transactions.
- Resolve any outstanding credits or account discrepancies.
- Ensure compliance with healthcare regulations, including HIPAA and payer-specific guidelines.
- Maintain detailed records of all credit and refund activities.
- Respond to inquiries regarding refunds.
- Use Salesforce to manage worklists and requests/inquiries.
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.
- Sorting checks by payer
- Retrieve and process returned checks accordingly
- Other duties as needed
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Insurance Credit Resolution Specialist at Privia Health is
13th of September 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
Arizona, USA
] applicants. .
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