Full-Time Medical Claims Billing Specialist
Privia Health is hiring a remote Full-Time Medical Claims Billing Specialist. The career level for this job opening is Experienced and is accepting Remote, USA based applicants remotely. Read complete job description before applying.
Privia Health
Job Title
Medical Claims Billing Specialist
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
Remote, USA
Salary
HOUR $24 - $26
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Job Details
Under the direction of the Director or Manager of Revenue Cycle Management, the Medical Claims Billing Specialist is responsible for complete, accurate and timely processing of all designated claims.
Primary Job Duties:
- Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
- Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
- Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
- Collaborate internal teams (Performance, Operations, Sales) as well as care center staff when appropriate.
- Works closely with our Revenue Optimization team, to support efforts to ensure reimbursement is in line with payer contract agreements.
- Performs Denial analysis utilizing the Trizetto platform.
- Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
- Drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.
- Other duties as assigned.
Requirements:
- High School Graduate
- 3+ years experience in a physician medical billing office
- Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims
- Experience with major payers such as Anthem, Medicare/Medicaid, United Healthcare, Carefirst
- Athena EHR experience required
- Advanced Microsoft Excel skills
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Medical Claims Billing Specialist at Privia Health is
26th of December 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
Remote, USA
] applicants. .
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