Privia Health

Role Description The Sr. AR & Case Management Specialist (Sr. AR Manager) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming SalesForce cases and providing information as requested or properly authorized. The Senior AR Manager will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. - Resolution of SalesForce cases and management of issues and the team resolving the cases is a key element in this role. - Overseeing functions within Accounts Receivable in accordance with compliant best practices, such as Claims Worklists, Zero Pay, Unapplied, and Denials. - 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. - Serves as an escalation point, and escalates issues to the appropriate party. - Suggest and run point on policy updates as needed. - Work directly with practice consultants and/or physicians via Salesforce to ensure optimal revenue cycle functionality. - Focused on driving 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. Qualifications - High School Graduate. - 5+ years experience in a physician medical billing office or equivalent claims experience. - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims. - Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred. - Experience working with athenaOne suite of tools preferred. - Experience using Salesforce for case management preferred. - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely (if a remote worker). - Experience with VA payers & providers preferred. - Must comply with HIPAA rules and regulations. - Excellent written and verbal communication. Requirements - The hourly range for this role is $23/hr to $25/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). - This role is also eligible for an annual bonus targeted at 10%. - The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Benefits - All your information will be kept confidential according to EEO guidelines. - Employees who regularly work from home offices are eligible for expense reimbursement to offset internet costs. Technical Requirements - In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. - This should be acquired prior to the start of your employment. - The best measure of your internet speed is to use online speed tests like speedtest.net . - Work with your internet provider if you have questions about your connection.

Title: Neurohospitalist Job Description: Location: Walnut Creek, California About BASS Health (Diablo Neurology) BASS Health and Diablo Neurology represent a premier, multi-specialty physician group dedicated to delivering high-quality, patient-centered care throughout the Walnut Creek community. Our neurology team is committed to excellence in acute neurological care, utilizing advanced technology and a collaborative approach to improve patient outcomes. We pride ourselves on a supportive environment that fosters professional growth and clinical excellence. Key Responsibilities - Provide comprehensive inpatient neurological care with an exclusive neurohospitalist focus. - Maintain a flexible scope of practice with the voluntary option to incorporate outpatient clinic time if desired. - Opportunity to serve as a Stroke Director for a local Primary Stroke Center within the first 12 months of employment. - Manage acute neurological cases and diagnostics; proficiency in reading EEGs (including long-term hospital monitoring) is a financial plus, though not required. - Work a full-time schedule consisting of two 7-day shifts per month (approximately 14 days total). - Monday-Friday: 7:00am-5:00pm - Saturday-Sunday: 7:00am-3:00pm - Participate in a call rotation of 4 nights per month, including stroke coverage. - One night call per month will fall on a weekend. - Stroke call is primarily handled remotely via phone and specialized imaging apps; overnight hospital returns are rare. Qualifications - Board Certified or Board Eligible (if within two years of residency completion) in Neurology. - Active California medical license or the ability to obtain one. - Strong clinical skills with a focus on acute inpatient management and stroke care. Compensation & Benefits - Competitive Compensation: Guaranteed base salary of $320,000. - Incentive Programs: Access to lucrative bonus opportunities and hospital-based incentives. - Partnership Track: Opportunity for partnership after 1 year. - Time Off: Generous PTO and paid Holidays. - Retirement: 401k with a 3% safe harbor contribution. - Insurance & Fees: Comprehensive health benefits, malpractice coverage, and reimbursement for License and DEA fees. The BASS Medical Group is a physician and patient centric multispecialty group whose purpose is to maintain physician autonomy and financial security within the construct of a large medical group. Beginning with approximately 50 doctors in the Walnut Creek area in 2014, we have grown to 465+ providers across 42 specialties in our 128 locations throughout Northern California, and look forward to expanding our reach in the future. Colorado, New York, New Jersey, California, Connecticut and Washington Residents Only: The salary for this role is $320,000 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Title: Associate Director, Events Location: Remote United States Job Description: The Associate Director of Events owns the strategy, growth and development of the physician event experience at Privia Health. As part of this role, the Associate Director is responsible for overseeing the advancement and implementation of the events across all markets. The Associate Director is expected to think and act both strategically and tactically, be a reliable communicator, a self-starter, someone who can work fast and smart, and someone who is interested in tackling the challenging opportunities working in a dynamic company within the complex healthcare industry. Primary Job Duties: - Manage the day-to-day operations and employees on the Events team - Lead the planning and execution of company-wide, complex physician events, meetings and programs and activate cross-functional resources throughout the planning process - Manage the comprehensive events calendar nationally ensuring alignment across all markets and audiences - Develop and deliver project plans and timelines for each event incorporating deadlines and requirements across teams - Work directly with internal stakeholders to develop event theme, branding, and communication needs - Travel to and support large scale offsite event delivery and execution (as needed) - Develop and maintain partnerships with internal stakeholders and understand business strategies to deliver events that meet expectations and budget requirements - Assess current strategy to determine its effectiveness relative to desired business objectives and identify tools, processes, and influencers to streamline the planning and execution processes - Handle the negotiation and execution of Tier I contracts between our legal team and venue and/or vendor, securing the best possible terms for events - Develop and manage team budget - Perform other duties as assigned - Bachelor's Degree in Business, Communications, Journalism, English, or Marketing - 5+ years of marketing, project management or event experience - 2+ years of supervisory experience leading a team - Strong writing and editing skills is a must - Salesforce experience preferred - Healthcare industry knowledge preferred - Must comply with HIPAA rules and regulations The salary range for this role is $90,000.00-$100,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

Title: RN Care Manager Location: Remote United States Full-time Department: Clinical Operations - Market Job Description: Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description Travel: 25% Travel throughout our MD Market, Must be located in the DMV, MD Highly Preferred The Maryland Primary Care Program (MDPCP AHEAD) RN Care Coordinator will work closely with Primary Care providers in the state of Maryland to identify, screen, track, monitor, and coordinate the care of patients with multiple chronic conditions to develop and deliver Comprehensive Primary Care to patients. Our Care Coordinators seek to develop, implement, and deliver extensive care coordination within our medical group and affiliated partners in a patient centered manner. They interact and collaborate with interdisciplinary care teams, population health teams, networked facility partners, physicians, and others involved in meeting the patient’s needs. - Ensure high quality care for patients by reviewing and researching concerns or complaints and recommending corrective action as appropriate. - Identify and recommend solutions to issues and problems. - Maintain excellent communication and effective working relationships with patients, office managers, providers and clinical team members - Collaborate with assigned local teams to meet Maryland Primary Care Program (MDPCP AHEAD) performance metrics - Collaborate effectively with integrated care team to support care coordination for patients - Review patient non-compliance reports and conduct telephonic and/or in person outreach to ensure timely disease specific and wellness visits - Provide Transitional Care Management including, but not limited to, post in-patient and/or emergency department discharge follow up - Provide education and assistance as it relates to lifestyle coaching, dietary improvements and plans - Provide education and assistance in accessing the necessary care outside of the Primary Care Office - Collaborate with providers to review high-risk patients, develop a plan of care, and administer Care Plan to patients - As needed, meet patients in the office or community for face-to-face visits - Provide education and assistance with patient self-management goals - Identify and coordinate referrals to community resources, home care, and disease management programs within Privia Preferred Network - Operate independently within defined practice(s) and patient population to achieve agreed upon goals - Attendance and participation in regular care team meetings to discuss patient care - Perform other duties as assigned Qualifications - Must have Active RN License - 2+ years of population health or care coordination experience - Pediatric experience preferred. - Strong computer and EHR skills and expertise - Preferred experience with Medicaid patients in a value-based program - Preferred experience educating and engaging patients - Experience working in an outpatient medical office - Ability to travel to and from care centers to meet with patients and providers - Must comply with all HIPAA rules and regulations - Bilingual candidates are encouraged to apply (especially those who speak Spanish) Additional Information All your information will be kept confidential according to EEO guidelines. The salary range for this role is $75,000.00 to $85,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location

Title: Care Advice Line Health Advisor Location: USA Remote United States Employees can work remotely Full-time Department: Care Advice line Job Description: Working closely and in support of telephonic Care Advice Line registered nurses, Population Health support staff, primary care providers (PCP's), networked partners, and patients of Privia Health, the Care Advice Line Health Advisor, (CHA) will provide real-time call queue support for Care Advice Line functions not requiring RN licensure, i.e., independent clinical assessment. The candidate will have and maintain relevant clinical experience, patient and provider communications skills, technical competency and educational background to support the Care Advice Line team. - Support effectively, efficiently and safely the Care Advice Line (CAL) call queue which operates after hours and 365 days/ year. - Answer incoming calls promptly and according to SOP and training guidelines. - Provides effective communications, written and verbal to patients, caregivers, peers and healthcare providers at all times. - Accurately identifies patients, caregivers and their primary purpose and need for calling the CAL. - Support effectively, efficiently and safely the Care Advice Line (CAL) call queue which operates after hours and 365 days/ year. - Answer incoming calls promptly and according to SOP and training guidelines. - Provides effective communications, written and verbal to patients, caregivers, peers and healthcare providers at all times. - Accurately identifies patients, caregivers and their primary purpose and need for calling the CAL. - Triages and transfers calls and cases appropriately to RNs, providers, team members and 911. - Able to remain patient and polite through all call situations. - Charts in the EMR and applicable applications accurately and efficiently according to national healthcare standards. - Collaborate effectively with integrated care team to support care coordination for patients. - Answer and resolve business office inbound calls related to population health, care coordination, or other clinical activities. - Motivate patients to be proactive about their health. - Provide education and assistance with patient self-management goals. - Make appropriate referrals to internal care team, payer programs, community resources, home care, and disease management programs. - Assist in scheduling PCP, Virtual Clinic or specialist appointments as necessary. - Assist with appropriate and miscellaneous "other duties" and projects as assigned and able. - The slotted shifts for this position are (EDT): Weekends, 9a-9pm, 2 weekends/ month minimum on average; Weeknights, 5pm-9pm, approximately 20 hours per week; Optional and flexible in 2, 4, 6 and 8 hour increments; Every 3rd Holiday 5pm -9pm at a minimum. - Other Duties as Assigned The hourly pay for this role is $20.00hr in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

Title: Care Center Customer Service & Billing Specialist Location: Remote United States Job Description: - Employees can work remotely - Full-time - Department: Customer/Member Experience Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely. The Sr. Care Center Support Billing Specialist supports our growing physician network. This person will assist customers with all questions around billing/claims resolution,via current email technology platforms and incoming calls. The role operates within a customer service oriented high-volume call center environment. Primary Job Duties - Responding to high volume inquiries via email/phone - Assist with triaging case volumes - Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance - Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion - Identify issues that occur on a repeated basis and provide feedback to management - Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding - Provide support in team chat with questions from team members - Remain flexible to take on other duties as assigned Qualifications - High School Diploma preferred, advance certification a plus - Familiar with healthcare billing and claim resolution preferred - Experience with AthenaNet, Salesforce a plus - 2+ years of full time experience in a call center customer service environment - Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely The hourly range for this role is $21/hr to $23/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

Title: AR & Case Management Specialist Remote, USA, United States Employees can work remotely Full-time Department: Revenue Cycle Job Description: Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers Job Description The Sr. AR & Case Management Specialist (Sr. AR Manager) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming SalesForce cases and providing information as requested or properly authorized. The Senior AR Manager will take steps necessary to resolve all claim issues or questions that escalate to the RCM team. Resolution of SalesForce cases and management of issues and the team resolving the cases is a key element in this role. Additionally, the Senior AR Manager is responsible for overseeing functions within Accounts Receivable in accordance with compliant best practices, such as Claims Worklists, Zero Pay, Unapplied, and Denials, to ensure that all are reviewed, reconciled and resolved in a timely matter. The Senior AR Manager will also serve as an subject matter expert and point of escalation on one of our internal sub-teams. - 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. - Serves as an escalation point, and escalates issues to the appropriate party. - Suggest and run point on policy updates as needed. - Work directly with practice consultants and/or physicians via Salesforce to ensure optimal revenue cycle functionality - Focused on driving 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 Qualifications - High School Graduate. - 5+ years experience in a physician medical billing office or equivalent claims experience - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims - Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred - Experience working with athenaOne suite of tools preferred - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely (if a remote worker) - Experience with VA payers & providers preferred - Must comply with HIPAA rules and regulations - Excellent written and verbal communication The hourly range for this role is $23/hr to $25/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines.

Title: Medical Claims Billing Specialist (Georgia) Location: Remote United States Job Description: Under the direction of the Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for ensuring the accurate and timely processing of all assigned claims. 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. Primary Job Duties: - 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 - Collaborate with internal teams (Performance, Operations, Sales) as well as, care center staff - when appropriate - Support large care center go lives when applicable, which may include overnight travel - Work closely with our Revenue Optimization team to support efforts to ensure reimbursement is in - line with payer contract agreements. Perform 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) - Other duties as assigned - High School Graduate - 3+ years experience in a medical billing office or equivalent claims experience - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims - Advanced Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) preferred - Experience with athenaHeath and/or athenaOne preferred - Experience with Georgia payers and portals preferred - Must comply with HIPAA rules and regulations The hourly range for this role is $24/hr to $26.45/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

Care Center Customer Service & Billing Specialist Location: Remote, USA, United States Employees can work remotely Full-time Department: Customer/Member Experience Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely. The Sr. Care Center Support Billing Specialist supports our growing physician network. This person will assist customers with all questions around billing/claims resolution,via current email technology platforms and incoming calls. The role operates within a customer service oriented high-volume call center environment. Primary Job Duties - Responding to high volume inquiries via email/phone - Assist with triaging case volumes - Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance - Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion - Identify issues that occur on a repeated basis and provide feedback to management - Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding - Provide support in team chat with questions from team members - Remain flexible to take on other duties as assigned Qualifications - High School Diploma preferred, advance certification a plus - Familiar with healthcare billing and claim resolution preferred - Experience with AthenaNet, Salesforce a plus - 2+ years of full time experience in a call center customer service environment - Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications - Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely The hourly range for this role is $21/hr to $23/hr in hourly base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

Role Description Under the direction of the Associate Director of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for ensuring the accurate and timely processing of all assigned claims. This role includes: - Promptly addressing daily correspondence from physician practices. - Reviewing and appealing insurance claim denials. - Following up on aged claims. - Taking necessary steps to resolve all claim issues or questions that escalate to the RCM team, including Salesforce case management. Primary Job Duties: - Management of the accounts receivable (AR), including analysis of the aged AR and suggesting billed rules/edits to prevent errors. - 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. - Collaborate with internal teams (Performance, Operations, Sales) and care center staff when appropriate. - Support large care center go-lives when applicable, which may include overnight travel. - Work closely with the Revenue Optimization team to ensure reimbursement aligns with payer contract agreements, performing 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). - Other duties as assigned. Qualifications - High School Graduate. - 3+ years experience in a medical billing office or equivalent claims experience. - Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims. - Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP, sort/filtering, formulas) preferred. - Experience with athenaHealth and/or athenaOne required. - Orthopedic medical claims billing experience preferred. - Experience with California payers and portals preferred. - Must comply with HIPAA rules and regulations. Requirements - The hourly range for this role is $24/hr to $26.45/hr in hourly base pay, exclusive of any bonuses or benefits. - This role is also eligible for an annual bonus targeted at 10%. - The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Benefits - Medical, dental, vision, life, and pet insurance. - 401K. - Paid time off. - Other wellness programs. Company Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.