Privia Health logo
Privia Health

A health management technology company, Privia Health is a national practice led by physicians. The company was founded in 2007 to provide physician groups with resources dedicated

Sr. Care Center Billing Specialist

Location

United States

Posted

75 days ago

Salary

$21 - $23 / hour

Seniority

Senior

No structured requirement data.

Job Description

Sr. Care Center Billing Specialist

Privia Health

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-9pm EST, remotely. he 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 - Availability to work an 8 hour shift between the hours of 8am-9pm EST 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. - Department: Customer/Member Experience

Related Categories

Related Job Pages

More Billing Specialist Jobs

Vital Care Infusion Services logo

Billing Specialist

Vital Care Infusion Services

Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.

Full TimeRemoteTeam 201-500

Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer: - Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts. - Paid time off, personal days, and company-paid holidays. - Paid Paternal Leave. - Volunteerism Days off. - Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. - 401(k) matching and tuition reimbursement. - Employee assistance programs include mental health, financial and legal. - Rewards programs offered by our medical carrier. - Professional development and growth opportunities. - Employee Referral Program. Job Summary: Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices. Position is 100% remote. Duties/Responsibilities: - Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers. - Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected. - Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises - Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity. - Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. - Perform other related duties as assigned. Required Skills/Abilities: - Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. - Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. - Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action. - Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation. - Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications. - Ability to complete job duties in a designated workspace outside the dedicated RCM location. - Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets. Education and Experience: - 2-5 years home infusion billing and/or collections experience required. - High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. - Experience in an infusion suite setting is a plus. - Previous remote work environment is a plus but not required. - Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: - Sitting: Prolonged periods of sitting are typical, often for the majority of the workday. - Keyboarding: Frequent use of a keyboard for typing and data entry. - Reaching: Occasionally reaching for items such as files, documents, or office supplies. - Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork - Visual Acuity: Good vision for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other basis protected by applicable federal, state, or local law. Vital Care Infusion Services participates in E-Verify. This position is full-time. The salary range for this position is $18.92-$23.46.

United States
$19 - $23 / hour
Northwestern Memorial Healthcare logo

Patient Access Specialist-Full time Days (Remote - Must reside in IL, IN, IA, MO or WI)

Northwestern Memorial Healthcare

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees.

Full TimeRemoteTeam 10,001

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Patient Access Specialist reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsibilities: - Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere. - Responds to questions and concerns. - Forwards, directs, and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary. - Maintains patient confidentiality per HIPAA regulations. - Provides exceptional customer service to patients which establish a positive first impression of Northwestern Medicine. - Exceeds all consumer requests and alerts management of issues or concerns that require escalation. - Correctly identifies and collects patient demographic information in accordance with organization standards. - Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner. - Reaches out to patients to schedule an appointment as defined. - Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails. - Informs patients of any issues with securing the financial account for their encounter. - Completes out-of-pocket estimations as requested by patients. - Provides training and education as needed. - Manages work schedule efficiently, completing tasks and assignments on time. - Completes other duties assigned by manager. - Cross-training between various departments will take place to ensure coverage. - Participates in Quality Assurance reviews to ensure integrity of patient data information. - Uses effective service recovery skills to solve problems or service breakdowns when they occur. - Utilizes department and hospital policies and procedures to complete assigned tasks. - Adheres to all department policies and compliance requirements. - Avoids putting patient in financial or safety risk. - Other duties as assigned. Communication and Collaboration: - Communicates information to the patient regarding questions about physician referrals, insurance referrals and consultations. - Collects authorization numbers in appropriate systems as applicable. - Provides professional and constructive environment for communication across units/departments and resolves operational issues. - May attend intra/interdepartmental meetings which involve walking within NM Campus. - Communicates customer satisfaction issues to appropriate individuals. - Demonstrates teamwork by helping co-workers within and across departments. - Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. - Interacts with internal customers to provide excellent support service to staff in departments which provide direct patient care. - Accommodates all levels of communication ability. Technology: - Utilizes multiple online order retrieval systems to verify or print the patients order. - Verifies insurance eligibility and benefit levels through the use of online tools (NDAS, ASF, etc.) or over the phone as necessary. - Completes accurate handoff instructions and notes to scheduling staff, by noting appropriately in Epic. - Demonstrates ability to use all computer applications efficiently and to the capacity needed in this position. - Runs real time eligibility (RTE) on all patients to verify insurance and follows out of network policies as applicable. - Sends quality Epic Messages/Telephone encounters that are descriptive and grammatically correct. Efficiency, Process Improvement, and Business Growth: - Proactive in preventing issues with patient visit by double checking type of test, preps required, assuring no conflict with other tests, verifying time and location, communicating relevant information, verifying documenting order retrieval in notes for check-in person, ensures there are no duplicate patient records. - Understands minimum data set required for a complete registration, collects and verifies critical data and updates that information into registration system. - Understands departmental and individual quality metrics. - Proactively analyzes account activity, identifies problems, and initiates appropriate actions/resolutions. - Evaluates procedures and suggests improvements to enhance customer service and operational efficiency. - Participates in departmental quality improvement activities. - Provides ideas and suggestions for process improvements within the department. - Monitors registration and scheduling, including insurance verification to ensure processing within prescribed quality standards. - Adjusts processes as needed to meet standards. - Uses organizational and unit/department resources efficiently. - Acts as a training resource for new staff and a resource for coworkers, sharing process and workflow information. - Understands that schedule may change to reflect shifting business needs. - Evolves and learns as healthcare policies change. EOE including Disabled and Veterans. Qualifications Required: - High School diploma or equivalent. - 2-3 years customer service or medical office experience. - Excellent interpersonal, verbal, and written communication skills. - Proficiency in computer data-entry/typing. - Excellent verbal and written communication skills. - Ability to read, write, and communicate effectively in English. - Basic Computer Skills. - Ability to type 40 wpm. - Ability to multi-task. - Customer service oriented. - Excellent organizational, time management, analytical, and problem solving skills. Preferred: - Additional education. - Additional language skills. - Healthcare finance and/or healthcare insurance experience. - Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family. - Job Shift: Day Job (1st) - Salary Range Minimum : $18.40 - Salary Range Maximum: $27.59 - Compensation: USD 18.4 - USD 27.59 - hourly

United States
$18 - $28 / hour
Job Closed
Privia Health logo

Sr. Care Center Billing Specialist

Privia Health

A health management technology company, Privia Health is a national practice led by physicians. The company was founded in 2007 to provide physician groups with resources dedicated

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 - Availability to work an 8 hour shift between the hours of 8am-9pm EST 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. - Department: Customer/Member Experience

United States
$21 - $23 / hour
Target logo

Arrears Specialist

Target

An industry-leading retailer with corporate headquarters in Minneapolis, Minnesota, Target operates over 1,800 stores in 47 states, as well as several distribut

Arrears Specialist Fully Remote | £29,000 per annum Shift Hours = 7.5 hours between 8am and 8pm (Mon-Thurs) and 8am - 6pm (Fri). Requirement to work 1 in 3 Saturdays from 9am to 2pm Start Date: 18th May We’re looking for a supportive, approachable and confident Arrears Specialist to join our team. In this role, you’ll be speaking with customers who are going through financial difficulties and helping them understand their options. Your aim is simple: make things clearer, take away some of the worry, and guide them towards a plan that genuinely works for them. You’ll handle inbound and outbound calls across our Recoveries and Assessments & Vulnerable Customers teams. Every conversation is different, but your focus is always on doing the right thing for the customer — and getting it right first time. What You’ll Be Doing - Having honest, helpful conversations with customers across phone and email - Making sure every customer receives a fair and positive outcome - Spotting when someone is in financial difficulty and pointing them towards the right support - Completing income & expenditure assessments to understand what they can realistically afford - Agreeing sustainable payment plans - Using the right tools and forbearance options to help customers get back on track - Recognising when a customer is vulnerable and responding appropriately - Handling complaints calmly and professionally - Following our processes and staying compliant - Working towards key performance measures such as quality, behaviours and reducing avoidable issues

United Kingdom
£29K / year
Job Closed