Job Closed

This listing is no longer active.

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

Unpostables Medical Claims Biller

Location

United States

Posted

72 days ago

Salary

$24 - $26 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Unpostables Medical Claims Biller

Privia Health

Role Description Under the direction of the Manager, Unpostables of Revenue Cycle Management, the Accounts Receivable (AR) Manager - Unpostables is responsible for overseeing the unpostables process within the RCM National Team. They identify, research and resolve unapplied cash, unidentified payments, and other discrepancies in patient accounts. The AR Manager - Unpostables ensures timely resolution of unpostable records, maintaining accurate records, and collaborating with other departments to improve processes and minimize unpostable occurrences. This role will also be responsible for taking the steps necessary to resolve all issues or questions that escalate to the unpostables team to include SalesForce case management. - Unpostables management that includes researching and resolving records that have not been matched to athenaOne related charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges) - Reconciliation of re-adjudicated claims/payer takebacks - Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques as needed - Maintain payer web portal access for all payers and interfaces with athenaOne - Responsible for training internal teams (Operations, Sales) as well as care center staff when appropriate - 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 (ex: pivot tables, VLOOKUP, sort/filtering, formulas) - Experience with athenaHeath and/or athenaOne 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 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 - 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.

Related Categories

Related Job Pages

More Claims Specialist Jobs

Gallagher logo

Federal Claims Adjuster

Gallagher

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.

Full TimeRemoteTeam 5,001-10,000

Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Qualifications - Minimum of 2-3 years of hands on workers compensation adjusting experience including handling a lost time/indemnity desk plus litigation. - Federal Defense Base Act and/or Longshore preferred. - No license required. Requirements - High School Diploma. - Minimum of 3 years related claims experience. - Appropriate licensing and/or certification in all states in which claims are being handled. - Knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more...

United States
Job Closed
Root Insurance logo

Total Loss Adjuster

Root Insurance

Root Insurance is working to simplify necessary and everyday insurance processes using data, technology, and rapid innovation. The company offers a range of insurance coverage as p

The Opportunity As a Total Loss Adjuster, you’ll play a critical role in enforcing the fundamental fairness on which our company was founded. You’ll be asked to push the boundaries of what’s required and to think critically as to what our customers want and how that best aligns with our product. Our goal is to leverage technology, data, and a team of highly talented people to build a claims experience that is recognized as number 1 in the industry. Salary Range: $52,900 - $60,000 Root is a “work where it works best” company. This means we will support you working in whatever location that works best for you across the US. How You Will Make an Impact - Delivers an industry-leading claim experience for all policyholders and claimants - Negotiates and settles total loss situations with policyholders and claimants - Prepares salvage vehicles for auction and oversees the end-to-end salvage process - Consistently makes prompt and courteous contact with every claim customer - Maintains and updates a diary/schedule for each claim in the adjuster’s pending - Responds to claim correspondence in a timely fashion with very high quality - Provides input for continuous development of claims guidelines and best practices - Recommends potential product developments and process improvements - Interacts and communicates effectively with customers, peers, vendors and managers - Engages in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications What You Will Need to Succeed - Successful experience handling insurance claims, coordinating rental extensions. Experience related specifically to the settling of auto total loss claims preferred. - Currently licensed in home state if state required is preferred - Ability to obtain and maintain insurance licenses in several states (including Texas) within three months - Ability to learn quickly and be adaptable - High sense of professionalism while remaining empathetic - Familiarity with claims best practices required - Curious in nature - Great attention to detail - Coachable and committed to professional growth - Ability to approach problems with an open mind - Expected work schedule: 9:00am-5:00pm M-F As part of Root's interview process, we kindly ask that all candidates be on camera for virtual interviews. This helps us create a more personal and engaging experience for both you and our interviewers. Being on camera is a standard requirement for our process and part of how we assess fit and communication style, so we do require it to move forward with any applicant's candidacy. If you have any concerns, feel free to let us know once you are contacted. We’re happy to talk it through. Please see our Privacy Notice available HERE for more information on how we process your personal data.

United States
$52.9K - $60K / year
Job Closed
Full TimeRemoteTeam 10,001+H1B Sponsor

Job Description What is the opportunity? As a Disability Claims Specialist in Group Insurance, you will be part of a supportive, multidisciplinary team with expertise across diverse fields dedicated to ensuring excellent client service while managing risk strategies that impact on the company’s reputation, regulatory risk, client relationships, financial results and business retention. Group claims are a team effort! You will be navigating employer relationships, coordinate return-to-work plans, and manage multi-party communication – making stakeholder management a key part of your role. Ready to make a difference? Let’s empower lives, strengthen communities, and build a brighter future—one claim at a time! What will you do? - Adjudication: Fairly and objectively assess disability claims using a multidisciplinary approach, prioritizing critical tasks while ensuring compliance with policies, procedures, and regulatory requirements. - Communication: Deliver clear, empathetic, and timely communication to clients, employers, and partners, particularly when handling sensitive decisions such as claim denials. - Critical Analysis & Decision Making: Use critical thinking to make informed, timely decisions based on thorough evaluations of claim details. - Negotiation and Resolution: Clearly articulate claim decisions in writing and verbally to address concerns, foster mutual respect, and manage escalations effectively. - Claim Management: Efficiently and accurately manage a high-volume caseload, calculate benefit payments, and implement return-to-work strategies to support claimants’ recovery. - Stakeholder Building: Cultivate strong relationships with key stakeholders and claimants to facilitate recovery and successful return-to-work outcomes. - Cross-Functional Collaboration: Collaborate seamlessly with medical, legal, and client service professionals to ensure consistency and drive positive results throughout the claims process. - High Sustained Concentration and Mental Processing: Maintain focus and mental acuity to effectively handle complex cases and high-volume workloads. What will you need to succeed? Must-have - Post-secondary education in healthcare or a related field, or equivalent work experience. - Minimum 2 years in Short Term or Long-Term Disability claims. - Exceptional verbal and written English skills, with the ability to navigate emotionally sensitive conversations empathetically and professionally. - Excellent problem-solving and decision-making skills with demonstrated ability to manage complex information and make evidence-based decisions - Strong analytical skills to manage complex information and make evidence-based decisions. - Ability to work independently with strong organizational and time management skills to strategically deliver the greatest impact. - Ability to meet the technological and confidentiality requirements of the role (internet connectivity, and private space) - Proficiency in digital tools, Microsoft Outlook, Excel, Word, and ability to navigate multiple systems. - Basic math skills and an understanding of financial information. Nice-to-have - Learning Agility: Adaptability and resilience in managing change and evolving processes. - Proficiency in French What’s in it for you? We thrive on the challenge to be our best, progressive thinking to keep growing, and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other, reaching our potential, making a difference to our communities, and achieving success that is mutual. - A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plans - Competitive pay and high-earning potential - All the tools, training, and team support you need to grow your career - Flexible work/life balance options - RBCI software tools to boost your productivity Job Skills Active Learning, Coverage Analysis, Critical Thinking, Customer Service, Insurance Claims Investigations, Insurance Operations, Insurance Product Development, Knowledge of Claims, Long Term Planning, Settlement Negotiations Additional Job Details Address: MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGACity: MississaugaCountry: CanadaWork hours/week: 37.5Employment Type: Full timePlatform: INSURANCEJob Type: RegularPay Type: SalariedPosted Date: 2026-04-09Application Deadline: 2026-04-23Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date above Our Employment Opportunities At RBC, we are guided by living shared values of Client First, Integrity, Collaboration, Respect and Excellence and winning together as One RBC. We believe an inclusive workplace that has diverse perspectives is core to our continued growth as one of the largest and most successful banks in the world. Maintaining a workplace where our employees feel supported to perform at their best, effectively collaborate, drive innovation, and grow professionally helps to bring our Purpose to life and create value for our clients and communities. RBC strives to deliver this through policies and programs intended to foster a workplace based on respect, belonging and opportunity for all. Join our Talent Community Stay in-the-know about great career opportunities at RBC. Sign up and get customized info on our latest jobs, career tips and Recruitment events that matter to you. Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at jobs.rbc.com. RBC is presently inviting candidates to apply for this existing vacancy. Applying to this posting allows you to express your interest in this current career opportunity at RBC. Qualified applicants may be contacted to review their resume in more detail.

Canada
Full TimeRemoteTeam 10,001+Since 1931H1B Sponsor

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description Responsible for investigating and confirming the facts of loss for the most complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors and provides direction to junior employees. **Join our team in an exciting remote opportunity as a Med/Pay Adjuster! The ideal candidate will have familiarity handling Florida PIP Claims.** Key Responsibilities • Recognizes and identifies body parts of a vehicle or understanding other potential property damage • Identifies customer needs and works to meet those needs using appropriate customer service skills • Determines subrogation or fraud potential and how to handle for the most complex cases • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Recommends process improvements • Applies increased experience in the Sr Adjuster level or a rotation into a specialty position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler, Litigation, etc.) • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex/Catastrophic injury claims • Handles investigation regarding all aspects of the most complex auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority #LI-LS2 Skills Analytical Thinking, Auto Insurance Claims, Customer Experience Management, Negotiation, Personal Injury Claims Compensation Additional Job Description Base compensation offered for this role is: Adjuster Cons. I: 53,500.00 - 77,800.00 Adjuster Cons. II: 56,000.00 - 82,500.00 Adjuster Cons. I Sr.: $68,500.00 - 104,100.00 Adjuster Cons. II Sr.: $70,100.00 - $110,400.00 Annually and is based on experience and qualifications. *** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) as applicable for the role Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

United States
$53.5K - $110K / year