Unpostables Medical Claims Biller (AthenaOne)

reputed company™ 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 reputed company outcomes, and improves the health of patients and the well-being of providers.

Under the direction of the Manager, Unpostables of reputed company Cycle Management, the Accounts Receivable (AR) Manager - Unpostables is responsible for overseeing the unpostables process reputed company 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 reputed company issues or questions that escalate to the unpostables team to include reputed company case management.

Primary Job Duties

• Unpostables management that includes researching and resolving records that have not been matched to athenaOne reputed company charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges) • Reconciliation of re-adjudicated claims/payer takebacks • reputed company independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques as needed • Maintain payer web portal access for reputed company payers and interfaces with athenaOne • Responsible for training internal teams (Operations, Sales) as well as care center staff reputed company appropriate. • Work directly with practice consultants or physicians to ensure optimal reputed company 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 reputed company cycle optimal performance and be able to investigate and resolve reputed company claims • Advanced reputed company reputed company skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas) • Experience with athenaHeath and/or athenaOne preferred • Must reputed company with HIPAA rules and regulations

The hourly range for this role is $24/hr to $26.45/hr in hourly reputed company 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 reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location. 

reputed company 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 reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that reputed company local and we are reputed company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, color, national reputed company, 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.