RCM Systems Specialist (Athena)

Privia Health

7d•$60,000 - $65,000

About The Position

Under the direction of the Senior Manager, Revenue Optimization the Revenue Optimization & Systems Specialist is responsible for the maintenance and accuracy of the medical group’s chargemaster and fee schedules, answers support requests from internal stakeholders and physician partners, and supports the successful configuration of RCM systems for newly onboarded provider groups.

Requirements

High School Graduate
Must comply with HIPAA rules and regulations
Advanced analytical skills, including Microsoft Excel skills (ex: pivot tables, VLOOKUP, sort/filtering, formulas)
Experience with athenaHeath and/or athenaOne required

Nice To Haves

Medical billing (CPT/HCPCs) experience preferred
Experience using Salesforce for case management preferred

Responsibilities

Respond in a timely manner to requests for edits or updates to the medical chargemaster
Follow best practice policies for approving or denying requests
Become an internal expert on chargemaster best practices to ensure compliance with governmental regulations and payer guidelines. Work collaboratively with operations and clinical departments to ensure rules are followed.
Manage annual projects for flu season and new codes
Support the build of new market chargemasters in collaboration with implementation project leader
Triage, research, and reply to various inbound requests through Salesforce case management
Ensure consistent delivery of revenue optimization policy across multiple medical groups
Laser-focused drive toward the achievement of the department’s daily and monthly KPIs
Become an expert on tablespace-wide athenaOne settings
Create, test and maintain rule edits within athenaOne
Complete tablespace builds for new provider groups