Sr. Care Center Billing Specialist
About The Position
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. 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.
Requirements
- 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
Responsibilities
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
