AR Representative- Unpostables

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.

About the role

Under the direction of the Sr. Manager, Unpostables of Revenue Cycle Management, the Accounts Receivable (AR) Manager - Unpostables oversees the unpostables process within the RCM National Team. This role identifies, researches, and resolves unapplied cash, unidentified payments, and other discrepancies in patient accounts. The AR Manager ensures timely resolution of unpostable records, maintains accurate records, and collaborates with other departments to improve processes and minimize unpostable occurrences. This role also manages SalesForce case escalations.

Responsibilities

• Manage unpostables by 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.
• Reconcile re-adjudicated claims and payer takebacks.
• Make independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
• Maintain payer web portal access for all payers and interfaces with athenaOne.
• Train internal teams (Operations, Sales) and care center staff as needed.
• Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality.
• Drive toward achievement of the department’s daily and monthly Key Performance Indicators (KPIs).
• Perform other duties as assigned.

Requirements

• High School Graduate.
• 3+ years of experience in a medical billing office or equivalent claims experience.
• Understanding of the drivers of revenue cycle optimal performance and ability to investigate and resolve complex claims.
• Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP, sort/filtering, formulas).
• Experience with athenaHealth and/or athenaOne preferred.
• Must comply with HIPAA rules and regulations.

Pay

The hourly range for this role is $24/hr to $26.45/hr in base pay, exclusive of any bonuses or benefits. This role is 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, and vision insurance.
• Life and pet insurance.
• 401K retirement plan.
• Paid time off.
• Other wellness programs.

Technical Requirements (for remote workers)

For remote work, a minimum internet speed of 5 MBPS download and 3 MBPS upload is required. Employees working remotely are eligible for expense reimbursement to offset internet costs.