Insurance Credit Resolution Specialist
About the role
This role requires hybrid in-office work at our HQ office in Arlington, VA.
Responsibilities
- Review and respond to daily correspondence from physician practices in a timely manner
- Answer incoming inquiries
- Prepare insurance refund checks for mailing
- Process returned checks
- Implement payer specific workflows for void requests, take back requests and insurance refund initiations
- Research and resolve overpaid and denied claims in athenaNet
- Manage worklists and requests/inquiries from Care Centers using Salesforce
- Successfully process 35+ insurance refunds daily
- In office specific duties:
- Utilize athenaNet software to identify and print appropriate insurance refund letters
- Enter insurance refund check #s into athenaNet for tracking
- Absent payer refund letter, use letter template to make custom refund letters
- Prepare checks to be mailed including matching checks with refund letter, folding, inserting, addressing and sealing envelopes
- Sorting checks by payer
- Retrieve and process returned checks accordingly
Requirements
- Education: High School Graduate, Medical Office training certificate or relevant experience
- 3+ years experience in physician revenue cycle / claims management
- Background with posting charges, claim follow up, collections, and payment posting
- Must have experience working with athenahealth’s suite of tools
- Must comply with HIPAA rules and regulations
Qualifications
- Education: High School Graduate, Medical Office training certificate or relevant experience
- 3+ years experience in physician revenue cycle / claims management
- Background with posting charges, claim follow up, collections, and payment posting
- Must have experience working with athenahealth’s suite of tools
- Must comply with HIPAA rules and regulations
Skills
- Experience with athenahealth’s suite of tools
- Experience with HIPAA rules and regulations
Benefits
The hourly range for this role is $25.00-$26.45 in 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.
Pay
The hourly range for this role is $25.00-$26.45 in 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.
Schedule
This role is hybrid, requiring in-office work at the Privia Health HQ office in Arlington, VA.