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AR Manager
Administrative
Arlington, VA
Full Time

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Overview of the Role:


Under the direction of the Director or Manager of Revenue Cycle Management, the Accounts Receivable (AR) Manager is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming telephone calls or SalesForce cases and providing information as requested or properly authorized. We look for strong follow up skills, attention to detail, a solutions focused mindset, and a driving work ethic. This position works collaboratively with the staff in our physician practices as well as team members at Privia Headquarters (Arlington, VA, this can be a remote position within the States we currently have a presence in).


Primary Job Duties:


  • Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
  • Denial management - investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
  • Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
  • Makes policy updates as needed, to all RCM policies.
  • Responsible for training internal teams (Operations, Sales) as well as care center staff when appropriate.
  • Support large care center go lives which may include overnight travel.
  • Works closely with our Revenue Integrity team, to support efforts to ensure reimbursement is in line with payer contract agreements. Performs Denial analysis utilizing the Trizetto platform.
  • Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
  • Laser focused drive toward achievement of department’s daily and monthly Key Performance Indicators (KPIs), requiring a team focused approach to attainment of these goals.


Minimum Qualifications:


  • Education: High School Graduate, Medical Office training certificate or relevant experience
  • Experience: 3+ years experience in medical billing office.
  • Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims.
  • Strong preference for experience working with athenaHealth’s suite of tools 
  • Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely
  • Must comply with HIPAA rules and regulations 


Technology Used:

Google Suite (including Chat)

Telephone

athenaHealth

Salesforce


Interpersonal Skills & Attributes:


  • Excellent written and verbal communication
  • Experience in a people management function preferred
  • Willingness to train and mentor other team members
  • Excellent time management skills
  • Ability to work independently and multi-task in a fast paced environment
  • Technically capable and savvy


Physical Demands:


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is required to sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; talk and hear. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.


Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, 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.

Privia is dedicated to providing reasonable accommodations for individuals who may need assistance. If you or any other individual is interested in working at Privia and may need assistance in the application process, please contact us at accommodations@priviahealth.com so we can be of support.



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