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Care Center Biller
Revenue Cycle Management
Houston, TX
Full Time

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Title/Position: Care Center Biller

Department or Business Unit: RCM

Reporting Structure: AR Manager

Employment Type: FTE

Exemption Status: Non-Exempt

Min. Experience: Entry/Mid-Level

Travel Required: None


Overview of the Role:


The Care Center Biller 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 and providing information as requested or properly authorized. This person has 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.


Primary Job Duties:


  • Work directly with physicians and practice administrators on a daily basis to ensure optimal revenue cycle functionality
  • Understand and explain various health plan options and requirements
  • Understand and work with revenue cycle from point of scheduling to processing of claims
  • Work back end edits and denials and submit corrected claims and appeals
  • Update patient registration including setting payment expectations for insured and self-pay patients, perform eligibility verifications, create claims, contact patients with outstanding balances, and work front-end edits and denials


Minimum Qualifications:


  • Education: High School Graduate, Medical Office training certificate or relevant experience
  • Experience: 3+ years experience in medical billing office.
  • Strong preference for experience with athenaHealth’s suite of tools 
  • Strong preference for coding experience and knowledge of CCI edits
  • Must comply with all HIPAA rules and regulations


Interpersonal Skills & Attributes:


  • Excellent written and verbal communication
  • Willingness to train and mentor other team members
  • Great 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; occasionally required to walk and stand, 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.


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