Rcm Case Management Specialist

Privia Health

Remote, USA
Base: $52,000 to $55,000; bonus: targeted at 10%; ...
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3+ years medical billing experience
Salesforce case management proficiency
Hipaa compliance knowledge
** Privia Health is seeking an Accounts Receivable Case Management Specialist to manage claims processing and enhance revenue cycle operations. This remote role requires expertise in medical billing and denial management, with a focus on utilizing Salesforce and advanced analytical skills to improve efficiency and communication within the team. **

Job Summary

  • The role acts as a bridge between financial accuracy and efficient communication to resolve insurance claim denials.
  • Candidates must manage the full cycle of Salesforce cases while ensuring all inquiries are resolved within established Service Level Agreements.
  • This position offers an annual bonus targeted at 10% along with comprehensive benefits including medical, dental, vision, and 401K.

Matching Summary

Match Score: 75

** Privia Health is seeking an Accounts Receivable Case Management Specialist to manage claims processing and enhance revenue cycle operations. This remote role requires expertise in medical billing and denial management, with a focus on utilizing Salesforce and advanced analytical skills to improve efficiency and communication within the team. **

Salary

Base: $52,000 to $55,000; Bonus: Targeted at 10%; Benefits: Medical, dental, vision, life, pet insurance, 401K, PTO

Skills & Requirements

Must-have

  • 3+ years medical billing experience
  • Salesforce Case Management proficiency
  • HIPAA compliance knowledge
  • Trizetto denial analysis skills
  • athenaHealth/athenaOne experience

Nice-to-have

  • Advanced Microsoft Excel pivot tables
  • VLOOKUP and formula expertise
  • Credentialing and enrollment understanding
  • Strong communication with physicians
  • Trend identification via dashboards

Key Requirements

  • High School Graduate education
  • Minimum 3 years in medical billing office
  • Strict adherence to HIPAA rules and regulations

Work Rights

Not specified

Tailored Resume

Cover Letter