RCM Systems Specialist (Athena)
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Job Location:
Monthly Salary:
Posted on:
11 hours ago
Vacancies:
1 Vacancy
Job Summary
Under the direction of the Senior Manager Revenue Optimization the Revenue Optimization & Systems Specialist is responsible for the maintenance and accuracy of the medical groups chargemaster and fee schedules answers support requests from internal stakeholders and physician partners and supports the successful configuration of RCM systems for newly onboarded provider groups.
Chargemaster Management
- Respond in a timely manner to requests for edits or updates to the medical chargemaster
- Follow best practice policies for approving or denying requests
- Become an internal expert on chargemaster best practices to ensure compliance with governmental regulations and payer guidelines. Work collaboratively with operations and clinical departments to ensure rules are followed.
- Manage annual projects for flu season and new codes
- Support the build of new market chargemasters in collaboration with implementation project leader
Issue Management
- Triage research and reply to various inbound requests through Salesforce case management
- Ensure consistent delivery of revenue optimization policy across multiple medical groups
- Laser-focused drive toward the achievement of the departments daily and monthly KPIs
Data Maintenance & Standardization
- Become an expert on tablespace-wide athenaOne settings
- Create test and maintain rule edits within athenaOne
- Complete tablespace builds for new provider groups
Qualifications :
- High School Graduate
- Medical billing (CPT/HCPCs) experience preferred
- Experience with athenaHeath and/or athenaOne required
- Must comply with HIPAA rules and regulations
- Advanced analytical skills including Microsoft Excel skills (ex: pivot tables VLOOKUP sort/filtering formulas)
- Experience using Salesforce for case management preferred
The salary range for this role is $60000.00-$65000.00 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.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only not applicable for onsite/in office work):
In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better 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.
Remote Work :
Yes
Employment Type :
Full-time
Key Skills
- Computer Science
- Active Directory
- Computer information Technology
- PowerShell
- OS
- Windows
- Database
- SCCM
- Linux
- SAN
- Troubleshoot
- Backup
- Setup
- Technical Support
- UNIX
About Company
Privia Health is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and popul ... View more
