Unpostables Medical Claims Biller (AthenaOne)

Under the direction of the Manager Unpostables of Revenue Cycle Management the Accounts
Receivable (AR) Manager - Unpostables is responsible for overseeing the unpostables process within
the RCM National Team. They identify research and resolve unapplied cash unidentified payments and
other discrepancies in patient accounts. The AR Manager - Unpostables ensures timely resolution of
unpostable records maintaining accurate records and collaborating with other departments to improve
processes and minimize unpostable occurrences. This role will also be responsible for taking the steps
necessary to resolve all issues or questions that escalate to the unpostables team to include SalesForce
case management.

Primary Job Duties:

• Unpostables management that includes researching and resolving records that have not been
  matched to athenaOne related charges (including insurance payments capitation payments
  patient payments remittance items and voided charges)
  Reconciliation of re-adjudicated claims/payer takebacks
  Make independent decisions regarding claim adjustments resubmission appeals and other claim resolution techniques as needed
  Maintain payer web portal access for all payers and interfaces with athenaOne
  Responsible for training internal teams (Operations Sales) as well as care center staff when
  appropriate.
  Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
  Drive toward achievement of departments daily and monthly Key Performance Indicators (KPIs)
  Other duties as assigned

Qualifications :

• High School Graduate
  3 years experience in a medical billing office or equivalent claims experience
  Must understand the drivers of revenue cycle optimal performance and be able to investigate and
  resolve complex claims
  Advanced Microsoft Excel skills (ex: pivot tables VLOOKUP sort/filtering formulas)
  Experience with athenaHeath and/or athenaOne preferred
  Must comply with HIPAA rules and regulations

The hourly range for this role is $24/hr to $26.45/hr in hourly 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