Remote opportunity at
Privia HealthClaims Billing Specialist
Privia Health is currently hiring a remote Claims Billing Specialist, also known internally as an AR Manager, reporting to the Director or Manager of Revenue Cycle…
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About This Role
Privia Health is currently hiring a remote Claims Billing Specialist, also known internally as an AR Manager, reporting to the Director or Manager of Revenue Cycle Management. This full-time position handles the accurate processing of assigned claims, manages accounts receivable, investigates and appeals insurance claim denials, and resolves issues escalated to the revenue cycle management team via Salesforce case management. Privia Health functions as a technology-driven company partnering with health…
Job Description
Privia Health is currently hiring a remote Claims Billing Specialist, also known internally as an AR Manager, reporting to the Director or Manager of Revenue Cycle Management. This full-time position handles the accurate processing of assigned claims, manages accounts receivable, investigates and appeals insurance claim denials, and resolves issues escalated to the revenue cycle management team via Salesforce case management. Privia Health functions as a technology-driven company partnering with health systems, medical groups, and health plans to support physician practices, enhance patient experiences, and promote high-value care across virtual and in-person environments.
The person in this role will independently execute claim adjustments, resubmissions, and appeals while collaborating with operational teams, care center staff, and performance groups. Responsibilities also include supporting large care center launches, analyzing denials via the Trizetto platform, and working alongside physicians and practice consultants to optimize revenue functions. The position requires adherence to HIPAA standards and involves meeting established daily and monthly performance metrics. Qualified candidates must possess relevant medical billing background and analytical capabilities.
Responsibilities
- Manage accounts receivable by analyzing aged accounts and identifying root causes of billing errors
- Investigate, resolve, and appeal insurance claim denials using the Trizetto platform
- Handle daily correspondence originating from physician practices
- Resolve escalated claim issues and inquiries using Salesforce case management
- Execute independent decisions regarding claim resubmissions, adjustments, and appeals
- Collaborate with internal operations, performance, and sales teams along with care center personnel
- Support large care center launches, which can involve overnight travel
- Partner with the Revenue Optimization team to align reimbursement with payer contract terms
- Meet daily and monthly department key performance indicators
- Communicate directly with physicians and practice consultants to optimize revenue cycle operations
Requirements
- Minimum of three years of experience in a claims environment or a medical office billing setting
- Ability to investigate and resolve complex claims while understanding revenue cycle performance drivers
- Compliance with all HIPAA regulations and rules
- Internet connection meeting minimum speed requirements of 5 MBPS download and 3 MBPS upload for remote work
Qualifications
- High school diploma
- Advanced proficiency in Google Sheets and Microsoft Excel, including VLOOKUP, pivot tables, formulas, and data filtering
- Familiarity with athenaOne and/or athenaHealth platforms
- Previous experience working alongside New Jersey healthcare providers and payers
Core Skills
Benefits
- Base pay rate ranging from $24 to $26.45 per hour
- Annual performance bonus targeted at 10 percent
- Medical, dental, vision, life, and pet insurance coverage
- 401K retirement plan
- Paid time off
- Wellness programs
- Expense reimbursement for home office internet costs
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, this role is remote and requires home office internet speeds of at least 5 MBPS download and 3 MBPS upload.
What is the salary and bonus structure for the Claims Billing Specialist?
The hourly base pay ranges from $24 to $26.45 per hour, and the role is eligible for a 10 percent annual performance bonus.
What experience is required to apply?
Candidates must have at least three years of claims or medical billing office experience, along with the ability to resolve complex claims and comply with HIPAA regulations.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.