Billing Specialist ( Women's Pelvic & Restorative Center-Fannin St.) - Privia Health

We are a group of providers united by our clinically integrated, high-performance network and shared belief that physician autonomy is key to improving healthcare. As a physician-led medical group, we provide the tools, talent, and technology that enable you to improve patient care and your practice’s economic outcomes. We remove administrative work to help you transition to and thrive in value-based care so you can focus on patients, not paperwork and policy.

Reports to: Practice Manager

FLSA Status: Non-Exempt

Employee Type: Full-Time

SUMMARY

Receive and respond to billing and insurance claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Data Entry

• Patient demographics

• Daily charges, Surgery and Delivery charges

• Post insurance payments

• File insurance claims, appeal claims with issues

• Generate and send patient invoices

• Communicate and follow-up with AB collections

• Generate and review monthly A/R report 

• Update patient demographics changes in the system

• Balance daily co-pays

• Generate deposits 

• Insurance precertification of surgeries

• Notify patient and office manager of pre-surgery. Deposit due.

• Communicate with Insurance company re: Deliveries or extended surgical stays

• Function as a floater within the office

• Other duties as assigned 

• Experience with OB/GYN billing

EXPERIENCE 

• 2 -4 years billing experience

EDUCATION

• High School Diploma or GED

CERTIFICATE/LICENSE

• Billing or Coding License preferred but not required

PHYSICAL DEMANDS:

• Requires full range of body motion including handling and lifting patients

• Requires standing and walking for extensive periods of time

• Occasionally lifts and carries items weighting up to 50lbs.

Compensation range for this vacancy is based on years of experience, education and location.

Hourly range for this vacancy is $23 to $25 per hour 

All your information will be kept confidential according to EEO guidelines.

#LI-DNI

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 https://www.speedtest.net/. 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. Privia is a better company 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.