Care Center Customer Service & Billing Specialist

Privia Health is a technology-driven company focused on optimizing physician practices and improving patient experiences. They are seeking a Senior Care Center Customer Service & Billing Specialist to support their physician network by assisting customers with billing and claims resolution inquiries in a high-volume call center environment.

Responsibilities:

• Responding to high volume inquiries via email/phone
• Assist with triaging case volumes
• Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance
• Critically analyze a situation and escalate issues to the appropriate internal team; meticulously following up to ensure that the customer is served in a timely fashion
• Identify issues that occur on a repeated basis and provide feedback to management
• Act as a subject matter expert for all current and updated resources, ensuring to communicate updates to fellow team members and ensuring understanding
• Provide support in team chat with questions from team members
• Remain flexible to take on other duties as assigned

Requirements:

• High School Diploma preferred, advance certification a plus
• 2+ years of full time experience in a call center customer service environment
• Familiarity using software such as Salesforce, Word, Excel, Web Browsers and cloud-based web applications
• Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely
• Must be available to work any 8 hour shift between the hours of 8am-6pm EST, remotely
• Familiar with healthcare billing and claim resolution preferred
• Experience with AthenaNet, Salesforce a plus