Sr. Customer Service & Billing Support Specialist

Privia Health is a technology-driven physician enablement company that supports medical practices through operations and cloud-based technology. The Sr. Customer Service & Billing Support Specialist assists customers and physician network staff with healthcare billing and claims inquiries in a high-volume, customer service-oriented call center environment. The role responds to inquiries, resolves complex billing issues, escalates cases, and supports team members with billing resources and guidance.

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:

• 2+ years of full time experience in a call center customer service environment
• Familiar with healthcare billing and claim resolution required
• Familiarity using software such as Google Doc, Sheets,  Web Browsers and cloud-based web applications required
• High School Diploma preferred
• advance certification or degree a plus
• Experience with athenaOne EHR preferred
• Salesforce or similiar CRM experience preferred