The Enrollment Specialist manages the payer enrollment process for independent providers and care centers in the New Jersey market. This includes handling payer data in CredentialStream, resolving claims inquiries in AthenaOne EMR, and coordinating with internal onboarding teams.
Privia Health
31 Remote Job Openings at Privia Health
The AR Manager is responsible for the accurate and timely processing of claims, including analyzing aged AR and resolving insurance claim denials. The role involves collaborating with internal teams and physicians to optimize revenue cycle functionality and meet department KPIs.
Design and deploy Generative AI solutions and LLM architectures to automate complex workflows in contract management, VBC, and RCM. Implement end-to-end data pipelines and ensure the secure, responsible, and scalable deployment of AI models on GCP.
Design and deploy Generative AI solutions and LLM-based architectures to automate complex workflows in contract management and healthcare operations. Implement end-to-end data pipelines and ensure the secure, responsible deployment of AI models using MLOps best practices.
Design, configure, and deploy Salesforce-based solutions to streamline workflows and optimize business operations. Manage daily configuration requests using a Kanban workflow and maintain platform security and data integrity.
Design, configure, and deploy Salesforce-based solutions to streamline workflows and optimize business operations. Manage daily configuration requests using a Kanban workflow and maintain platform security and data integrity.
Develop and deliver comprehensive coding education and advanced consultation to providers to improve accuracy and compliance. Analyze performance indicators to identify training gaps and create specialty-specific documentation programs.
Drive the expansion and adoption of virtual health services for internal practices and external B2B clients. This includes generating qualified leads, conducting market analysis, and executing patient awareness campaigns.
Provide legal support for healthcare M&A transactions, including drafting agreements, managing due diligence, and coordinating legal strategy. Advise internal stakeholders on business ventures and ensure compliance with healthcare laws and regulations.
The AR Manager is responsible for the accurate and timely processing of claims, including analyzing aged AR and resolving insurance claim denials. The role involves collaborating with internal teams and physicians to optimize revenue cycle functionality and achieve department KPIs.
The specialist manages the payer enrollment process for independent providers, including commercial, Medicaid, and Medicare plans. They maintain provider status in CredentialStream and collaborate with credentialing and RCM teams to ensure providers become PAR.
Provide legal support for healthcare M&A transactions, including due diligence, risk management, and the drafting of definitive agreements. Advise internal stakeholders on strategic business ventures and manage post-closing integration processes.
Oversee the construction and execution of the Salesforce platform while managing a high-performing engineering delivery team. Partner with strategy and architecture teams to align technical output with the enterprise roadmap and AI-driven future.
The role focuses on managing the digital experience for Care Centers by overseeing website support operations and resolving provider cases. It involves collaborating with internal stakeholders and offshore developers to maintain the Drupal platform and other digital projects.
Oversee the construction and execution of the Salesforce platform while managing a high-performing engineering delivery team. Partner with product owners and architects to align technical output with the enterprise roadmap and AI-driven future.
The role focuses on ensuring a cohesive digital experience for Care Centers by managing website support operations and the Drupal platform. It involves collaborating with stakeholders and providers to resolve support cases and managing digital projects like DAM and online scheduling.
Manage the daily activities of unapplied funds and payment application while supervising a Senior Financial Operations Analyst. Develop analytic systems and SQL-based reporting to resolve financial discrepancies and improve operational efficiency.
Manage the daily activities of unapplied funds and payment application to ensure accurate resolution of balances within the practice management system. Supervise financial analysts and partner cross-functionally to improve workflows and develop SQL-based reporting tools.
Provide real-time call queue support for the Care Advice Line, handling non-clinical assessments and triaging calls to RNs or providers. Coordinate patient care by scheduling appointments and providing education on self-management goals.
The Senior Digital Marketing Associate will manage website support operations and ensure a cohesive digital experience for Care Centers. This role involves collaborating with internal and external stakeholders, managing support queues, and providing project management for digital initiatives.
The Senior Coding Compliance Educator is responsible for developing and delivering comprehensive coding education and providing advanced consultation to providers and staff. This role involves analyzing coding performance indicators, designing specialty-specific training programs, and ensuring organizational compliance with industry standards.
Provide on-demand telephone-based care management and triage services to patients to assess symptoms and determine appropriate care. Coordinate care across the healthcare delivery system while maintaining accurate patient records in web-based medical systems.
Coding Compliance Audit & Education Specialist
Privia Health
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Full Time
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3 months ago
Privia Health
The specialist will conduct audits comparing medical record documentation to reported codes, researching and interpreting federal and state laws pertaining to CMS and Medicare. They will also prepare audit reports and provide post-audit education and technical support to providers regarding proper documentation and coding principles.
Coding Compliance Audit & Education Specialist
Privia Health
·
Full Time
·
3 months ago
Privia Health
The specialist will audit medical records for compliance with federal coding regulations, comparing documentation to reported CPT/HCPCS and ICD-10-CM codes. Responsibilities also include conducting post-audit provider education, scheduling trainings, and providing technical support on proper documentation and coding principles.
The Virtual Clinic Nurse Practitioner or Physician Assistant will provide direct patient care virtually using a HIPAA-compliant telehealth platform while supporting the development of clinical protocols and virtual care guidelines. This role involves treating patients via telemedicine, coordinating follow-ups, managing the clinical inbox, and participating in strategy and policy development meetings.
The Sr. Growth Manager is responsible for building relationships with prospective physician practices and generating qualified leads. This role involves significant travel and aims to increase market share through an aggressive growth strategy.
The Sr. Growth Manager is responsible for building relationships with prospective physician practices and generating qualified leads. This role involves significant travel and aims to increase market share through an aggressive growth strategy.
The Associate Director of Virtual Health will lead the development and oversight of virtual care services, ensuring operational excellence and enhancing patient and provider experiences. This role involves strategic planning, project management, and collaboration with clinical teams to drive virtual care adoption.
The Associate Director of Virtual Health will lead the development and oversight of virtual care services, ensuring operational excellence and driving clinical quality. This role involves strategic planning, project management, and collaboration with clinical teams to enhance patient and provider experiences.
The Sr. Growth Manager is responsible for building relationships with prospective physician practices and generating qualified leads. This role involves significant travel and aims to increase market share through an aggressive growth strategy.
The Sr. Growth Manager is responsible for building relationships with prospective physician practices and generating qualified leads. This role involves significant travel and aims to increase market share through an aggressive growth strategy.