Director - Billing & Coding (CPC required)
To see similar active jobs please follow this link: Remote Management jobs
Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Job Description
Responsible for overall operational and programmatic success of BILLER+ and CODER+, including vendor partnerships, operational performance, and client satisfaction
Manage a global workforce of employed staff and vendor contracted billing and coding teams to ensure delivery on production targets, turnaround times, quality and other SLAs
Develop, review, and approve all Standard Operating Procedures (SOPs) regarding operations, escalations, team alignment, and any other relevant operational area
Serve as the primary escalation point for addressing operational and performance issues with vendors, partner organizations, and internal staff
Partner with Implementation to ensure successful customer go-lives, for large or complex customer implementations and ensure proper system setup
Provide updates and reporting on key performance metrics to leadership
Regularly communicate program updates, new features and other important information to customers and internal stakeholders
Solicit feedback from customers on opportunities to improve or enhance programs
Identify and/or collaborate with RCM leadership on opportunities to improve the programs through workflow, technology and/or partnerships
Research and resolve identified issues/questions from clients/internal stakeholders
Manage salesforce cases and ensure they are being addressed timely
Minimal travel to client sites for onboardings and performance management (as needed)
Perform other duties as assigned
Qualifications
5+ years of demonstrated knowledge and expertise of physician revenue cycle, physician professional coding and physician professional billing, practice workflows
CPC required
3+ years of experience managing large teams of billers and coders
Experience managing offshore operations
Experience managing a global revenue cycle team of direct reports and vendor partners
Ability to work effectively with clinicians and staff to implement change
Strong analytical, reporting and project management skills
Strong denial management experience
Experience working in a revenue cycle management role within a multi-specialty physician practice setting strongly preferred
Experience with athenahealth PMS/EHR preferred
Experience with multi-speciality preferred
Certified Professional Biller (CPB) preferred
Must comply with HIPAA rules and regulations
The salary range for this role is $110,00.00-$120,000.00 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 15%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Additional Information
All your information will be kept confidential according to EEO guidelines.
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.
About the job
Director - Billing & Coding (CPC required)
To see similar active jobs please follow this link: Remote Management jobs
Company Description
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Job Description
Responsible for overall operational and programmatic success of BILLER+ and CODER+, including vendor partnerships, operational performance, and client satisfaction
Manage a global workforce of employed staff and vendor contracted billing and coding teams to ensure delivery on production targets, turnaround times, quality and other SLAs
Develop, review, and approve all Standard Operating Procedures (SOPs) regarding operations, escalations, team alignment, and any other relevant operational area
Serve as the primary escalation point for addressing operational and performance issues with vendors, partner organizations, and internal staff
Partner with Implementation to ensure successful customer go-lives, for large or complex customer implementations and ensure proper system setup
Provide updates and reporting on key performance metrics to leadership
Regularly communicate program updates, new features and other important information to customers and internal stakeholders
Solicit feedback from customers on opportunities to improve or enhance programs
Identify and/or collaborate with RCM leadership on opportunities to improve the programs through workflow, technology and/or partnerships
Research and resolve identified issues/questions from clients/internal stakeholders
Manage salesforce cases and ensure they are being addressed timely
Minimal travel to client sites for onboardings and performance management (as needed)
Perform other duties as assigned
Qualifications
5+ years of demonstrated knowledge and expertise of physician revenue cycle, physician professional coding and physician professional billing, practice workflows
CPC required
3+ years of experience managing large teams of billers and coders
Experience managing offshore operations
Experience managing a global revenue cycle team of direct reports and vendor partners
Ability to work effectively with clinicians and staff to implement change
Strong analytical, reporting and project management skills
Strong denial management experience
Experience working in a revenue cycle management role within a multi-specialty physician practice setting strongly preferred
Experience with athenahealth PMS/EHR preferred
Experience with multi-speciality preferred
Certified Professional Biller (CPB) preferred
Must comply with HIPAA rules and regulations
The salary range for this role is $110,00.00-$120,000.00 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 15%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
Additional Information
All your information will be kept confidential according to EEO guidelines.
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.