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Privia Health Group

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  • Virtual Clinic NP OR PA

    Remote, USA, United States | Remote

    remote $60-$65/hr

    Virtual Clinic NP OR PA Remote, USA, United States | Remote 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: Must Include States with Licensure in Application The Virtual Clinic Nurse Practitioner OR Physician Assistant will be responsible for providing direct patient care in Privia's Virtual Clinic. Day-to-day, this role will be treating patients virtually through a HIPAA-compliant telehealth platform and will support efforts in developing clinical protocols and virtual care guidelines along with Privia's clinical leadership.We are looking for a board certified family medicine NP who is passionate about transforming primary care, tech-savvy, experienced in delivering care through telehealth modalities. Treat patients via telemedicine using the technology platform through Privia Health including coordinating follow ups and managing tasks in the clinical inbox Support the development of virtual care protocols, guidelines, policies, and training programs for providers Participate in case reviews, consultations and utilization review Participate in key virtual health strategy, business development, and clinical meetings Stay current on telehealth issues and best practices Perform other duties as assigned Qualifications: Active NP OR PA required

  • Unapplied Funds Manager

    Remote, USA, United States | Remote

    remote $100K-$115K

    Unapplied Funds Manager Remote, USA, United States | Remote 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: The Unapplied Fund Manager works under the direction of the Director, Accounting to timely and accurately identify amounts owed to the Company's various partners. This role would develop, implement, and maintain analytic systems, taking complicated data sets and building simple frameworks. This role has the opportunity to directly impact and provide significant value to the Company and the Company's partners. Manage and oversee the daily activities of the unapplied funds and payment application function, ensuring timely and accurate resolution of unapplied and misapplied balances within the practice management system Supervise and develop the Sr. Financial Operations Analyst, including prioritization of workload, performance management, training, and ongoing coaching to ensure operational effectiveness and accountability Review and analyze multiple data sources, including banking activity and practice management system data, to identify and resolve discrepancies impacting payment application and downstream financial processes Partner cross-functionally with Treasury, Client Finance, and Operations teams to investigate issues, improve workflows, and ensure care centers

  • Healthcare Sales Executive

    Orlando, FL, United States

    unspecified $90K-$220K

    Healthcare Sales Executive Orlando, FL, United States 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: Privia is looking for a Healthcare Sales Executive (Growth Director) to join our rapidly growing sales team. The Growth Director is responsible for achieving targets for the overall recruitment of providers into Privia Medical Group (PMG). The Director is a sales professional with demonstrated experience closing complex business deals, consistently meeting and exceeding goals. 80% territory travel throughout Orlando area required. Individual must be located in the Orlando, FL area. Primary Job Duties: Segment a market/region and develop a target list of independent primary care doctors and specialists 70% new business prospecting through in-person initial sales meetings and presentations with physicians Follow up with interested physicians and manage opportunities to close Track activities, leads, and pending deals in Salesforce and participate in weekly sales calls Contribute new ideas and share best practices with national sales team Provide ongoing relationship and sales support to recruited practices Work with the varied constituencies in Sales and Marketing to drive lead generation with

  • Coding Compliance Audit & Education Specialist

    Remote, USA, United States | Remote

    remote $70K-$80K

    Coding Compliance Audit & Education Specialist Remote, USA, United States | Remote 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: Under indirect supervision, the Coding Compliance Audit/Education Specialist audits medical records for compliance with federal coding regulations and guidelines. Successful candidates will have extensive knowledge of auditing and education on CPT, ICD-10, and HCPCS codes and guidelines. Conduct audits (i.e. baseline, routine periodic, and focused) comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes with consideration of applicable federal and state laws, regulations, and guidelines. Research, interpret and communicate federal and state laws and guidelines pertaining to CMS and Medicare. Acts as an internal expert on coding issues to ensure compliance with state and federal regulations. Preparation of audit reports including summary of findings Conduct post-audit provider education with individual or large provider groups Schedule trainings with provider's offices, individual providers and groups of providers Provides feedback, initial and ongoing education and training, and technical support with regard to proper documentation guidelines, service selection, charge capture, supervision, timely submission, healthcare data accuracy, and

  • Medical Assistant- OB/GYN Medical Center Associates

    Houston, TX, United States

    unspecified $18-$22/hr

    Medical Assistant- OB/GYN Medical Center Associates Houston, TX, United States Company Description: 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. Job Description: Location: Onsite at our care center - 7900 Fannin St # 4000, Houston, TX 77054 We are seeking a dedicated and experienced Medical Assistant to provide high-quality care in a fast-paced clinical setting. This role is crucial for ensuring smooth patient flow and delivering exceptional support to both physicians and patients. The ideal candidate will possess strong clinical skills and be able to effectively manage a variety of front and back office duties. Essential Job Duties: Greet and escort patients to the exam room, ensuring their comfort. Obtain and record patient vital signs, symptoms, and medical history. Prepare patients for and assist physicians with exams and minor procedures. Administer injections and perform phlebotomy. Perform effective telephone triage by evaluating calls for emergencies. Provide clear and thorough patient education on health care concerns, medications, and procedures. Manage patient flow, verify demographic and insurance information, and collect co-pays and balances. Schedule patient appointments and manage referrals. Ensure all exam rooms are cleaned, stocked, and instruments are

  • Mammography Technologist- Privia Imaging

    Houston, TX, United States

    unspecified Salary not disclosed

    Mammography Technologist- Privia Imaging Houston, TX, United States Company Description: 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. Job Description: Location: Onsite at 427 W. 20th St., Houston, Texas 77008 Schedule: Day Shift, Part-Time to start (3 days/week), with the opportunity to transition to Full-Time (5 days/week) as patient volume grows. Under the direct supervision of the Manager of Mammography Services, the Mammography Technologist is responsible for the services at The Breast & Imaging Center to include areas of mammography and/or bone densitometry; exercise professional judgment in performance of services and maintains a demeanor complimentary to medical ethics; provides appropriate patient care and recognizes patient conditions essential for successful completion of the procedure. Essential Job Duties: Prepare patients for breast imaging procedures by accurately assessing patients' needs and providing patient education. Operates breast imaging equipment for data acquisition, reconstruction of images, documentations of images and performs quality control measures for the purpose of ensuring optimal images. Prepare patients' films for interpretation by a radiologist. Practices accurate and timely completion of scheduled and unscheduled work to maximize productivity. Practices radiation safety measures. Follow HIPAA guidelines. Perform other

  • Credentialing & Enrollment Specialist

    Houston, TX, United States

    unspecified $57K-$62K

    Credentialing & Enrollment Specialist Houston, TX, United States 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: *This full-time position is a hybrid role that requires working in the office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004. Mon, Wed, and Fri are typically work from home but may be in office on occasion.* The Credentialing and Enrollment Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all launching of all providers in Privia's high-performance medical group. Primary Job Duties: Ensure protocols are being followed to ensure timely resolution and completion of payor enrollment to ensure no loss of revenue due to untimely payor enrollment Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing. Reviews and streamlines processes and workflows for the on-boarding department, using automation, where appropriate Works with both internal and external stakeholders to resolve complex provider enrollment issues, including resolving claim denials related to provider enrollment Supports special projects requiring knowledge of delegated and

  • Operations Consultant I

    North Haven, CT, United States

    unspecified $80K-$95K

    Operations Consultant I North Haven, CT, United States 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: Travel Required: Yes, 70% local travel in our Connecticut Market. Overview of the Role: The Operations Consultant I is responsible for directly managing a portfolio of clinically integrated multi-specialty practices and be accountable for driving overall performance results. Primary Job Duties: Manage and own a portfolio of partner physician practices Serve as point of contact for portfolio care centers and provide routine and regular updates as they relate to the partnership. Partner with physicians owners and focus on strategic planning & execution (VBC & FFS performance, same store growth, succession planning) Partner with Privia VBC and physician leadership to drive care transformation Track and manage metrics and goals related to finance, revenue cycle, productivity, clinical performance, value-based care and customer experience. Review data, share best practices and coach Care Center teams on strategies to succeed in value-based care agreements with payers. Drive growth and operational improvement to a portfolio of physician practices. Facilitate, in coordination with each Care

  • Care Advice Line Health Advisor

    Remote, USA, United States | Remote

    remote Salary not disclosed

    Care Advice Line Health Advisor Remote, USA, United States | Remote 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: Working closely and in support of telephonic Care Advice Line registered nurses, Population Health support staff, primary care providers (PCP's), networked partners, and patients of Privia Health, the Care Advice Line Health Advisor, (CHA) will provide real-time call queue support for Care Advice Line functions not requiring RN licensure, i.e., independent clinical assessment. The candidate will have and maintain relevant clinical experience, patient and provider communications skills, technical competency and educational background to support the Care Advice Line team. Qualifications: Support effectively, efficiently and safely the Care Advice Line (CAL) call queue which operates after hours and 365 days/ year. Answer incoming calls promptly and according to SOP and training guidelines. Provides effective communications, written and verbal to patients, caregivers, peers and healthcare providers at all times. Accurately identifies patients, caregivers and their primary purpose and need for calling the CAL. Support effectively, efficiently and safely the Care Advice Line (CAL) call queue which operates

  • Sales Development Representative (Hybrid)

    Arlington, VA, United States

    hybrid $21.16-$26.45/hr

    Sales Development Representative (Hybrid) Arlington, VA, United States 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: This role requires in office work Tuesday-Thursday each week, working from home on Monday & Fridays. There is on-site garage parking. Overview of the Role: The Sales Development Representative (Growth Operations Associate) generates qualified leads for Growth Directors and provides general sales support in areas such as market intelligence, customer segmentation strategies, and prospecting plans. An Associate's primary goal is to grow the number of unique and qualified encounters with prospects and execute on marketing strategy. This role will support a wide variety of business verticals including Market Sales, Business Development, New Provider Recruitment, Product Sales, and Employer Solutions. Primary Job Duties: Conduct targeted, relationship-building, outbound telephone calls to prospects to identify decision makers and qualify opportunities with the goal of setting qualified appointments Utilize deep market analyses to understand local patterns, customer segments, and high-value targets Conduct background research on leads to ensure viability Act as single point of contact for new and interested providers and practices

  • Growth Development Intern

    Remote, USA, United States | Remote

    remote $18-$18/hr

    Growth Development Intern Remote, USA, United States | Remote 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: The ideal candidate will support the growth of Privia Health by assisting the Physician Development, New Provider Recruitment, and Business Development teams. Additionally, this person will help support marketing and sales operations, with a focus on CRM data integrity. This is a 20 hour per week, part time role with a flexible schedule. Essential Job Duties: Review, clean, and analyze data for current and new markets in Salesforce, Privia's Customer Relationship Management (CRM) system to provide analysis on Total-Available Market (TAM) Operational support to the Physician Development and New Provider Recruitment teams including but not limited to ongoing maintenance of our Customer Relationship Management (CRM) system data Perform other duties as assigned Qualifications: Pursuing Bachelor's Degree, Junior year or above and minimum GPA of 3.0 Superior organization and analytical skills with the ability to communicate clearly Strong computer technology skills including, but not limited to, Google Suite (Sheets, Google Docs, etc). Demonstrated ability to conduct Internet research

  • MFM Sonographer- Privia Gulf Coast Imaging

    Houston, TX, United States

    unspecified Salary not disclosed

    MFM Sonographer- Privia Gulf Coast Imaging Houston, TX, United States Company Description: 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. Job Description: Location: Onsite at 7900 Fannin St. Ste. 1500, Houston, TX 77054 The Obstetrical and Gynecological (OB/GYN) Ultrasound Technologist performs high-quality diagnostic ultrasound examinations of the female reproductive system and fetal development. This role supports physicians in diagnosing and monitoring conditions related to pregnancy, gynecological health, and reproductive medicine. The technologist ensures patient safety, comfort, and dignity while adhering to established protocols, ethical standards, and regulatory requirements.​​​​ Perform high-quality diagnostic ultrasound examinations This role supports physicians in diagnosing and monitoring conditions related to pregnancy, gynecological health, and reproductive medicine The technologist ensures patient safety, comfort, and dignity while adhering to established protocols, ethical standards, and regulatory requirements Perform obstetric ultrasounds (first trimester, detailed level II anatomy, nuchal trasnluceny, second/third trimester growth/follow-up, biophysical profile, fetal Doppler, and amniotic fluid assessment) Perform gynecologic ultrasounds (transabdominal and transvaginal) to evaluate pelvic structures, ovaries, uterus, and endometrium Capture high-quality diagnostic images and cine loops per physician order and protocol Identify, measure, and document fetal structures, growth parameters, and anatomical

  • Care Advice Line RN I

    Remote, USA, United States | Remote

    remote $25-$30/hr

    Care Advice Line RN I Remote, USA, United States | Remote 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: Available Shift Hours: Weekday Coverage availability (Mon-Fri) Time: 4:00-11:00pm EST Overnight Shifts availability: Saturday & Monday Time: 10:00pm-6:00am (Next Day) Weekend Coverage availability (Saturday & Sunday - 24hours) Weekend Shifts are flexible and may be scheduled in 6, 8, 10 OR 12 hour increments We are actively recruiting for an RN our remote Care Advice Line, (CAL RN1) to join our rapidly growing Population Health team. The primary role of the CAL RN1 will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). CAL RN1's will work closely with, and be mentored by senior nurses to assess symptoms/concerns of callers to determine the urgency and type of care needed, refer to or schedule appointments with providers as appropriate, and give health information and advice to callers. The goal of the Nurse Advice Line is to reduce unnecessary visits to the clinic and emergency department,

  • Patient Service Representative- Privia Imaging

    Houston, TX, United States

    unspecified Salary not disclosed

    Patient Service Representative- Privia Imaging Houston, TX, United States Company Description: 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. Job Description: The Patient Service Representative is the primary point of contact for our patients, managing both in-person arrivals and a high volume of telephonic inquiries. This role greets, instructs, and directs patients/visitors while maintaining professional call-handling standards. The PSR ensures clinical schedules are optimized through efficient check-in/out and proactive phone management. Essential Job Duties: Act as the primary responder for inbound calls and manage multiple phone lines with professional etiquette to ensure minimal hold times. Manage patient communications via phone, email, and patient portals to confirm appointments and answer non-clinical inquiries. Greet in-person visitors and perform "virtual check-ins" over the phone to verify all demographic and insurance information at every touchpoint. Navigate Electronic Health Record (EHR) systems to schedule, reschedule, and cancel appointments according to specific provider protocols. Collect co-pays, co-insurance, or balances over the phone and in person. Direct patients to Patient Financial Specialists (PFS) for complex financial agreements or insurance updates. Communicate real-time schedule updates, such as late arrivals or urgent "work-ins," to clinical

  • RN Care Manager

    Remote, Maryland, United States

    remote $75K-$85K

    RN Care Manager Remote, Maryland, United States 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: Travel: 25% Travel throughout our MD Market, Must be located in the DMV, MD Highly Preferred The Maryland Primary Care Program (MDPCP AHEAD) RN Care Coordinato r will work closely with Primary Care providers in the state of Maryland to identify, screen, track, monitor, and coordinate the care of patients with multiple chronic conditions to develop and deliver Comprehensive Primary Care to patients. Our Care Coordinators seek to develop, implement, and deliver extensive care coordination within our medical group and affiliated partners in a patient centered manner. They interact and collaborate with interdisciplinary care teams, population health teams, networked facility partners, physicians, and others involved in meeting the patient's needs. Ensure high quality care for patients by reviewing and researching concerns or complaints and recommending corrective action as appropriate. Identify and recommend solutions to issues and problems. Maintain excellent communication and effective working relationships with patients, office managers, providers and clinical team members Collaborate with assigned local teams to

  • Front Desk Coordinator- OB/GYN Medical Center Associates

    Houston, TX, United States

    onsite $19-$21/hr

    Front Desk Coordinator- OB/GYN Medical Center Associates Houston, TX, United States Company Description: Location : Onsite at OB/GYN Medical Center Associates located on 7900 Fannin St # 4000, Houston, TX 77054 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. Job Description: Perform random daily audits on Patient Services Representative's (PSR) work to verify accuracy. Assist all PSR's in balancing their Comprehensive Balancing sheets as needed. Assist all PSR's in finding office codes, CPT, ICD-10 or charges not listed on the router. Assist in updating clinical forms. Perform all duties as described in the PSR job description during peak periods or absentees. Communicate any up-coming changes to satellite offices. Type memos for PSRs Communicate with physicians, clinical personnel or other supervisors in dealing with specific patient problems/issues or departmental personnel. Work closely with the Appointment, Patient Accounting, Electronic Billing, Quality Control, Cash Posting and Coding personnel to ensure the smooth flow of work between the various areas. Plan, develop, maintain and continually strive to improve methods, procedures, controls and co-ordination of unit functions. Maintain information and keep abreast of information relating to the insurance industry and Privia

  • Sr. Patient Digital Marketing Associate

    Remote, USA, United States | Remote

    remote $65K-$81K

    Sr. Patient Digital Marketing Associate Remote, USA, United States | Remote 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: The Senior Digital Marketing Associate will serve a key role in ensuring a cohesive digital experience for our Care Centers by supporting the use of our digital products, especially the websites. This role will be a key partner in helping scale the website support operations to meet the needs of our customers and the evolving Drupal platform. This is a Care Center facing role and engaging with our providers is a key aspect. Additionally, this role will assist with other digital projects as needed. Primary Job Duties: Collaborate with key stakeholders - both internal and external to support the infrastructure needed to support our Care Centers' digital presence Provide excellent customer support service and engage with providers to resolve website support cases Own the day-to-day operations of the website support queue including working with IT, offshore developers, and other operational partners Provide project management and some digital expertise to complex website requests made by customers

  • Sr. Coding Compliance Educator

    Remote, USA, United States | Remote

    remote $70K-$82K

    Sr. Coding Compliance Educator Remote, USA, United States | Remote 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: The Senior Coding Compliance Educator is a subject matter expert responsible for the development and delivery of comprehensive coding education and providing advanced consultation to Privia Providers and staff. Successful candidate will have extensive expertise in CPT, ICD-10-CM, and HCPCS coding and demonstrate a proven track record in delivering high-impact training to diverse provider groups. This role is pivotal in enhancing our provider education programs and improving coding accuracy and compliance across our rapidly growing organization. Lead advanced coding education for both individual providers and large provider groups, utilizing remote methods. Topics include but are not limited to Evaluation & Management (E/M), Medicare Preventive services, and Office Procedures) Design, implement, and lead specialty-specific documentation and coding training programs to address unique needs and challenges. Analyze key coding performance indicators to determine those providers in need of initial or additional E/M training. Strategically schedule and coordinate training sessions with provider offices, individual providers, and groups, ensuring alignment

  • Operations Consultant II

    Albany, GA, United States

    unspecified $105K-$115K

    Operations Consultant II Albany, GA, United States 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: Travel: 70% Travel, Supporting our Southern GA Market The Operations Consultant II is responsible for managing a cluster of our clinically integrated multi-specialty practices and be accountable for driving overall performance results. Primary Job Duties: Manage and own a portfolio independent physician practices Drive growth and improvement to portfolio of physician practices Draft and implement action plans to improve and grow physician practices' overall revenue Create transparency with practices about their financial performance (or lack thereof), in order to drive change Track and manage metrics and goals related to finance, revenue cycle, productivity, clinical performance, and customer experience Re-engineer the practice workflow to streamline patient throughput and efficiency Mentor and coach practice administrators, in the management of their physician practice Facilitate the transition of the physician practice from Fee-For-Service to the future Risk-based world of healthcare reimbursement Roll out and communicate new Privia initiatives Effective leader with a sharp eye for constructive criticism in the physician practice Strategic thinker

  • Insurance Credit Resolution Specialist

    Arlington, VA, United States

    unspecified $25-$26.45/hr

    Insurance Credit Resolution Specialist Arlington, VA, United States 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: This role requires hybrid in-office work at our HQ office in Arlington, VA Under the direction of the Sr. Manager, Revenue Cycle Management, the Insurance Credit Resolution Specialist is responsible for complete, accurate and timely processing of all assigned insurance related credits. Processing of these credits includes reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming inquiries, preparing insurance refund checks for mailing, and processing returned checks. Implement payer specific workflows for void requests, take back requests and insurance refund initiations Research and resolve overpaid and denied claims in athenaNet Use Salesforce to manage worklists and requests/inquiries from Care Centers Successfully process 35+ insurance refunds daily In office specific duties: Utilize athenaNet software to identify and print appropriate insurance refund letters Enter insurance refund check #s into athenaNet for tracking In the absence of a payer refund letter, use letter template to make custom refund letters Prepare checks to be mailed including