RCM Workflow Specialist (Athena required)

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

Under the direction of the RCM Systems Manager, the RPA & RCM Systems Specialist is responsible for the oversight of all Robotic Process Automations (RPAs or bots) that support RCM. 

Primary Job Duties:

• Daily Responsibilities

  • Monitor daily output reports

  • Triage and research performance issues 

  • Review and identify performance issues and triage accordingly

  • Maintain RCM RPA inventory on the Monday Board

  • Partner with Product Engineering regarding statuses and actions required

• RPA Development

  • Identify opportunities for new bots automations that reduce cost or generate revenue

  • Manage inbound bot requests; supporting data collection as needed

  • Develop workflows in partnership with the RCM Training Team

  • Understanding and acknowledging all policy expectations prior to bot development

  • Understand and adhere to Product Engineering requirements for RPA submission

  • Testing in partnership with Product Team

  • Maintaining open communication with the Product Team throughout the preparation, development, testing, and production deployment phases.

• Workflow Management

  • Develop an in depth understanding of RCM workflows and best practices

  • Continuously look for ways to improve efficiency of bots and of existing RCM workflows

  • Monitor athenaOne for updates that will impact bot workflows and take appropriate and timely action to prevent interruption

• Communication

  • Communicate bot status updates to stakeholders and management as needed

  • Maintain Google Groups to support consistent report distribution and visibility to appropriate stakeholders.

• Education: High School Graduate

• Medical claims billing experience required 

• 1+ yrs of RCM training and workflow experience required

• AthenaOne experience is required 

• Experience developing and/or managing RPA preferred 

• Microsoft Excel skills preferred  (ex: VLOOKUP, sort/filtering/formatting, pivot table, and formulas)

• Must comply with HIPAA rules and regulations

Interpersonal skills & Attributes:

• Applies logic and efficiency to process development

• Adaptable and flexible

• Strong attention to detail

• Strong problem-solving skills

• Excellent written and verbal communication skills

• Ability to manage multiple priorities in a fast-paced, dynamic environment

• Great time management skills

• Positive attitude

• Receptive to feedback from all team members

• Ability to work in a geographically distributed team

• Excellent documentation skills with meticulous attention to detail.

• Proficiency in creating detailed step-by-step guides and visual aids (screenshots, video demonstrations).

• Demonstrated ability to manage multiple tasks and prioritize effectively.

The salary range for this role is $55,000,00 to $60,000,00 in base pay and exclusive of any bonus or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10% based on performance in the role. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

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.