Patient Billing Representative

This is a fully remote position, open to applicants in Alabama, +21 more states.

📋 Description

• Process patient payments via telephone in accordance with Privia's financial responsibility guidelines.

• Establish, modify, and manage payment plans.

• Ensure the accuracy of transactions, proper documentation, and data integrity.

• Explain and interpret claim notes, balances, and billing results to patients.

• Verify, audit, and update insurance details.

• Input or revise insurance information in the EMR and resubmit any pending or corrected claims.

• Educate patients on coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.

• Identify discrepancies and collaborate with internal teams to resolve billing concerns.

• Investigate account history to identify causes of billing or payment issues.

• Recommend solutions and next steps consistent with Privia's policies.

• Utilize billing systems, EMR platforms, tools, and knowledge resources effectively.

• Navigate multiple systems concurrently while assisting patients.

• Maintain adherence to the schedule and availability during designated hours.

• Complete all necessary Privia and client-required training.

• Engage in uptraining and cross-training opportunities.

• Adhere to HIPAA regulations, confidentiality, privacy, and security standards.

• Provide professional, accountable, empathetic, and patient-centered service.

⛳️ Requirements

• Previous experience in customer service or call centers is essential.

• Experience in healthcare billing, insurance, or claims is highly preferred.

• Experience in payment processing or financial transactions is a plus.

• A high school diploma or GED is mandatory.

• Proficient in EMR systems and standard computer applications.

• Ability to work independently in a remote or virtual setting.

• Must be capable of speaking, reading, writing, and understanding English.

• A background check is required in compliance with applicable laws.

• Strong verbal and written communication skills are necessary.

• Possess analytical problem-solving skills and a keen attention to detail.

• Solid comprehension of healthcare billing and insurance concepts is required.

• Ability to clearly convey complex billing information in a patient-friendly manner.

• Comfortable working across multiple systems and tools simultaneously.

• An organized, self-motivated, and collaborative work approach is essential.

• Candidates must reside in one of the following states: Alabama, Georgia, Idaho, Iowa, Indiana, Kansas, Louisiana, Michigan, Mississippi, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Texas, Tennessee, Utah, Virginia, West Virginia, Wisconsin, or Wyoming.

🏝️ Benefits

• Shift differential: an additional $1/hour for night and weekend shifts.

• Paid training, typically lasting 2 weeks.

• Full-time position with 40 hours per week.

• Eligible for benefits on the first of the month after 60 days of employment.

• Opportunity for remote work.