Patient Billing Representative

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

📋 Description

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

• Develop, modify, and manage payment plans.

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

• Clarify and explain claim notes, balances, and billing outcomes to patients.

• Verify, audit, and update insurance details.

• Add or modify insurance information in the EMR and resubmit pending or corrected claims.

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

• Detect discrepancies and collaborate with internal teams to resolve billing issues.

• Investigate account history to identify reasons for billing or payment issues.

• Suggest resolutions and next steps in accordance with Privia's policies.

• Use multiple billing systems, EMR platforms, tools, and resources simultaneously.

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

• Maintain schedule compliance and availability during designated hours.

• Complete all required Privia and client-mandated training.

• Engage in continuous uptraining and cross-training efforts.

• Deliver professional, accountable, empathetic, and patient-focused service.

⛳️ Requirements

• Prior experience in customer service or call centers is required.

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

• Experience in payment processing or financial transactions is preferred.

• A high school diploma or GED is required.

• Proficiency in EMR systems and standard computer applications is necessary.

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

• Must be able to speak, read, write, and comprehend English.

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

• Strong verbal and written communication skills are essential.

• Excellent analytical problem-solving skills and a keen attention to detail are necessary.

• A solid understanding of healthcare billing and insurance concepts is important.

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

• Comfortable navigating multiple systems and tools at the same time.

• Organized, self-motivated, and collaborative work approach is needed.

• Availability to work Monday–Friday, between 8:00 a.m. and 5:00 p.m. CST is required.

🏝️ Benefits

• Shift differential of $1/hour for night and weekend shifts.

• Paid training, typically lasting 2 weeks.

• Full-time position, requiring 40 hours per week.

• Eligibility for benefits begins on the first of the month following 60 days of employment.

• Opportunity for remote work arrangement.