Patient Billing Representative

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

📋 Description

• Process patient payments over the phone in accordance with Privia's financial responsibility policies.

• Create, update, and manage payment plans.

• Ensure accuracy of transactions, maintain documentation, and uphold data integrity.

• Interpret and clarify claim notes, balances, and billing results for 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.

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

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

• Recommend solutions and next steps that align with Privia policies.

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

• Navigate multiple systems concurrently while assisting patients.

• Maintain adherence to schedules and availability during assigned hours.

• Complete all required Privia and client-mandated training.

• Engage in uptraining and cross-training initiatives.

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

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

⛳️ Requirements

• Prior customer service or call center experience is mandatory.

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

• Preferred experience in payment processing or financial transactions.

• A high school diploma or GED is required.

• Technical skills with EMR systems and standard computer applications are essential.

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

• Proficiency in speaking, reading, writing, and comprehending English is necessary.

• A background check is required as per applicable laws.

• Strong verbal and written communication abilities are crucial.

• Analytical problem-solving skills and a keen attention to detail are important.

• A solid grasp of healthcare billing and insurance concepts is preferred.

• Capacity to explain complex billing information in a manner that is easily understandable for patients.

• Comfort in working across multiple systems and tools simultaneously is essential.

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

• Candidates must reside in one of the specified 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 of $1/hr for night and weekend shifts.

• Paid training, typically lasting 2 weeks.

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

• Eligibility for benefits starting the first of the month after 60 days of employment.