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 policies.

• Establish, modify, and manage payment plans effectively.

• Ensure accuracy in transactions, documentation, and data integrity.

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

• Verify, audit, and refresh insurance information as needed.

• Add or amend insurance details in the EMR and resubmit any pending or corrected claims.

• Educate patients regarding coordination of benefits, deductibles, coinsurance, copayments, timely filing, and claim denials.

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

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

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

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

• Navigate multiple systems simultaneously while assisting patients.

• Comply with documentation, privacy, security, HIPAA, and confidentiality standards.

• Maintain adherence to schedule and availability during designated hours.

• Complete all mandatory training for the company and clients.

• Engage in ongoing uptraining and cross-training programs.

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

⛳️ Requirements

• Experience in customer service or call centers is required.

• Strong preference for candidates with healthcare billing, insurance, or claims experience.

• Experience in payment processing or financial transactions is preferred.

• A high school diploma or GED is mandatory.

• Additional education in billing or healthcare is a plus.

• Technical proficiency with EMR systems and common computer applications is essential.

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

• Proficiency in speaking, reading, writing, and understanding English is required.

• A background check is mandatory in accordance with relevant laws.

• Strong verbal and written communication skills are necessary.

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

• A solid understanding of healthcare billing and insurance principles is needed.

• Capability to explain complex billing information in an easily understandable manner for patients.

• Comfort in operating across multiple systems and tools concurrently is important.

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

🏝️ Benefits

• Starting pay of $14 per hour.

• An additional $1 per hour shift differential for nights and weekends.

• Paid training, typically lasting 2 weeks.

• Full-time position requiring 40 hours per week.

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

• Work schedule from Monday to Friday.

• Working hours are between 9:00 AM and 6:00 PM EST.