Patient Billing Representative

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

📋 Description

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

• Develop, modify, and maintain payment plans.

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

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

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

• Input or modify insurance data 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 any discrepancies and collaborate with internal teams to address billing issues.

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

• Propose resolutions and next steps that align with Privia policies.

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

• Operate multiple systems concurrently while assisting patients.

• Maintain adherence to schedules and be available during designated hours.

• Complete all required training mandated by Privia and clients.

• Engage in uptraining and cross-training opportunities.

• Adhere to HIPAA regulations, confidentiality, privacy, security, and documentation requirements.

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

⛳️ Requirements

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

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

• Preference for candidates with experience in payment processing or financial transactions.

• A high school diploma or GED is required.

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

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

• Proficient in speaking, reading, writing, and understanding English.

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

• Strong verbal and written communication skills are necessary.

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

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

• Capability to explain complex billing information in a manner that is easily understood by patients.

• Comfort with navigating multiple systems and tools at once.

• Organized, self-motivated, and collaborative in approach to work.

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

🏝️ Benefits

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

• Paid training, usually lasting 2 weeks.

• Full-time position requiring 40 hours per week.

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

• Opportunity for remote work arrangement.