Patient Billing Representative

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

📋 Description

• Handle patient payments via phone in accordance with Privia's financial responsibility policies.

• Develop, modify, and manage payment plans.

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

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

• Verify, audit, and update insurance details.

• Add 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 issues.

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

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

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

• Navigate various systems while assisting patients.

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

• Complete necessary training and engage in uptraining and cross-training.

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

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

⛳️ Requirements

• Previous customer service or call center experience is essential.

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

• Preferred experience in payment processing or financial transactions.

• A high school diploma or GED is mandatory.

• Proficient technical skills with EMR systems and standard computer applications.

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

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

• Background check is required as per applicable laws.

• Excellent verbal and written communication skills.

• Strong analytical problem-solving skills and attention to detail.

• Solid grasp of healthcare billing and insurance concepts.

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

• Comfortable working across multiple systems and tools at the same time.

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

• Must reside in one of the following states: AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND, OH, OK, PA, SC, SD, TX, TN, UT, VA, WV, WI, or WY.

🏝️ Benefits

• Starting pay of $14 per hour.

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

• Paid training, usually lasting 2 weeks.

• Full-time position consisting of 40 hours per week.

• Benefits become eligible on the first of the month following 60 days of employment.