Patient Billing Representative

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

📋 Description

• Manage patient payments over the phone in accordance with Privia's financial responsibility guidelines

• Establish, revise, and oversee payment arrangements

• Guarantee accuracy in transactions, documentation, and data integrity

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

• Validate, audit, and refresh insurance details

• Input or modify insurance information in the EMR and refile pending or adjusted claims

• Inform patients about benefit coordination, deductibles, coinsurance, copays, timely filing, and claim denials

• Detect inconsistencies and collaborate with internal teams to address billing discrepancies

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

• Propose solutions and subsequent actions in line with Privia policies

• Navigate various billing systems, EMR platforms, tools, and informational resources

• Adhere to schedules and be available during designated hours

• Fulfill mandatory Privia and client-specific training requirements

• Engage in uptraining and cross-training programs

• Maintain compliance with HIPAA, confidentiality, privacy, security, and documentation standards

• Deliver professional, accountable, compassionate, and patient-focused service

⛳️ Requirements

• Experience in customer service or call center settings is essential

• Background in healthcare billing, insurance, or claims is highly preferred

• Preference for experience in payment processing or financial transactions

• 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 possess the ability to speak, read, write, and comprehend English

• Background check is mandatory in compliance with relevant laws

• Excellent verbal and written communication skills are required

• Strong analytical problem-solving skills and meticulous attention to detail are essential

• Comprehensive understanding of healthcare billing and insurance principles

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

• Comfort with utilizing multiple systems and tools simultaneously

• An organized, self-driven, and collaborative work approach is key

🏝️ Benefits

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

• Paid training, generally lasting 2 weeks

• Full-time schedule of 40 hours per week

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