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 financial responsibility policies.

• Create, update, and manage payment plans effectively.

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

• Explain and interpret claim notes, balances, and billing results to patients.

• Verify, audit, and update insurance details as necessary.

• Add or modify insurance information in the EMR and resubmit any pending or corrected claims.

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

• Identify inconsistencies and collaborate with internal teams to address billing challenges.

• Investigate account history to identify the root causes of billing or payment issues.

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

• Utilize Privia-approved 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 regulations, confidentiality, privacy, security, and documentation standards.

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

⛳️ Requirements

• Required customer service or call center experience.

• Strongly preferred healthcare billing, insurance, or claims experience.

• Preferred experience in payment processing or financial transactions.

• High school diploma or GED is required.

• Technical proficiency with EMR systems and standard computer applications.

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

• Must possess the ability to speak, read, write, and understand English.

• Background check required in compliance with applicable laws.

• Strong verbal and written communication skills.

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

• Solid understanding of healthcare billing and insurance principles.

• Ability to clearly articulate complex billing information in patient-friendly terms.

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

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

🏝️ Benefits

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

• Paid training for approximately 2 weeks, Monday–Friday, 8:00am–5:00pm CST.

• Full-time position requiring 40 hours of work per week.

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