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, update, and manage payment plans efficiently.

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

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

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

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

• Propose resolutions and next steps that align with company policy.

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

• Navigate multiple systems simultaneously while providing assistance to patients.

• Adhere to scheduled hours and maintain availability during assigned shifts.

• Complete mandatory training and engage in uptraining and cross-training opportunities.

• Adhere to HIPAA, confidentiality, documentation, privacy, and security protocols.

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

⛳️ Requirements

• Customer service or call center experience is necessary.

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

• Prior experience in payment processing or financial transactions is preferred.

• A high school diploma or GED is required.

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

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

• Must be proficient in speaking, reading, writing, and understanding English.

• A background check is required in accordance with applicable laws.

• Strong verbal and written communication skills are essential.

• Ability to analyze problems and exhibit high attention to detail.

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

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

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

• Organized, self-driven, and able to collaborate effectively.

• Availability to work Monday through Friday between 7:00 AM and 4:00 PM MST.

🏝️ Benefits

• Shift differential: an additional $1/hr for nights and weekends.

• Paid training, generally lasting 2 weeks.

• Full-time position, totaling 40 hours per week.

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

• Opportunity for remote work arrangement.