Patient Billing Representative

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

📋 Description

• Assist patients with payment processing, billing education, insurance verification, and inquiries related to claims.

• Process patient payments 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.

• Interpret and clarify claim notes, balances, and billing results.

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

• Add or modify insurance details in the EMR and resubmit 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 address billing issues.

• Investigate account history, determine root causes, suggest resolutions, and communicate next steps.

• Efficiently navigate multiple billing systems, EMR platforms, tools, and knowledge resources concurrently.

• Comply with documentation, privacy, security, HIPAA, and confidentiality regulations.

• Maintain schedule adherence and availability during designated hours.

• Complete all required Privia and client-mandated training.

• Engage in ongoing uptraining and cross-training initiatives.

• Exhibit professionalism, accountability, empathy, and a patient-centered approach to service.

⛳️ Requirements

• Previous customer service or call center experience is mandatory.

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

• Preference for candidates with payment processing or financial transaction experience.

• A high school diploma or GED is required.

• Technical proficiency with EMR systems and standard computer applications is essential.

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

• Proficiency in speaking, reading, writing, and understanding English is necessary.

• Background check required in compliance with applicable laws.

• Strong verbal and written communication skills are essential.

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

• A solid understanding of healthcare billing and insurance concepts is required.

• Ability to explain complex billing information in a manner that is easy for patients to understand.

• Comfortable working with multiple systems and tools simultaneously.

• Must be organized, self-motivated, and collaborative in work approach.

• Candidates must reside in one of the following states: Alabama, Georgia, Idaho, Iowa, Indiana, Kansas, Louisiana, Michigan, Mississippi, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Texas, Tennessee, Utah, Virginia, West Virginia, Wisconsin, or Wyoming.

• Availability for assigned hours between 8:00 AM and 5:00 PM CST, Monday through Friday, is required.

🏝️ Benefits

• Shift differential of an additional $1/hour for nights and weekends.

• Paid training, typically lasting 2 weeks.

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

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