Patient Billing Representative

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

📋 Description

• Assist patients with processing payments, educating them on billing, verifying insurance, and addressing claims-related inquiries.

• Execute payment processing and manage payment plan functions.

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

• Develop, update, and sustain payment plans.

• Ensure the accuracy of transactions, proper documentation, and data integrity.

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

• Verify, review, and refresh insurance information.

• 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 inconsistencies and collaborate with internal teams to resolve billing issues.

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

• Suggest resolutions and next steps that align with Privia policies.

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

• Navigate multiple systems simultaneously while providing assistance to patients.

• Maintain adherence to schedules and availability during assigned hours.

• Complete all required Privia and client-mandated training programs.

• Engage in ongoing uptraining and cross-training initiatives.

• Adhere to HIPAA requirements, confidentiality standards, and security protocols.

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

⛳️ Requirements

• Prior customer service or call center experience is essential.

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

• Background in payment processing or financial transactions is advantageous.

• A high school diploma or GED is required.

• Additional education in billing or healthcare is a plus.

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

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

• Must be capable of speaking, reading, writing, and understanding English.

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

• Exceptional verbal and written communication skills are required.

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

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

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

• Comfort in using multiple systems and tools simultaneously is necessary.

• An organized, self-motivated, and collaborative work approach is important.

• Availability to work Monday–Friday between 9:00 a.m. and 6:00 p.m. EST is required.

🏝️ Benefits

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

• Paid training, typically lasting 2 weeks.

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

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

• Remote work arrangement offered.