Patient Billing Representative

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Join our team as a Patient Billing Specialist, assisting patients with payment processing, billing education, insurance verification, and inquiries related to claims.

• Provide empathetic, precise, and compliant service while navigating healthcare billing systems and regulations.

• Execute all payment processing and payment plan functions, along with advanced support for billing, insurance, and claims.

• Accurately process patient payments over the phone in line with Privia's financial responsibility guidelines.

• Establish, update, and maintain payment plans according to established protocols.

• Ensure transaction precision, appropriate documentation, and data integrity.

• Interpret and clearly communicate claim notes, balances, and billing results to patients.

• Verify, audit, and refresh insurance information for completeness and correctness.

• Add or amend insurance data within the EMR and resubmit any pending or corrected claims.

• Educate patients on billing concepts such as coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.

• Identify discrepancies and collaborate with internal teams to resolve billing-related challenges.

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

• Recommend suitable resolutions and next steps in accordance with Privia policies.

• Maintain professionalism and empathy during complex or sensitive financial discussions.

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

• Navigate multiple systems simultaneously while assisting patients.

• Comply with all documentation, privacy, and security standards.

• Maintain schedule adherence and consistent availability during designated hours.

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

• Participate in ongoing uptraining and cross-training initiatives.

• Uphold HIPAA regulations, confidentiality standards, and Privia security protocols.

• Exhibit professionalism, accountability, and a patient-centered approach in all interactions.

⛳️ Requirements

• Customer service or call center experience is required.

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

• Background in payment processing or financial transactions is preferred.

• 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 is essential.

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

• Background check is required in accordance with applicable laws.

🏝️ Benefits

• Starting pay - $14/hr plus shift differential (extra $1/hr for nights and weekends)

• Working hours from 8:00am to 8:00pm (EST); Work Days - Monday to Friday

• Paid Training - typically lasts 2 weeks from 9:00am to 6:00pm, Monday to Friday (EST)

• Status - Full Time, 40 hours per week, benefit eligible on the 1st of the month following 60 days of employment