Patient Billing Representative

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

📋 Description

• Respond to a high volume of incoming patient billing inquiries quickly and professionally.

• Clarify patient statements, encompassing charges, adjustments, insurance payments, patient responsibility, and current balances.

• Analyze and interpret insurance Explanation of Benefits (EOBs).

• Detect discrepancies among patient statements, EOBs, and account records, and investigate or escalate billing errors as needed.

• Establish payment arrangements, process payments, and discuss options for financial assistance or payment plans.

• Accurately document call activities in the patient account and billing system.

• Follow up on outstanding billing inquiries and issues that have been escalated.

• Ensure patient privacy and adhere to HIPAA as well as company security and compliance standards.

• Achieve or surpass call handling, resolution, and quality performance metrics.

• Work collaboratively with billing, insurance, and clinical team members.

• Review denials, accounts receivable, payment postings, or conduct a preliminary review of patient statements when not handling calls.

⛳️ Requirements

• 1–2 years of experience in healthcare within a provider or payer environment, such as a hospital, physician practice, dental office, health plan, or medical billing setting.

• Essential understanding of patient statements, billing terminology, and the patient payment cycle.

• Necessary skills to read and comprehend insurance Explanation of Benefits (EOBs), including allowed amounts, adjustments, patient responsibilities, and denial codes.

• Over 1 year of experience in a call center or high-volume phone environment, ideally in billing, collections, or customer support.

• Exceptional customer service abilities, maintaining patience and professionalism in emotionally charged discussions.

• Outstanding verbal and written communication skills, capable of conveying financial information in a clear manner.

• Proficient with computer systems and adept at navigating multiple applications during calls.

• Competency in using patient portals.

• Familiarity with Carestack is advantageous.

• Strong attention to detail, organizational capabilities, and accuracy with math.

• Understanding of HIPAA privacy and security regulations.

• High school diploma or equivalent is mandatory.

• Coursework or certification in medical billing, coding, or healthcare administration is beneficial.

• A bachelor’s degree is considered a plus.

🏝️ Benefits

• Full-time employment.

• Fully remote work.