Patient Billing Representative
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Job Description
Join as a Patient Billing Specialist to support patients in payment processing, billing education, and insurance verification. Deliver empathetic service navigating healthcare billing systems and policies.
Responsibilities:
- Join us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries.
- This role delivers empathetic, accurate, and compliant service while navigating healthcare billing systems and policies.
- Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.
- Accurately process patient payments via phone in accordance with Privia financial responsibility policies.
- Create, update, and maintain payment plans following established guidelines.
- Ensure transaction accuracy, proper documentation, and data integrity.
- Interpret and clearly explain claim notes, balances, and billing outcomes to patients.
- Verify, audit, and update insurance information for completeness and accuracy.
- Add or update insurance data within the EMR and resubmit pending or corrected claims.
- Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
- Identify discrepancies and coordinate with internal teams to resolve billing-related issues.
- Research account history to determine the root cause of billing or payment concerns.
- Recommend appropriate resolutions and next steps in alignment 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.
- Adhere to all documentation, privacy, and security requirements.
- Maintain schedule adherence and consistent availability during assigned hours.
- Complete all required Privia and client-mandated training.
- Participate in ongoing uptraining and cross-training initiatives.
- Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.
Requirements:
- Customer service or call center experience required.
- Healthcare billing, insurance, or claims experience strongly preferred.
- Payment processing or financial transaction experience preferred.
- High school diploma or GED required; additional billing or healthcare education a plus.
- Technical proficiency with EMR systems and standard computer applications.
- Ability to work independently in a remote or virtual environment.
- Must be able to speak, read, write, and understand English.
- Background check required in accordance with applicable laws.
Benefits:
- Starting pay - $14/hr plus shift differential(extra $1/hr nights & wkds)
- Paid Training - typically 2 weeks in length from 8:00am-5:00pm Mon-Fri (CST)
- Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days
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