Patient Billing Representative

Role Overview

• 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