Patient Billing Representative

Qualifications

• 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.

Essential Functions

• 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.
• Demonstrate professionalism, accountability, and patient-centered service in all interactions.

Requirements

• Strong verbal and written communication skills.
• Analytical problem-solving abilities and high attention to detail.
• Solid understanding of healthcare billing and insurance concepts.
• Ability to clearly explain complex billing information in patient-friendly language.
• Comfort working across multiple systems and tools simultaneously.
• Organized, self-motivated, and collaborative approach to work.

Pay and Benefits

• Starting pay - $14/hr plus shift differential(extra $1/hr nights & wkds)
• Working hours between - 5:00am-5:00pm (PST) ; Work Days - M-F
• Paid Training - typically 2 weeks in length from 6:00am-3:00pm Mon-Fri (PST)
• Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days