Patient Billing Representative
Location
North Carolina
Posted
19 hours ago
Salary
$14 / hour
Seniority
Senior
Job Description
Patient Billing Representative
Five Star Solutions
• Join as a Patient Billing Specialist, supporting patients with payment processing, billing education, insurance verification, and claims-related inquiries. • Deliver empathetic, accurate, and compliant service while navigating healthcare billing systems and policies. • 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. • Demonstrate professionalism, accountability, and patient-centered service in all interactions.
Job 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)
- Working hours between - 8:00am-8:00pm (EST) ; Work Days - M-F
- Paid Training - typically 2 weeks in length from 9:00am-6:00pm Mon-Fri (EST)
- Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days
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• Support patients with payment processing, billing education, insurance verification, and claims-related inquiries. • Deliver empathetic, accurate, and compliant service while navigating healthcare billing systems and policies. • Perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.
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