Company
Healthcare
PatientBillingRepresentative
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Billing Representative. Skills: Patient billing, Payment processing, Insurance verification, Claims support. Process patient payments. Create payment plans”
Industry & Context.
Analytical problem-solving; Root cause analysis
Background check required
What They're Looking For.
Must Have
Customer service experience required, Call center experience required, Speak English, Read English, Write English, Understand English
Nice to Have
Healthcare billing experience preferred, Insurance experience preferred, Claims experience preferred, Payment processing experience preferred, Financial transaction experience preferred, Additional billing education a plus, Additional healthcare education a plus
What You'll Do.
Process patient payments
Maintain payment plans
Ensure transaction accuracy
Document transactions
Maintain data integrity
Explain billing outcomes
Verify insurance information
Audit insurance information
Update insurance information
Update insurance data
Resubmit pending claims
Resubmit corrected claims
Educate patients on billing
Identify discrepancies
Resolve billing issues
Research account history
Recommend resolutions
Maintain professionalism
Utilize billing systems
Utilize EMR platforms
Utilize knowledge resources
Navigate multiple systems
Adhere to documentation requirements
Adhere to privacy requirements
Adhere to security requirements
Maintain schedule adherence
Complete required training
Participate in uptraining
Participate in cross-training
Uphold HIPAA requirements
Uphold confidentiality standards
Uphold security protocols
How You'll Work.
Team & Collaboration
Coordinate with internal teams
Communication Scope
Explain billing information
Full Job Description
## Description 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. This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND, OH, OK, PA, SC, SD, TX, TN, UT, VA, WV, WI, WY ## 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 These functions emphasize patient advocacy, analytical billing expertise, regulatory awareness, and high-quality service delivery. Patient Payment & Account 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. Billing, Insurance & Claims Support 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
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