患者计费代表
Patient Billing Representative
作为患者账单专员加入我们，您将协助患者处理支付流程、账单教育、保险验证和与索赔相关的问题。此职位在处理医疗账单系统和政策时，提供富有同理心、准确且合规的服务。代理人员除了提供高级账单、保险和索赔支持外，还负责所有支付处理和支付计划功能。
此职位为远程岗位，仅限居住在以下地区的人员：AL、GA、ID、IA、IN、KS、LA、MI、MS、NV、NC、ND、OH、OK、PA、SC、SD、TX、TN、UT、VA、WV、WI、WY
资格要求
- 需要客户服务中心或呼叫中心经验。
- 具有医疗账单、保险或索赔经验者优先。
- 具有支付处理或金融交易经验者优先。
- 需要高中文凭或同等学历；额外的账单或医疗保健教育为加分项。
- 熟练使用EMR系统和标准计算机应用。
- 能够在远程或虚拟环境中独立工作。
- 必须能够说、读、写和理解英语。
- 根据适用法律要求，需通过背景调查。
核心职责
这些职责强调患者倡导、分析性账单专业知识、法规意识和高质量服务交付。
患者支付与账户支持
- 按照Privia财务责任政策，通过电话准确处理患者支付。
- 根据既定指南创建、更新和维护支付计划。
- 确保交易准确性、正确记录和数据完整性。
账单、保险与索赔支持
- 解释并清晰向患者说明索赔备注、余额和账单结果。
- 验证、审计并更新保险信息以确保完整性和准确性。
- 在EMR中添加或更新保险数据，并重新提交待处理或更正的索赔。
- 教育患者了解账单概念，包括利益协调、免赔额、自付比例、共付额、及时提交和索赔拒付。
- 识别差异并与内部团队协作解决账单相关问题。
问题解决与患者教育
- 研究账户历史以确定账单或支付问题的根本原因。
- 根据Privia政策推荐适当的解决方案和下一步措施。
- 在复杂或敏感的财务讨论中保持专业和同理心。
资源与系统使用
- 使用Privia批准的系统
查看英文原文
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 claim denials.
- Identify discrepancies and coordinate with internal teams to resolve billing-related issues.
Problem Resolution & Patient Education
- 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.
Resource & System Utilization
- 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.
Reliability & Continuous Learning
- 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.
Ethical & Compliant Conduct
- 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 - 9:00am-6:00pm (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
The above statements are intended to describe the general nature and level of work and are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the job
Originally posted on Himalayas