Medical Billing Representative (Remote)

As a Medical Billing Representative at Brave Health, your primary responsibility is to assist patients with their billing inquiries. You’ll handle inbound and outbound calls, explain billing charges, and help resolve any discrepancies. Additionally, you will work closely with insurance companies to ensure claims are processed correctly, maintain accurate patient records, and manage high-balance accounts. This role is crucial in ensuring patient satisfaction and smooth billing operations.

To qualify for the Medical Billing Representative position at Brave Health, you need at least one year of medical billing experience and a high school diploma or equivalent. Strong knowledge of insurance practices, particularly Medicaid and Medicare, is essential. Bilingual candidates, especially those fluent in Spanish, are preferred. Excellent communication skills and experience in handling billing discrepancies will play a key role in your success in this position.

The Medical Billing Representative position at Brave Health is a full-time remote opportunity that requires you to work Monday through Friday. You can choose from two schedule options: 8:00 AM to 5:00 PM ET with a one-hour unpaid break or 8:30 AM to 5:00 PM ET with a half-hour unpaid break. This flexibility allows you to maintain a good work-life balance while contributing to our mission.

Brave Health offers a comprehensive benefits package to its Medical Billing Representatives, which includes health, dental, and vision insurance. As a full-time employee, you will also receive paid vacation, holiday, and sick time. Importantly, the role offers a standard schedule with no on-call or weekend shifts, which helps our team maintain a healthy work-life balance.

Success as a Medical Billing Representative at Brave Health hinges on strong organizational skills, effective communication, and the ability to manage various billing processes. You'll need to be proficient in using practice management systems, handling escalated calls with poise, and applying problem-solving skills in challenging situations. Additionally, an understanding of HIPAA regulations and attention to detail in documenting patient information are critical in this role.

When managing multiple billing inquiries, I prioritize tasks based on urgency and complexity. I assess which inquiries require immediate attention, such as patients facing payment deadlines or urgent clarification needs. By organizing my workflow and using tools like spreadsheets and reminders, I ensure that I address high-priority tasks first while still maintaining customer satisfaction for all clients.

During difficult conversations regarding billing discrepancies, I remain calm and empathetic, actively listening to the patient's concerns. I validate their feelings and assure them that I will investigate the matter thoroughly. I explain each step of the resolution process clearly and provide updates, ensuring they feel supported throughout the situation. This approach builds trust and enhances patient satisfaction.

In my previous roles, I handled various aspects of insurance claims, including submission, tracking, and resolution of denials. I became proficient in reviewing claims to ensure they comply with payer regulations and effectively navigating the appeals process when necessary. This experience has enhanced my ability to quickly identify issues and collaborate with insurers to achieve favorable outcomes for patients.

To stay organized with a high volume of patient accounts, I leverage digital tools for tracking and documentation. Utilizing task management systems helps me categorize accounts based on their status, priorities, and deadlines. Regularly reviewing my workload and setting achievable daily goals allows me to manage time effectively and ensure that no account is overlooked.

I have extensive experience with HIPAA regulations, understanding the importance of maintaining patient confidentiality and data security. In my previous roles, I consistently followed HIPAA guidelines during patient interactions and when handling sensitive information. I remain vigilant about adhering to these regulations to protect both patient rights and the organization’s integrity.

At my last job, I noticed delays in the billing process due to manual data entry errors. I proposed implementing an automated system that connected patient records directly with the billing software. After managing the transition, I monitored the outcomes, which resulted in a 30% increase in billing efficiency and significantly reduced errors.

I practice clear communication by using straightforward language and providing thorough explanations when discussing billing details with patients. I utilize visual aids, such as charts and summaries, when necessary and encourage questions. Following up with written summaries after phone calls helps reinforce the information and shows patients that I value their understanding.

I am familiar with various medical billing software and practice management systems, including EHR platforms and billing software like Epic and AdvancedMD. I have experience in using these tools for eligibility checks, claim status monitoring, and organizing billing data. My proficiency in Microsoft Excel also allows me to manage billing reports and track key performance metrics efficiently.

In high-stress situations, I remain focused and calm by employing stress management techniques such as deep breathing and prioritizing my tasks logically. I take brief breaks when necessary to regroup my thoughts, which allows me to maintain efficiency without sacrificing quality. This approach enables me to handle pressure effectively while ensuring high levels of patient satisfaction.

I am motivated by the opportunity to make a positive impact on patients' lives through accurate billing practices. Understanding that my role helps ensure that patients receive the care they need without financial hindrance drives my commitment to excellence. Additionally, working in a dynamic medical environment provides continuous learning opportunities that I find rewarding.