ZipRecruiter

Log In

1

Medical Insurance Billing Representative Jobs in Virginia

United and Empowered

Medical Billing

Hampton, VA · On-site

$17 - $19/hr

Health, Vision, and Dental Insurance * Company Matched 401-k * 9 Paid Holidays & Skeleton Days ... Experience: * 2 years of experience in Medical Billing, or related field. * Ability to establish ...

next page

Showing results 1-20

All JobsMedical Insurance Billing Representative JobsMedical Insurance Billing Representative Jobs in Virginia

Medical Insurance Billing Representative information

What does a medical insurance billing representative do?

A Medical Insurance Billing Representative is responsible for processing and submitting insurance claims for healthcare providers. They ensure that patient information and treatment details are accurately entered into billing systems, verify insurance coverage, and follow up with insurance companies to resolve any issues or denials. Their goal is to ensure that healthcare providers receive timely and correct reimbursement for the services rendered. Additionally, they may answer patient billing inquiries and help resolve discrepancies in billing records.

What are the key skills and qualifications needed to thrive as a medical insurance billing representative, and why are they important?

To thrive as a Medical Insurance Billing Representative, you need a solid understanding of medical billing processes, insurance claim procedures, and knowledge of healthcare coding systems such as CPT and ICD-10, often supported by a relevant certification like the Certified Professional Biller (CPB). Familiarity with billing software, electronic health records (EHR), and payer portals is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills for ensuring accuracy and resolving claim issues. These skills are essential for optimizing claim approvals, reducing errors, and maintaining efficient revenue cycles for healthcare providers.

What are some of the common challenges faced by medical insurance billing representatives, and how can new hires prepare for them?

Medical Insurance Billing Representatives often encounter challenges such as keeping up with frequent updates to insurance policies, handling claim denials, and navigating complex billing codes. New hires can prepare by familiarizing themselves with industry-standard coding systems like ICD-10 and CPT, staying updated on insurance provider requirements, and developing strong attention to detail. Effective communication skills are also essential, as the role involves coordinating with healthcare providers, insurance companies, and patients to resolve discrepancies and ensure timely reimbursement.

What is the difference between Medical Insurance Billing Representative vs Medical Coder?

AspectMedical Insurance Billing RepresentativeMedical Coder
CredentialsHigh school diploma or equivalent; certification optionalCertification (e.g., CPC, CCS) often required
Work EnvironmentHealthcare offices, hospitals, billing companiesHospitals, clinics, billing services
Primary ResponsibilitiesSubmitting claims, follow-up on payments, patient billingAnalyzing medical records, assigning codes for diagnoses and procedures
Industry UsageCommonly employed in healthcare billing departmentsUsed in medical record documentation and billing

While both roles are essential in healthcare revenue cycle management, Medical Insurance Billing Representatives focus on submitting and managing insurance claims, whereas Medical Coders analyze medical records to assign appropriate codes. Understanding these differences helps in choosing the right career path or job search focus.

Do medical insurance billing representatives work remotely?

Many medical insurance billing representatives have the option to work remotely, especially with the increased adoption of telecommuting in healthcare administration. Remote work often requires proficiency with billing software, strong organizational skills, and reliable internet access. However, some positions may still require on-site presence depending on the employer's policies.

Is it hard to get hired as a medical insurance billing representative?

Getting hired as a medical insurance billing representative typically requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. While demand for these roles is steady, competition can vary based on location and experience level, making some positions more accessible than others.

What cities in Virginia are hiring for Medical Insurance Billing Representative jobs?

Cities in Virginia with the most Medical Insurance Billing Representative job openings:

Medical Insurance Billing Representative jobs near you

Patient Billing Representative

Virginia Beach, VA • On-site, Remote

Five Star Solutions
See more jobs at Five Star Solutionsexternal

$14/hr

Full-time

Posted 23 days ago

Job 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 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
$14 - $14 an hour
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
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Apply