Patient Billing Representative

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🔥 1 hour ago

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Logo of Five Star Solutions

Five Star Solutions

1001 - 5000 employees

🤝 B2B

🏢 Enterprise

B2B • Enterprise

Five Star Solutions is a global outsourced customer experience (CX) and contact center services provider that combines experienced agents with CX technology and intelligent automation to deliver secure, compliant, human-centered support. The company offers customer care, technical support, dispatch, data entry, business continuity, and AI self-service across onshore, nearshore, and offshore centers, and specializes in regulated environments with SOC 2, PCI, and HIPAA-aligned workflows. Five Star serves industries such as healthcare, fintech, retail, travel, government, and insurance, positioning itself as an enterprise CX partner for organizations seeking scalable, secure, and compliant BPO and digital CX solutions.

📋 Description

• 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.

🎯 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 - 6:00am-6:00pm (MST) ; Work Days - M-F • Paid Training - typically 2 weeks in length from 7:00am-4:00pm Mon-Fri (MST) • Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days

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