Patient Billing Representative

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🔥 2 minutes ago

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Logo of Five Star Solutions

Five Star Solutions

1001 - 5000 employees

🏥 Healthcare

✈️ Travel

🛡️ Insurance

Healthcare • Travel • Insurance

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

• Process patient payments by phone according to financial responsibility policies • Create, update, and maintain payment plans • Ensure transaction accuracy, documentation, and data integrity • Interpret and explain claim notes, balances, and billing outcomes • Verify, audit, and update insurance information • Add or update insurance data in the EMR and resubmit pending or corrected claims • Educate patients on coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials • Identify discrepancies and coordinate with internal teams to resolve billing issues • Research account history and determine root causes of billing or payment concerns • Recommend policy-aligned resolutions and next steps • Use billing systems, EMR platforms, tools, and knowledge resources • Navigate multiple systems simultaneously while assisting patients • Maintain schedule adherence and availability during assigned hours • Complete required client-mandated training and participate in uptraining and cross-training • Uphold HIPAA, confidentiality, privacy, and security requirements • Provide professional, accountable, empathetic, and patient-centered service

🎯 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 • 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 • 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 • Availability to work assigned hours between 7:00am and 7:00pm CST, Monday through Friday

🏖️ Benefits

• Shift differential: extra $1/hr for nights and weekends • Paid training, typically 2 weeks • Full-time, 40 hours • Benefit eligible on the first of the month after 60 days • Remote work • Ongoing uptraining and cross-training initiatives

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