Customer Service Representative

Advanced Orthopaedics & Sports Medicine (Houston)

. Handle inbound and outbound calls regarding patient balances, insurance claims, and billing inquiries .

Posted 9/30/2026full-timeRemote • Texas • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare customer service, billing processes, and insurance claims management while adhering to HIPAA and FDCPA guidelines. Proficient in resolving billing discrepancies and providing empathetic communication to patients regarding their accounts.

Highest-signal resume keywords

Healthcare Customer Service ExperienceBilling and Insurance Claims ProcessingMicrosoft Office ProficiencyProblem-Solving SkillsAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical TerminologyOrthopedic CodingInsurance ProceduresBilling Discrepancy ResolutionPayment Plan Setup

Soft Skills

Verbal CommunicationWritten CommunicationEmpathyConflict Resolution

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft OutlookAthena Software

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceFDCPA GuidelinesRevenue Cycle ManagementPatient InteractionCall Volume Management

About the role

Key responsibilities & impact

Handle inbound and outbound calls regarding patient balances, insurance claims, and billing inquiries
Provide clear and empathetic explanations of charges, payment options, and account statuses
Assist patients with setting up payment plans and making payments
Research and resolve billing discrepancies, denials, and adjustments
Work with insurance carriers to verify claim status and escalate issues
Maintain a professional and courteous demeanor in patient interactions
Ensure timely and effective resolution of patient and payer concerns
Document all customer interactions accurately in the system
Adhere to HIPAA guidelines and company policies regarding patient information security
Follow FDCPA guidelines when addressing outstanding balances
Collaborate with billing, collections, and revenue cycle teams
Provide feedback to management on recurring billing issues and recommend solutions
Participate in training and team meetings
Support special projects related to billing and collections

Requirements

What you’ll need

High school diploma or GED required
Minimum of 1 year of experience in healthcare customer service, billing, or insurance claims processing
Excellent verbal and written communication skills
Basic knowledge of orthopedic-related coding, medical terminology, and insurance procedures preferred
Proficiency in Microsoft Office (Excel, Word, Outlook) and Athena software
Ability to handle high call volumes and work in a fast-paced environment
Strong problem-solving and conflict-resolution skills
High attention to detail and ability to follow workflows accurately