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Patient Billing Representative
Five Star Solutions. Accurately process patient payments via phone in accordance with financial responsibility policies .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing, insurance processing, and patient payment management while maintaining compliance with HIPAA and confidentiality standards. Proficient in utilizing EMR systems and effectively communicating complex billing information to patients.
Highest-signal resume keywords
Healthcare Billing ExperienceEMR System ProficiencyCustomer Service SkillsAnalytical Problem-SolvingAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment ProcessingInsurance VerificationClaims ManagementFinancial Transaction ExperienceData Integrity Maintenance
Soft Skills
Strong Verbal CommunicationWritten Communication SkillsEmpathy in Patient InteractionsOrganizational SkillsSelf-Motivation
Tools & Technologies
EMR PlatformsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA CompliancePatient-Centered ServiceCoordination of BenefitsClaim DenialsTimely Filing
About the role
Key responsibilities & impact- Accurately process patient payments via phone in accordance with 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 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 policies
- Maintain professionalism and empathy during complex or sensitive financial discussions
- Utilize approved billing systems, EMR platforms, tools, and knowledge resources
- Navigate multiple systems simultaneously while assisting patients
- Adhere to documentation, privacy, and security requirements
- Maintain schedule adherence and consistent availability during assigned hours
- Complete all required client-mandated training
- Participate in ongoing uptraining and cross-training initiatives
- Uphold HIPAA requirements, confidentiality standards, and security protocols
- Demonstrate professionalism, accountability, and patient-centered service in all interactions
Requirements
What you’ll need- 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
Benefits
Comp & perks- Starting pay of $15/hr plus shift differential of an extra $1/hr for nights and weekends
- Paid training, typically 2 weeks in length
- Full-time, benefit-eligible on the first of the month after 60 days