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Patient Billing Representative
Five Star Solutions. Support patients with payment processing, billing education, insurance verification, and claims-related inquiries .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing, insurance verification, and payment processing while providing exceptional patient-centered service. Proficient in navigating EMR systems and ensuring compliance with HIPAA and financial policies.
Highest-signal resume keywords
Healthcare Billing ExperienceInsurance VerificationPayment ProcessingEMR Systems ProficiencyCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare BillingInsurance ClaimsPayment ProcessingData IntegrityFinancial Transaction ProcessingAnalytical Problem-SolvingDocumentation AccuracyClaim Denial ResolutionCoordination of BenefitsAttention to Detail
Soft Skills
Strong Communication SkillsEmpathyOrganizational SkillsSelf-MotivatedCollaborative Approach
Tools & Technologies
EMR SystemsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA CompliancePatient-Centered ServiceCall Center ExperienceFinancial Responsibility PoliciesTimely Filing
About the role
Key responsibilities & impact- Support patients with payment processing, billing education, insurance verification, and claims-related inquiries
- 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 explain claim notes, balances, and billing outcomes to patients
- Verify, audit, and update insurance information
- 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
- Utilize approved billing systems, EMR platforms, tools, and knowledge resources
- Navigate multiple systems simultaneously while assisting patients
- Adhere to documentation, privacy, security, and HIPAA requirements
- Maintain schedule adherence and availability during assigned hours
- Complete client-mandated training and participate in uptraining and cross-training initiatives
- Demonstrate professionalism, accountability, empathy, and patient-centered service
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 (extra $1/hr nights & wkds)
- Paid training, typically 2 weeks in length
- Full-time, 40 hours, benefit eligible the first of the month after 60 days