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Five Star Solutions

Patient Billing Representative

Five Star Solutions

. Support patients with payment processing, billing education, insurance verification, and claims-related inquiries .

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $15 per hourWebsite

Core Competencies

Role fit
Core 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

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Applicant 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