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Patient Billing Representative
Five Star Solutions. Process patient payments by phone according to 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 processes, and payment processing while providing empathetic, patient-centered service. Proficient in navigating EMR systems and ensuring compliance with HIPAA and confidentiality requirements.
Highest-signal resume keywords
Healthcare Billing ExperienceEMR Systems 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 ManagementData IntegrityFinancial Transaction Experience
Soft Skills
Verbal CommunicationWritten CommunicationEmpathyOrganizationCollaboration
Tools & Technologies
EMR PlatformsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA ComplianceCoordination of BenefitsDeductiblesCoinsuranceClaim Denials
About the role
Key responsibilities & impact- 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 about 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 causes of billing or payment concerns
- Recommend resolutions and next steps according to policy
- Use billing systems, EMR platforms, tools, and knowledge resources
- Navigate multiple systems simultaneously while assisting patients
- Adhere to documentation, privacy, security, HIPAA, and confidentiality requirements
- Maintain schedule adherence and availability during assigned hours
- Complete required client-mandated training and participate in uptraining and cross-training
- Provide professional, accountable, empathetic, 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- Shift differential of an extra $1/hr for nights and weekends
- Paid training, typically 2 weeks in length from 8:00am–5:00pm Monday–Friday (CST)
- Full-time, 40 hours
- Benefit eligible on the first of the month after 60 days