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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 patient payment management while providing empathetic and professional customer service. Proficient in navigating EMR systems and maintaining data integrity in a fast-paced environment.
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 ManagementData IntegrityFinancial Transaction ExperienceBilling Systems KnowledgeHealthcare Insurance ConceptsDocumentation AccuracyCoordination of BenefitsTimely Filing
Soft Skills
Verbal CommunicationWritten CommunicationEmpathyOrganizational SkillsCollaboration
Tools & Technologies
EMR PlatformsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA CompliancePatient-Centered ServiceCall Center ExperienceRemote Work CapabilityBackground Check Compliance
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
- Explain claim notes, balances, and billing outcomes to patients
- 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 to determine causes of billing or payment concerns
- Recommend policy-aligned resolutions and next steps
- Use billing systems, EMR platforms, tools, and knowledge resources
- Navigate multiple systems simultaneously while assisting patients
- Maintain schedule adherence and availability during assigned hours
- Complete client-mandated training and participate in uptraining and cross-training
- Uphold HIPAA, confidentiality, privacy, and security requirements
- Provide professional, accountable, empathetic, 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 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: extra $1/hr for nights and weekends
- Paid training, typically 2 weeks from 9:00am–6:00pm Monday–Friday (EST)
- Full-time, 40 hours
- Benefit eligible on the first of the month after 60 days