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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 ensuring compliance with HIPAA regulations. Possesses strong analytical problem-solving skills and the ability to communicate complex billing information effectively to patients.
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
Billing EducationClaims ProcessingData IntegrityTransaction AccuracyFinancial Responsibility PoliciesCoordination of BenefitsDeductiblesCoinsuranceClaim DenialsAccount History Research
Soft Skills
Strong Verbal CommunicationWritten CommunicationAnalytical Problem-SolvingAttention to DetailOrganizational Skills
Tools & Technologies
EMR PlatformsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA CompliancePatient-Centered ServiceFinancial TransactionsCall Center ExperienceHealthcare Education
About the role
Key responsibilities & impact- Support patients with payment processing, billing education, insurance verification, and claims-related inquiries
- Accurately process patient payments by 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 in 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 issues
- Research account history to determine the root cause of billing or payment concerns
- Recommend resolutions and next steps in alignment with policies
- Navigate multiple billing systems, EMR platforms, tools, and knowledge resources simultaneously
- 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
- Demonstrate professionalism, accountability, confidentiality, 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
- Additional billing or healthcare education a plus
- 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 from 8:00am–5:00pm Monday–Friday (CST)
- Full-time, 40 hours per week
- Benefits eligible on the first of the month after 60 days