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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 10/8/2026full-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 claims processing while providing empathetic and patient-centered service. Proficient in navigating EMR systems and ensuring compliance with HIPAA and confidentiality requirements.

Highest-signal resume keywords
Healthcare Billing ExperienceInsurance VerificationEMR Systems ProficiencyCustomer Service SkillsAnalytical Problem-Solving

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
Payment ProcessingClaims ManagementBilling EducationData IntegrityTransaction AccuracyFinancial Responsibility PoliciesInsurance AuditingDocumentation ComplianceCoordination of BenefitsClaim Denials
Soft Skills
Verbal CommunicationWritten CommunicationEmpathyOrganizational SkillsSelf-Motivation
Tools & Technologies
EMR PlatformsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HealthcareInsuranceClaims ProcessingHIPAA CompliancePatient-Centered Service

About the role

Key responsibilities & impact
  • Support patients with payment processing, billing education, insurance verification, and claims-related inquiries
  • 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 policy-aligned resolutions and next steps
  • Navigate multiple billing systems, EMR platforms, tools, and knowledge resources
  • Follow documentation, privacy, security, HIPAA, and confidentiality requirements
  • Maintain schedule adherence and availability during assigned hours
  • Complete client-mandated training and participate in uptraining and cross-training initiatives
  • 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
  • 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
  • Must reside in one of: Alabama, Florida, Georgia, Idaho, Iowa, Indiana, Kansas, Louisiana, Michigan, Missouri, Mississippi, Nebraska, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Texas, Tennessee, Utah, Virginia, West Virginia, Wisconsin, or Wyoming
  • Must work assigned hours between 7:00am and 7:00pm CST, Monday–Friday

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 in length from 8:00am–5:00pm Monday–Friday (CST)
  • Benefit eligible the first of the month after 60 days
  • Full-time schedule of 40 hours
  • Remote work
  • Ongoing uptraining and cross-training initiatives