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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 claims processing while providing empathetic and patient-centered service. Proficient in navigating EMR systems and ensuring compliance with HIPAA requirements.
Highest-signal resume keywords
Healthcare Billing ExperienceInsurance VerificationEMR Systems ProficiencyCustomer Service SkillsAnalytical Problem-Solving
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 ProcessingClaims ManagementBilling EducationData IntegrityTransaction AccuracyInsurance AuditingFinancial Responsibility PoliciesDocumentation ComplianceCoordination of BenefitsClaim Denials
Soft Skills
Verbal CommunicationWritten CommunicationAttention to DetailOrganizational SkillsEmpathy
Tools & Technologies
EMR PlatformsBilling SystemsStandard Computer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA CompliancePatient-Centered ServiceCall Center ExperienceRemote WorkFinancial Transactions
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 root causes of billing or payment concerns
- Recommend resolutions and next steps aligned with policies
- Navigate multiple billing systems, EMR platforms, tools, and knowledge resources
- 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
- 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 explain complex billing information in patient-friendly language
- Comfort working across multiple systems and tools simultaneously
- Organized, self-motivated, and collaborative approach to work
- Ability to work assigned hours between 8:00 a.m. and 8:00 p.m. EST, Monday through Friday
Benefits
Comp & perks- Shift differential of $1/hr for nights and weekends
- Paid training, typically 2 weeks in length
- Full-time, 40 hours per week
- Benefit eligible on the first of the month after 60 days
- Remote work arrangement
- Ongoing uptraining and cross-training initiatives