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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 maintaining compliance with HIPAA and security 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 ProcessingBilling EducationFinancial Transaction ManagementInsurance Data ManagementDocumentation MaintenanceAttention to DetailCoordination of BenefitsTimely FilingClaim Denial Resolution
Soft Skills
Verbal CommunicationWritten CommunicationEmpathyOrganizational SkillsCollaboration
Tools & Technologies
EMR PlatformsBilling SystemsComputer Applications
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HIPAA CompliancePatient-Centered ServiceCall Center ExperienceHealthcare Insurance ConceptsClient-Mandated Training
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 according to financial responsibility policies
- Create, update, and maintain payment plans
- 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 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 and 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 documentation, privacy, and security requirements
- Maintain schedule adherence and availability during assigned hours
- Complete required client-mandated training and participate in uptraining and cross-training
- Uphold HIPAA, confidentiality, and security requirements
- 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
- Full-time, 40 hours
- Benefit eligible the first of the month after 60 days