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Patient Billing Representative
HighFive Healthcare. Answer a high volume of inbound patient billing calls promptly and professionally .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient billing processes, including the ability to interpret insurance Explanation of Benefits (EOBs) and manage high-volume call environments. Proficient in maintaining compliance with HIPAA regulations while delivering exceptional customer service and resolving billing inquiries.
Highest-signal resume keywords
Patient Billing ExperienceInsurance Explanation Of Benefits (EOB) InterpretationCall Center ExperienceCustomer Service SkillsHIPAA Compliance Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Statements KnowledgeBilling TerminologyPayment Cycle UnderstandingMath AccuracyPayment PostingDenial Codes KnowledgeOrganizational SkillsComputer Systems ProficiencyPatient Portal NavigationCarestack Knowledge
Soft Skills
Strong Attention To DetailExcellent Verbal CommunicationProfessionalismEmotional ResilienceWritten Communication Skills
Certifications & Qualifications
Medical Billing CertificationHealthcare Administration Coursework
Industry Keywords
Healthcare ExperienceProvider SettingPayer SettingBilling EnvironmentCustomer Support Role
About the role
Key responsibilities & impact- Answer a high volume of inbound patient billing calls promptly and professionally
- Explain patient statements, including charges, adjustments, insurance payments, patient responsibility, and current balance
- Review and interpret insurance Explanation of Benefits (EOBs)
- Identify discrepancies between patient statements, EOBs, and account records, and research or escalate billing errors
- Set up payment arrangements, process payments, and discuss financial assistance or payment plan options
- Document call activity accurately in the patient account and billing system
- Follow up on open billing inquiries and escalated issues
- Maintain patient privacy and comply with HIPAA and company security and compliance standards
- Meet or exceed call handling, resolution, and quality performance metrics
- Collaborate with billing, insurance, and clinical team members
- Review denials, accounts receivable, payment posting, or initial review of patient statements while not answering calls
Requirements
What you’ll need- 1–2 years of healthcare experience in a provider or payer setting, such as a hospital, physician practice, dental office, health plan, or medical billing environment
- Required knowledge of patient statements, billing terminology, and the patient payment cycle
- Required ability to read and understand insurance Explanation of Benefits (EOBs), including allowed amounts, adjustments, patient responsibility, and denial codes
- 1+ year of call center or high volume phone experience, preferably in a billing, collections, or customer support role
- Strong customer service skills with the ability to remain patient and professional in emotionally charged conversations
- Excellent verbal and written communication skills, with the ability to explain financial information clearly
- Proficiency with computer systems and the ability to navigate multiple applications while on calls
- Proficiency in navigating patient portals
- Knowledge of Carestack is a plus
- Strong attention to detail, organizational skills, and math accuracy
- Knowledge of HIPAA privacy and security requirements
- High school diploma or equivalent required
- Coursework or certification in medical billing, coding, or healthcare administration is a plus
- Bachelor’s degree is a plus
Benefits
Comp & perks- Full-time employment
- Fully remote work