Five Star Solutions
Five Star Solutions
1,001 – 5,000 Employees
HealthcareInsuranceTravel
Five Star Solutions provides outsourced customer experience and contact center services for organizations that need scalable, secure support operations. Its teams combine experienced customer service agents with CX technology and intelligent automation to deliver customer care, technical support, dispatch, data entry, business continuity, and AI-enabled self-service. The company supports clients across healthcare, fintech, retail, travel, government, and insurance, with onshore, nearshore, and offshore delivery models and workflows designed for regulated environments, including SOC 2-, PCI-, and HIPAA-aligned operations.

Remote Patient Billing Representative

Help patients understand healthcare bills and payments by handling insurance verification, claims questions, and payment plans. Use billing and EMR systems to provide accurate, compliant support.

Description

  • Process patient payments by phone in line with financial responsibility policies
  • Set up and maintain patient payment plans
  • Keep transactions, records, and data accurate
  • Explain claim notes, account balances, and billing outcomes to patients
  • Verify, review, and update insurance details
  • Update insurance records in the EMR and resubmit pending or corrected claims
  • Explain benefits coordination, deductibles, coinsurance, copays, filing deadlines, and claim denials to patients
  • Spot billing discrepancies and work with internal teams to resolve them
  • Review account histories to find the source of billing or payment concerns
  • Recommend next steps and resolutions that follow company policies
  • Work with billing systems, EMR platforms, and reference tools
  • Use multiple systems at once while assisting patients
  • Follow documentation, privacy, security, and HIPAA rules
  • Be available and follow the assigned work schedule
  • Complete required client training and take part in additional and cross-training
  • Deliver professional, accountable, empathetic, patient-focused service

Requirements

  • Customer service or call center experience is required
  • Healthcare billing, insurance, or claims experience is strongly preferred
  • Payment processing or financial transaction experience is preferred
  • High school diploma or GED is required
  • Technical proficiency with EMR systems and standard computer applications
  • Ability to work independently in a remote or virtual setting
  • English speaking, reading, writing, and comprehension skills
  • Background check, as required by applicable law
  • Strong verbal and written communication skills
  • Analytical problem-solving skills and close attention to detail
  • Sound understanding of healthcare billing and insurance concepts
  • Ability to explain complex billing details in clear, patient-friendly language
  • Comfort using multiple systems and tools at the same time
  • Organized, self-directed, collaborative approach to work

Benefits

  • Starting pay is $15 per hour, with an extra $1 per hour for night and weekend shifts
  • Paid training, typically lasting two weeks
  • Full-time schedule of 40 hours per week
  • Eligible for benefits on the first day of the month after 60 days

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