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 and resolve healthcare billing questions, process payments, and manage insurance information. Use EMR and billing systems to provide accurate, compliant support.

Description

  • Take patient payments by phone in line with financial responsibility policies.
  • Set up and maintain patient payment plans.
  • Keep transactions, documentation, and account data accurate.
  • Explain claim notes, balances, and billing decisions to patients.
  • Review and update insurance information.
  • Enter insurance details in the EMR and resubmit pending or corrected claims.
  • Explain coordination of benefits, deductibles, coinsurance, copays, filing deadlines, and claim denials.
  • Spot billing discrepancies and work with internal teams to resolve them.
  • Review account histories to identify the causes of billing and payment concerns.
  • Suggest next steps and resolutions consistent with policy.
  • Work with billing platforms, EMRs, support tools, and reference materials.
  • Use multiple systems while assisting patients.
  • Follow assigned schedules and remain available during work hours.
  • Complete client-required training and take part in additional and cross-training.
  • Follow HIPAA and applicable confidentiality, privacy, and security requirements.
  • Provide 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.
  • A 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.
  • Ability to speak, read, write, and understand English.
  • Background check required as permitted by applicable law.
  • Strong spoken and written communication skills.
  • Analytical problem-solving skills and close attention to detail.
  • Good understanding of healthcare billing and insurance concepts.
  • Ability to explain complex billing information in clear, patient-friendly language.
  • Comfort using multiple systems and tools at the same time.
  • Organized, self-directed, and collaborative approach to work.
  • Must live in one of these states: 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.

Benefits

  • Additional $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 beginning on the first day of the month after 60 days.

Related Jobs

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Employees
HealthcareHospitalityLogistics

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Open
SPERTON - Where Great People Meet

Sales Executive, Elevators and Car Parking Systems

SPERTON - Where Great People Meet
51 – 200 Employees

Drive elevator and car parking system sales across Mumbai’s Western Region. Build client and dealer relationships, and manage deals from initial enquiry through project execution.

Open