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 Five Star Solutions patients understand and manage billing, payments, insurance details, and claims in this remote role. Use healthcare billing systems to resolve account questions with accuracy, compliance, and empathy.

Description

  • Assist patients with payments, billing questions, insurance verification, and claims.
  • Take phone payments 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.
  • Review and update insurance records.
  • 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 cause of billing or payment concerns.
  • Recommend policy-aligned solutions and next steps.
  • Work across billing systems, EMR platforms, and other tools and reference materials.
  • Follow documentation, privacy, security, and HIPAA requirements.
  • Be available and adhere to the schedule during assigned hours.
  • Complete required client training and take part in further 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.
  • A high school diploma or GED is required.
  • Comfort using EMR systems and standard computer applications.
  • Ability to work independently in a remote environment.
  • Ability to speak, read, write, and understand English.
  • Background check required as permitted by applicable laws.
  • Strong spoken and written communication skills.
  • Analytical problem-solving skills and close attention to detail.
  • Sound knowledge of healthcare billing and insurance concepts.
  • Ability to explain complex billing details in language patients can understand.
  • Comfort using multiple systems and tools at the same time.
  • Organized, self-motivated, and collaborative work style.
  • Availability for assigned shifts between 8:00 a.m. and 8:00 p.m. EST, Monday through Friday.

Benefits

  • $1 per hour shift differential for night and weekend work.
  • Paid training, typically lasting two weeks.
  • Full-time schedule of 40 hours per week.
  • Benefits eligibility begins on the first day of the month after 60 days.
  • Remote work arrangement.
  • Ongoing additional and cross-training opportunities.

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