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 - United States

Support healthcare patients remotely by processing payments, explaining billing and insurance details, verifying coverage, and addressing claims questions. Manage payment arrangements and investigate account issues while delivering accurate, empathetic service.

Description

  • Handle patient payments by phone in line with financial responsibility policies
  • Establish, revise, and manage patient payment arrangements
  • Maintain accurate transactions, records, and account data
  • Explain claim notes, balances, and billing results to patients
  • Review, verify, and update insurance details
  • Enter insurance updates in the EMR and resubmit pending or corrected claims
  • Help patients understand coordination of benefits, deductibles, coinsurance, copays, timely filing, and denials
  • Investigate discrepancies and partner with internal teams on billing resolutions
  • Review account histories to identify the causes of payment or billing concerns
  • Propose resolutions and next steps that follow applicable policies
  • Work with billing applications, EMR systems, reference tools, and knowledge resources
  • Use multiple systems at once while assisting patients
  • Follow assigned schedules and remain available during designated hours
  • Complete required client training and take part in uptraining and cross-training
  • Protect HIPAA compliance, confidentiality, privacy, and security
  • Deliver professional, reliable, compassionate, patient-focused support

Requirements

  • Prior customer service or call center experience is required
  • Experience in healthcare billing, insurance, or claims is strongly preferred
  • Experience processing payments or other financial transactions 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
  • Fluency in spoken, written, and read English
  • Completion of a background check in accordance with applicable laws
  • Strong verbal and written communication skills
  • Analytical judgment, problem-solving ability, and close attention to detail
  • Working knowledge of healthcare billing and insurance concepts
  • Ability to explain complex billing information clearly and in patient-friendly terms
  • Comfort managing multiple systems and tools simultaneously
  • Organized, self-directed, and collaborative working style
  • Availability for assigned hours between 7:00am and 7:00pm CST, Monday through Friday

Benefits

  • Additional $1 per hour for night and weekend shifts
  • Paid training, generally lasting two weeks
  • Full-time schedule of 40 hours per week
  • Eligibility for benefits begins on the first day of the month after 60 days
  • Remote work arrangement
  • Continued uptraining and cross-training opportunities

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