Five Star Solutions
Five Star Solutions
Five Star Solutions oferă servicii externalizate de experiență a clienților și servicii de contact center pentru organizațiile care au nevoie de operațiuni de asistență scalabile și sigure. Echipele sale combină agenți de servicii pentru clienți cu experiență cu tehnologie CX și automatizare inteligentă pentru a furniza servicii pentru clienți, asistență tehnică, dispecerizare, introducere de date, continuitatea activității și autoservire bazată pe inteligență artificială. Compania sprijină clienți din domeniul sănătății, fintech, comerțului cu amănuntul, turismului, administrației publice și asigurărilor, prin modele de furnizare onshore, nearshore și offshore și fluxuri de lucru concepute pentru medii reglementate, inclusiv operațiuni aliniate la SOC 2, PCI și HIPAA.

Remote Patient Billing Representative

Support patients with healthcare payments, billing questions, insurance verification, and claims inquiries in a remote role. Process transactions and resolve account issues using EMR and billing systems.

Descriere

  • Take patient payments by phone in line with financial responsibility policies
  • Set up and maintain patient payment plans
  • Keep transactions, records, and patient 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 coordination of benefits, deductibles, coinsurance, copays, filing deadlines, and claim denials
  • Flag discrepancies and work with internal teams to resolve billing issues
  • Review account histories to identify causes of billing and payment concerns
  • Recommend next steps and resolutions consistent with policy
  • Work with billing systems, EMR platforms, tools, and reference materials
  • Use multiple systems at once while helping patients
  • Meet documentation, privacy, security, and HIPAA requirements
  • Follow assigned schedules and remain available during working hours
  • Complete required client training and take part in additional and cross-training
  • Deliver professional, accountable, empathetic, patient-focused service

Cerințe

  • 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
  • Ability to speak, read, write, and understand English
  • Background check required in accordance with applicable laws
  • 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 information in patient-friendly language
  • Comfort using multiple systems and tools simultaneously
  • Organized, self-motivated, and collaborative work style
  • Availability to work assigned hours between 7:00 a.m. and 7:00 p.m. CST, Monday through Friday

Beneficii

  • Starting pay includes a $1 per hour shift differential for nights and weekends
  • 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
  • Remote work arrangement
  • Ongoing additional training and cross-training opportunities

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