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Five Star Solutions
Five Star Solutions
1.001 – 5.000 Angajați
AsigurăriAsistență medicalăCălătorii
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.
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Locurile de muncă ale companiei

Remote Patient Billing Representative

Help patients navigate healthcare billing through payment processing, insurance verification, claims support, and clear explanations of their account balances. Maintain accurate records and provide HIPAA-compliant, empathetic service in a remote role.

USStatele Unite ale AmericiiALAlabamaFLFloridaIDIdahoIAIowaKSKansasLALouisianaMIMichiganMSMississippiMOMissouriNENebraskaNVNevadaNCCarolina de NordNDDakota de NordOHOhioOKOklahomaPAPennsylvaniaSCCarolina de SudSDDakota de SudTNTennesseeTXTexasUTUtahVAVirginiaWVVirginia de VestWIWisconsinWYWyoming
15 $ / oră
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăSpecialist în facturare

Descriere

  • Assist patients with payments, billing guidance, insurance verification, and claims questions.
  • Take 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 results to patients.
  • Check, review, and update insurance details.
  • Enter insurance information 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 address them.
  • Review account histories to identify the causes of billing or payment concerns.
  • Suggest policy-aligned solutions and follow-up steps.
  • Work with billing systems, EMR platforms, other tools, and reference materials.
  • Switch between multiple systems while assisting patients.
  • Follow assigned schedules and remain available during scheduled hours.
  • Complete required client training and take part in additional and cross-training.
  • Follow HIPAA and all confidentiality, privacy, and security rules.
  • 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.
  • Further education in billing or healthcare is a plus.
  • 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 laws.
  • Strong verbal and written communication skills.
  • Analytical problem-solving skills and careful attention to detail.
  • Sound knowledge of healthcare billing and insurance concepts.
  • Ability to explain complex billing information clearly in patient-friendly language.
  • Comfort using multiple systems and tools at the same time.
  • Organized, self-directed, and collaborative approach to work.

Beneficii

  • An additional $1 per hour for night and weekend shifts.
  • Paid training, usually two weeks, Monday through Friday from 8:00 a.m. to 5:00 p.m. CST.
  • 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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