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

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

Descriere

  • 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.

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.
  • 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.

Beneficii

  • 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.

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