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 - 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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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