Patient Billing Representative

2 hours, 33 minutes ago
Full-time
Mid Level
Customer and Technical Support
Five Star Solutions

Five Star Solutions

Five Star Solutions is a global Business Process Outsourcing (BPO) and Customer Experience (CX) partner based in Sioux Falls, South Dakota. Founded in 1986, the company specializes in secure and scalable contact center services, blending human expertise with advanced technology. It serves a diverse range of industries, including healthcare, retail, financial services, government, travel, insurance, and fintech. The company offers a comprehensive suite of services, including contact center operations, CX management, AI-enabled contact centers, and specialized industry solutions. Five Star Solutions emphasizes security and compliance, ensuring that its operations meet regulatory standards such as HIPAA and GDPR. With a workforce of 1,001 to 5,000 professionals, the company operates from locations in the United States, Guatemala, and the Philippines, providing tailored support strategies to meet the unique needs of its clients.

outsourcing/offshoring
1001-5000
Founded 1986

Description

  • Process patient payments by phone according to financial responsibility policies.
  • Create, update, and maintain patient payment plans.
  • Explain claim notes, balances, billing outcomes, and insurance concepts to patients.
  • Verify, audit, and update insurance information in EMR systems.
  • Resubmit pending or corrected claims and resolve billing discrepancies with internal teams.
  • Research account histories, identify root causes, and recommend policy-aligned resolutions.
  • Use multiple billing, EMR, and knowledge systems while maintaining accurate documentation and data integrity.
  • Adhere to HIPAA, privacy, security, and confidentiality requirements.
  • Maintain schedule adherence and complete required training and cross-training.

Requirements

  • Customer service or call center experience required.
  • Healthcare billing, insurance, or claims experience strongly preferred.
  • Payment processing or financial transaction experience preferred.
  • High school diploma or GED required; additional billing or healthcare education is a plus.
  • Experience with EMR systems and standard computer applications.
  • Understanding of healthcare billing and insurance concepts.
  • Strong verbal and written communication, analytical problem-solving, and attention to detail.
  • Ability to explain complex billing information in patient-friendly language and work across multiple systems.
  • Ability to work independently in a remote environment and communicate effectively in English.
  • Background check required; applicants must reside in AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND, OH, OK, PA, SC, SD, TX, TN, UT, VA, WV, WI, or WY.

Benefits

  • Starting pay of $14 per hour, plus a $1 per hour shift differential for nights and weekends.
  • Full-time schedule of 40 hours per week, generally Monday through Friday between 7:00 a.m. and 4:00 p.m. MST.
  • Benefits eligibility begins on the first day of the month after 60 days.
  • Paid training, typically two weeks, Monday through Friday from 7:00 a.m. to 4:00 p.m. MST.
  • Remote work opportunity.

Interested in this position?

Apply directly on the company website

Apply Now

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