Patient Billing Representative

Five Star Solutions; Davenport (IA); Remote; USD 17,000 - 24,000; Full time

Job summary

Five Star Solutions seeks a Patient Billing Specialist to support patients with payment processing, billing education, insurance verification, and claims inquiries. You will work remotely, handling payment plans and educating patients on billing concepts while adhering to HIPAA and security policies.

The role emphasizes empathetic, accurate service across EMR systems and multiple tools, with weekly hours and paid training. Strong communication and independent work are essential.

Qualifications

• 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 a plus.

Responsibilities

• Process patient payments via phone and manage payment plans following guidelines.
• Explain claim notes and billing outcomes to patients; verify insurance data.
• Navigate multiple billing systems and maintain data accuracy; ensure privacy and security.

Skills

Customer service

Healthcare billing

Payment processing

Remote work

English proficiency

EMR systems

Education

High school diploma or GED

Tools

EMR software

Job description

Join us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. This role delivers empathetic, accurate, and compliant service while navigating healthcare billing systems and policies. Agents perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.

This is a remote position for those that reside in = AL, FL, GA, ID, IA, IN, KS, LA, MI, MO, MS, NE, NV, NC, ND, OH, OK, PA, SC, SD, TX, TN, UT, VA, WV, WI, WY

Qualifications

• 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 a plus.
• Technical proficiency with EMR systems and standard computer applications.
• Ability to work independently in a remote or virtual environment.
• Must be able to speak, read, write, and understand English.
• Background check required in accordance with applicable laws.

Essential Functions

Patient Payment & Account Support

• Accurately process patient payments via phone in accordance with financial responsibility policies.
• Create, update, and maintain payment plans following established guidelines.
• Ensure transaction accuracy, proper documentation, and data integrity.

Billing, Insurance & Claims Support

• Interpret and clearly explain claim notes, balances, and billing outcomes to patients.
• Verify, audit, and update insurance information for completeness and accuracy.
• Add or update insurance data within the EMR and resubmit pending or corrected claims.
• Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
• Identify discrepancies and coordinate with internal teams to resolve billing-related issues.

Problem Resolution & Patient Education

• Research account history to determine the root cause of billing or payment concerns.
• Recommend appropriate resolutions and next steps in alignment with policies.
• Maintain professionalism and empathy during complex or sensitive financial discussions.

Resource & System Utilization

• Utilize approved billing systems, EMR platforms, tools, and knowledge resources.
• Navigate multiple systems simultaneously while assisting patients.
• Adhere to all documentation, privacy, and security requirements.

Reliability & Continuous Learning

• Maintain schedule adherence and consistent availability during assigned hours.
• Complete all required client-mandated training.
• Participate in ongoing uptraining and cross-training initiatives.

Ethical & Compliant Conduct

• Uphold HIPAA requirements, confidentiality standards, and security protocols.
• Demonstrate professionalism, accountability, and patient-centered service in all interactions.

Requirements

• Strong verbal and written communication skills.
• Analytical problem-solving abilities and high attention to detail.
• Solid understanding of healthcare billing and insurance concepts.
• Ability to clearly explain complex billing information in patient-friendly language.
• Comfort working across multiple systems and tools simultaneously.
• Organized, self-motivated, and collaborative approach to work.

$15 - $15 an hour

Starting pay - $15/hr plus shift differential(extra $1/hr nights & wkds)

Working hours between - 7:00am-7:00pm (CST) ; Work Days - M-F

Paid Training - typically 2 weeks in length from 8:00am-5:00pm Mon-Fri (CST)

Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days

The above statements are intended to describe the general nature and level of work and are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the job