Patient Billing & Support Specialist

OrthoLoneStar; United States; Remote; USD 42,000 - 56,000; Full time

Job summary

OrthoLoneStar is seeking a Customer Service Representative to handle patient and payer inquiries related to medical billing, insurance claims, and account resolutions. You will support revenue cycle operations under the guidance of the Revenue Cycle Manager Patient AR to enhance billing efficiency and accuracy.

The role requires a minimum of 1 year in healthcare customer service or claims processing and strong communication skills.

Qualifications

• High school diploma or GED required.
• Minimum of 1 year of experience in healthcare customer service, billing, or insurance claims processing.
• Excellent verbal and written communication skills.
• Basic knowledge of orthopedic-related coding, medical terminology, and insurance procedures preferred.
• Proficiency in Microsoft Office (Excel, Word, Outlook) and Athena software.
• Ability to handle high call volumes and work in a fast-paced environment.
• Strong problem-solving and conflict-resolution skills.
• High attention to detail and ability to follow workflows accurately.

Responsibilities

• Handle inbound and outbound calls regarding patient balances, insurance claims, and billing inquiries.
• Provide clear and empathetic explanations of charges, payment options, and account statuses.
• Assist patients with setting up payment plans and making payments.
• Research and resolve billing discrepancies, denials, and adjustments.
• Work with insurance carriers to verify claims status and elevate issues.
• Maintain a professional and courteous demeanor in all patient interactions.
• Ensure timely and effective resolution of patient and payer concerns.
• Document all customer interactions accurately in the system.
• Adhere to HIPAA guidelines and company policies regarding patient information security.
• Follow Fair Debt Collection Practices Act (FDCPA) guidelines when addressing outstanding balances.
• Work closely with the billing, collections, and revenue cycle teams to improve patient financial engagement.
• Provide feedback to management on recurring billing issues and recommend solutions.
• Participate in training and team meetings.
• Support special projects related to billing and collections.

Skills

Verbal & written communication

Problem-solving & conflict resolution

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Office

Athena software

Job description

OrthoLoneStar is seeking a Customer Service Representative to handle patient and payer inquiries related to medical billing, insurance claims, and account resolutions. You will support revenue cycle operations under the guidance of the Revenue Cycle Manager Patient AR to enhance billing efficiency and accuracy.

The role requires a minimum of 1 year in healthcare customer service or claims processing and strong communication skills.