Remote Patient Billing Specialist

Five Star Solutions; Detroit (MI); Teletrabalho; USD 17 000 - 24 000; Tempo integral

Resumo da oferta

Five Star Solutions is seeking a Patient Billing Specialist to support patients with payments, billing education, insurance verification and claims inquiries in a remote setting. You will handle payment processing, create payment plans, and explain billing details with empathy and accuracy.

Proficiency with EMR systems, strong English communication, and a patient-centered approach are essential. You will maintain data integrity, HIPAA compliance, and collaborate with internal teams to resolve

Qualificações

• 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.

Responsabilidades

• 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.
• 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.
• 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.
• 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.
• Maintain schedule adherence and consistent availability during assigned hours.
• Complete all required client-mandated training.
• Participate in ongoing uptraining and cross-training initiatives.
• Uphold HIPAA requirements, confidentiality standards, and security protocols.
• Demonstrate professionalism, accountability, and patient-centered service in all interactions.

Conhecimentos

Customer service

Billing knowledge

Communication skills

English proficiency

Formação académica

High school diploma or GED

Ferramentas

EMR systems

Computer applications

Descrição da oferta de emprego

Five Star Solutions is seeking a Patient Billing Specialist to support patients with payments, billing education, insurance verification and claims inquiries in a remote setting. You will handle payment processing, create payment plans, and explain billing details with empathy and accuracy.

Proficiency with EMR systems, strong English communication, and a patient-centered approach are essential. You will maintain data integrity, HIPAA compliance, and collaborate with internal teams to resolve