Remote Patient Billing Specialist

Five Star

Nampa (ID)

Hybrid

USD 16,000 - 23,000

Full time

14 days+

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Benefits offered by this job

Paid training

Benefits eligibility after 60 days

Job summary

Five Star is seeking a Patient Billing Specialist to support patients with payments, billing education, insurance verification, and claims‑related inquiries. This remote role emphasizes empathetic, accurate, and compliant service while navigating complex healthcare billing systems and policies.

Responsibilities include processing patient payments, creating and updating payment plans, explaining claim notes and insurance details, resolving billing issues, and using Privia‑approved EMR tools.

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.

Responsibilities

Accurately process patient payments via phone in accordance with Privia 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 Privia policies.
Maintain professionalism and empathy during complex or sensitive financial discussions.
Utilize Privia‑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 Privia and client‑mandated training.
Participate in ongoing uptraining and cross‑training initiatives.
Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.
Demonstrate professionalism, accountability, and patient‑centered service in all interactions.