Patient Billing Representative

Five Star Solutions

Patient Billing Specialist supporting patients with payment processing, insurance verification, and claims inquiries. Delivering empathetic, accurate service while navigating healthcare billing systems.

Posted 7/15/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $14 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient billing processes, including payment processing, insurance verification, and claims management, while ensuring compliance with healthcare regulations and maintaining data integrity. Exhibits strong customer service skills and the ability to educate patients on complex billing concepts.

Highest-signal resume keywords

Healthcare Billing ExperienceInsurance VerificationPayment ProcessingEMR Systems ProficiencyCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payment ProcessingInsurance VerificationClaims ManagementBilling EducationData IntegrityTransaction AccuracyAccount ResearchDiscrepancy ResolutionFinancial Transaction ExperienceDocumentation Compliance

Soft Skills

EmpathyProfessionalismAccountabilityCommunicationProblem-Solving

Tools & Technologies

EMR SystemsBilling SystemsComputer ApplicationsKnowledge Resources

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA CompliancePatient-Centered ServiceFinancial Responsibility PoliciesCoordination of BenefitsClaim Denials

About the role

Key responsibilities & impact

Join as a Patient Billing Specialist, supporting patients with payment processing, billing education, insurance verification, and claims-related inquiries.
Deliver empathetic, accurate, and compliant service while navigating healthcare billing systems and policies.
Perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.
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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Starting pay - $14/hr plus shift differential(extra $1/hr nights & wkds)
Working hours between - 8:00am-8:00pm (EST) ; Work Days - M-F
Paid Training - typically 2 weeks in length from 9:00am-6:00pm Mon-Fri (EST)
Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days