Five Star Solutions

Billing Specialist

• Join us as a Patient Billing Specialist, where you’ll support 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.
• Navigate multiple systems simultaneously while assisting patients.
• Maintain professionalism and empathy during complex or sensitive financial discussions.
• Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.

Patient Billing Representative

• 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.

• 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.

• Support 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.

Representative

• Make outbound calls to hospitals and healthcare clinics across the U.S.
• Conduct brief surveys focused on after-hours and emergency response protocols
• Ask approximately 3 standardized questions per call
• Accurately document responses during each call using provided systems
• Maintain a professional and courteous demeanor with healthcare staff
• Follow call scripts and guidelines to ensure consistency and compliance
• Handle a high volume of calls while maintaining quality standards
• Protect confidential information and adhere to company policies
• Communicate any issues or escalations to supervisors as needed
• Meet performance and attendance expectations in a remote work environment

Outbound Survey Representative

Customer Support

• Manage large amounts of inbound calls in a timely manner
• Follow communication "scripts" when handling different topics
• Identify customers' needs, clarify information, research and provide solutions and/or alternatives
• Access company and client resources provided to accurately handle the call
• Seize opportunities to upsell products when they arise
• Skillfully change from one task to another without loss of efficiency or composure
• Be available at your desk, maintaining punctuality and attendance at all scheduled times
• Remain positive and professional in all customer interactions
• Flexibility to cross train as requested

Customer Service, Temporary

• Handle inbound and outbound phone calls professionally and efficiently.
• Respond to customer inquiries via text, email, and other communication channels.
• Create, update, and manage customer cases within company systems.
• Document all interactions accurately and completely.
• Resolve routine customer issues and inquiries at first contact whenever possible.
• Escalate complex issues to the appropriate team when necessary.
• Follow established processes, workflows, and compliance requirements.
• Maintain accurate records and ensure data integrity.
• Monitor open cases and follow up as needed to ensure timely resolution.
• Meet quality, productivity, and service-level expectations.
• Collaborate with internal teams to resolve customer concerns.
• Provide a positive, empathetic, and professional customer experience.

Member Support Specialist

• Serve as the first point of contact for members, clients, or customers.
• Handle inbound and outbound calls, responding to text messages and emails.
• Manage case work, documenting interactions accurately.
• Ensure a positive customer experience.
• Communicate clearly, professionally, and empathetically.
• Meet quality, productivity, and service-level expectations.
• Collaborate with internal teams to resolve customer concerns.

• In this role, you’ll take the lead in addressing customer questions and concerns on all products and services through communication channels such as phone, email and chat
• Manage large amounts of inbound calls in a timely manner
• Able to work without a script and maintain call control
• Identify customers' needs, clarify information, research and provide solutions and/or alternatives
• Access company and client resources provided to accurately handle the call
• Identify upsell/cross-sell opportunities
• Actively participate in efforts to support customer satisfaction and maintain quality
• Skillfully change from one task to another without loss of efficiency or composure
• Ability to multi-task using multiple system pending the clients working environment
• Successfully complete all training sessions
• Effectively communicate with patience and understanding
• Remain positive and professional in all customer interactions
• Be available at your desk, maintaining punctuality and attendance at all scheduled times
• Apply personal ethics, honesty, initiative, flexibility, responsibility and confidentiality in all areas
• Flexibility to cross train as requested
• Maintain the utmost confidentiality and security as it pertains to Five Star Call Centers policies
• Perform other duties as assigned*

Patient Billing Representative

Patient Billing Representative

Patient Billing Representative

Patient Billing Representative

Outbound Survey Representative

Outbound Survey Representative

Outbound Survey Representative

Outbound Survey Representative

Customer Service, Temporary

Member Support Specialist

Member Support Specialist

Member Support Specialist

Customer Service

Customer Service, Temporary

Customer Service – Temporary