Job Description

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.

This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND, OH, OK, PA, SC, SD, TX, TN, UT, VA, WV, WI, WY

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.

Essential Functions

These functions emphasize patient advocacy, analytical billing expertise, regulatory awareness, and high-quality service delivery.

Patient Payment & Account 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.

Billing, Insurance & Claims Support

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.

Problem Resolution & Patient Education

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.

Resource & System Utilization

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.

Reliability & Continuous Learning

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.

Ethical & Compliant Conduct

Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.
Demonstrate professionalism, accountability, and patient-centered service in all interactions.

Requirements

Strong verbal and written communication skills.
Analytical problem-solving abilities and high attention to detail.
Solid understanding of healthcare billing and insurance concepts.
Ability to clearly explain complex billing information in patient-friendly language.
Comfort working across multiple systems and tools simultaneously.
Organized, self-motivated, and collaborative approach to work.

Pay and Benefits

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

The above statements are intended to describe the general nature and level of work and are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the job

About Five Star Solutions

At Five Star Solutions, we bridge the gap between digital innovation and human connection. Our contact center operations are built on a foundation of integrated AI and scalable CX technology, then brought to life by global teams who know how to apply those tools to deliver consistent, world-class customer care.

We build and run intelligent CX environments that connect agents, data, workflows, and automation into a unified system. This integration allows organizations to move faster, scale easily, and maintain consistent service quality as customer demand changes.

Our teams apply the latest CX platforms, AI-assisted guidance, and real-time analytics to improve visibility, streamline operations, and reduce the cost of customer support. By aligning advanced technology with highly trained agents, we help organizations resolve issues efficiently while delivering reliable, high-quality experiences.

With more than 40 years in the industry, Five Star operates globally with onshore, nearshore, and offshore delivery models. This flexible approach provides the right balance of expertise, coverage, and cost efficiency for regulated, high-growth, and high-demand environments.

Five Star brings people, processes, and technology together to create CX operations that are adaptable, scalable, and built to perform over the long term.

Industry

Consulting & Advisory

Company Size

201-500 employees

Headquarters

Sioux Falls, SD

Year Founded

Unknown

Website

getfivestar.com

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