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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing, insurance verification, and claims processing, with a strong understanding of HIPAA and Bermuda PIPA compliance. Proficient in managing patient accounts, reconciling payments, and maintaining accurate documentation in a remote environment.
Highest-signal resume keywords
Medical BillingInsurance VerificationClaims ProcessingHIPAA CompliancePayment Reconciliation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance ClaimsRemittance PostingPatient Accounts ManagementClaim ProcessingPayer WorkflowsAttention to DetailOrganizational SkillsTime ManagementMedical Billing SystemsPractice Management Systems
Soft Skills
Written CommunicationVerbal CommunicationConfidentialityIndependenceProfessionalism
Tools & Technologies
Payer PortalsGoogle WorkspaceMicrosoft OfficeGoogle SheetsExcelEmail PlatformsSecure Communication Platforms
Industry Keywords
HealthcareMedical AdministrationRevenue Cycle SupportPatient InformationPrivacy Requirements
About the role
Key responsibilities & impact- Verify patient insurance coverage before appointments
- Review and update insurance policy, eligibility, and patient insurance records
- Request updated insurance documentation and flag incomplete or inconsistent information
- Review, correct, resubmit, and track rejected, denied, incomplete, or unpaid claims
- Document claim corrections, resubmissions, follow-up actions, and insurer communications
- Review remittance advice, Explanation of Benefits, and insurer payment summaries
- Post insurance payments, adjustments, patient responsibility amounts, and account updates
- Identify denied claims, underpayments, overpayments, and payment discrepancies
- Reconcile insurance payments against remittance reports and patient accounts
- Review outstanding balances, investigate account discrepancies, and maintain patient ledgers and account notes
- Support month-end reconciliation activities
- Contact insurers or use payer portals to follow up on delayed, denied, partially paid, or unresolved claims
- Assist with patient billing inquiries and prepare account information for billing follow-up
- Maintain documentation, trackers, spreadsheets, claim logs, billing reports, and reconciliation records
- Manage electronic communications with medical practices, referral sources, insurers, and approved healthcare stakeholders
- Prepare and send approved patient visit, referral, intake, assessment, progress, attendance, treatment, discharge, and insurance documentation
- Ensure communications are accurate, professional, timely, confidential, and sent through approved channels
- Escalate complex billing, privacy, clinical, or communication matters to management or the appropriate clinician
- Comply with privacy, confidentiality, HIPAA, Bermuda PIPA, and client data-handling requirements
- Report suspected privacy breaches or unauthorized disclosures immediately
- Deliver services under an independent contractor agreement, Master Services Agreement, and Statement of Work
Requirements
What you’ll need- Minimum 2 to 3 years of experience in medical administration, medical billing, insurance verification, or healthcare revenue cycle support
- Experience with insurance claims, remittance posting, payment reconciliation, and patient accounts
- Experience communicating with medical practices, referral sources, insurers, and healthcare administrative teams
- Strong understanding of insurance terminology, Explanation of Benefits, claim processing, payer workflows, and medical billing procedures
- Working knowledge of privacy and confidentiality requirements relating to patient information, including HIPAA principles and Bermuda PIPA requirements
- Excellent attention to detail and accuracy
- Strong written and verbal English communication skills
- Ability to maintain confidentiality and handle sensitive patient, clinical, insurance, and financial information appropriately
- Strong organizational and time management skills
- Experience working independently in a remote environment
- Proficiency with medical billing and practice management systems
- Proficiency with payer and insurance carrier portals
- Working knowledge of Google Workspace and Microsoft Office
- Experience with email and secure communication platforms
- Proficiency with Google Sheets, Excel, internal claim trackers, billing reports, and reconciliation logs
- Near Native English accent preference
- Region preference: Philippines
- Healthcare, physical therapy, or medical practice experience preferred
Benefits
Comp & perks- Competitive rates
- Weekly payments
- Various open roles are available
- Free training and upskilling
- Constant support and guidance
- A vibrant community always ready to support you
- Remote work
- Flexible scheduling aligned with client-preferred hours, subject to mutual agreement
- Contractor compensation processed through 20four7VA according to engagement terms