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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, claims processing, and insurance verification, with a strong focus on accuracy, compliance with HIPAA regulations, and effective communication with payers and internal teams.
Highest-signal resume keywords
Medical Billing ExperienceClaims ProcessingInsurance VerificationKnowledge of EHR SystemsAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionReimbursement GuidelinesDenial Reason CodesFinancial Information ManagementDemographic UpdatesClaim ScrubbingWorkflow ValidationData AnalysisProblem-SolvingKeyboarding Proficiency
Soft Skills
Organizational SkillsProfessional CommunicationCollaborationIndependenceAdaptability
Tools & Technologies
CRM SystemsElectronic Health Record (EHR) Systems
Industry Keywords
Revenue Cycle ManagementHIPAA ComplianceManaged CareCommercial InsuranceGovernment Insurance
About the role
Key responsibilities & impact- Verify patient insurance eligibility and coverage independently
- Research discrepancies and update demographics, financial information, and guarantor details
- Review, edit, and submit claims and appeals
- Correct rejected claims from claim scrubbers, clearinghouses, or payers
- Provide supporting documentation as needed
- Analyze denials, underpayments, unpaid aging claims, and reimbursement issues
- Manage complex claim escalations, bulk projects, claim edit and follow-up work queues, CRM support, and workflow validation
- Document actions accurately and maintain HIPAA confidentiality
- Meet quality and turnaround standards
- Partner with internal teams and payers to drive timely claim resolution
Requirements
What you’ll need- High School Diploma or General Education Degree (GED)
- One (1) or more years of experience in a revenue cycle role
- Three (3) or more years of experience in medical billing, claims, and/or insurance processing
- Extensive and current knowledge of government, managed care, and commercial insurance claim submission requirements, reimbursement guidelines, and denial reason codes
- Knowledge of medical terminology, health insurance terminology, and electronic health record (EHR) systems
- Proficiency with computer systems and keyboarding
- Strong attention to detail, organization, problem-solving, and quality output
- Ability to work independently and collaboratively in a changing environment
- Professional communication with payers, clients, and internal teams
- Ability to work Monday through Friday during normal business hours aligned to 8:00 a.m.-5:00 p.m. CST
- Authorization to work in the United States without sponsorship
Benefits
Comp & perks- Career development with an international company
- Free medical coverage eligibility through the Health Investment Plan (HIP) PPO medical plan in the next calendar year
- Retirement savings plan with a high employer contribution
- Tuition reimbursement
- Freedom 2 Save student debt program
- FreeU education benefit and path to earning a bachelor's degree
- Recognition as a great place to work and one of the most admired companies
- Recognition as one of the best big companies and best workplaces for diversity, working mothers, female executives, and scientists
