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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle processes and EDI transactions, including 837 and 835, while maintaining strong analytical, organizational, and communication skills to support payer enrollment and claims management.
Highest-signal resume keywords
Healthcare Revenue Cycle ProcessesEDI Transactions (837, 835)Payer Enrollment WorkflowsAnalytical SkillsOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payer Enrollment ActivitiesBilling System ConfigurationClaim SubmissionClearinghouse Error AnalysisPost-Go-Live MonitoringImplementation DocumentationTesting ActivitiesData GatheringBuild ValidationClaim Setup
Soft Skills
Effective CommunicationAttention to DetailFollow-ThroughAnalytical ThinkingOrganizational Skills
Tools & Technologies
Practice Management SystemsBilling SystemsClearinghousesService Desk Support
Industry Keywords
Payer ConnectivityEnrollment Progress MonitoringElectronic Remittance ActivityRoutine Claim IssuesProcess Documentation
About the role
Key responsibilities & impact- Complete standard clearinghouse and payer enrollment activities
- Assist with establishing payer connectivity for implementations
- Maintain billing system configuration data, including payer master files, provider records, libraries, and electronic and paper claim setup
- Monitor enrollment progress and escalate delays or issues
- Participate in implementation discovery and data gathering
- Support project build tasks according to established standards
- Assist with post-go-live monitoring of claims and electronic remittance activity
- Document implementation activities and outcomes
- Perform initial analysis of payer rejections and clearinghouse errors
- Resolve routine claim submission and ERA issues
- Escalate complex payer or configuration issues
- Support Service Desk and operations teams with EDI-related inquiries
- Maintain process documentation and user guides
- Participate in testing activities within non-production environments
- Validate build accuracy and identify potential issues
Requirements
What you’ll need- Associate degree or equivalent combination of education and experience
- 1–3 years of experience
- Basic understanding of healthcare revenue cycle processes
- Working knowledge of EDI transactions, including 837 and 835
- Understanding of payer enrollment workflows
- Strong analytical and organizational skills
- Effective written and verbal communication skills
- Ability to learn technical systems quickly
- Strong attention to detail and follow-through
- Practice management systems experience preferred
- Exposure to clearinghouses and payer enrollment processes preferred
Benefits
Comp & perks- Paid Time Off
- 9 observed holidays
- Paid family leave
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability benefits
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- Transportation and parking FSAs
- Health Savings Accounts (HSAs)
- Matching 401(k) plan
- Training and professional growth opportunities
- Recognition opportunities