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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 processes, including preparation and submission of insurance claims, accuracy review, and denial management. Proficient in utilizing claim forms and understanding revenue cycle management to enhance operational efficiency.
Highest-signal resume keywords
Medical Billing Experience1500 And UB04 Claim Forms ProficiencyRevenue Cycle Management UnderstandingCharge Entry And Coverage VerificationDenial Management
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 Claims PreparationClaims Review For AccuracyBilling Report PreparationProcess Improvement RecommendationsDiagnosis And Procedure Codes Review
Soft Skills
Communication SkillsProblem-Solving Skills
Industry Keywords
Acute Care BillingProvider-Based BillingRCM Denial ManagementLOB GuidelinesAuthorization Requirements
About the role
Key responsibilities & impact- Prepare insurance claims for submission to third party payers and/or responsible parties
- Review claims for accuracy, including proper diagnosis and procedure codes
- Review claim rejections and communicate with payers to resolve billing issues
- Prepare and review routine billing reports
- Recommend process improvements based on findings
- Respond to complex telephone and written inquiries from patients, third party payers, and physician practices
Requirements
What you’ll need- High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
- Required Credential(s): None Required
- Required professional licensure/certification can be used in lieu of education or experience, if applicable
- 3 years of experience handling acute and provider-based hospital medical billing
- Proficient with 1500 and UB04 claim forms
- Comprehensive revenue cycle understanding, spanning front-end, mid-cycle, and back-end RCM denial management
- Strong technical background in charge entry, coverage verification, LOB guidelines, and authorization requirements
Benefits
Comp & perks- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Employer-matched 403(b)
- Planning and hardship resources
- Disability and life insurance
- Pro-rated paid time off (PTO) and holidays
- Ascension-paid tuition (Vocare)
- Tuition reimbursement
- Ongoing professional development and online learning
- Employee Assistance Program
- Counseling and peer support
- Spiritual care and stress management resources
- Parental leave
- Adoption assistance and family benefits
- Optional legal and pet insurance
- Transportation savings