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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 claim preparation, accuracy review, and denial management. Proficient in handling complex inquiries and recommending process improvements within the revenue cycle.
Highest-signal resume keywords
Medical Billing ExperienceClaim PreparationRevenue Cycle ManagementCharge EntryCoverage Verification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim SubmissionDiagnosis CodingProcedure CodingClaim Rejection ResolutionBilling Report Preparation1500 Claim Form ProficiencyUB04 Claim Form ProficiencyDenial ManagementAuthorization RequirementsLOB Guidelines
Soft Skills
Communication SkillsProblem-Solving SkillsAttention to Detail
Industry Keywords
Acute Care BillingProvider-Based BillingRevenue Cycle UnderstandingBilling Process ImprovementsPatient Inquiries
About the role
Key responsibilities & impact- Prepares insurance claims for submission to third party payers and/or responsible parties
- Reviews claims for accuracy, including proper diagnosis and procedure codes
- Reviews claim rejections and communicates with payers to resolve billing issues
- Prepares and reviews routine billing reports
- Recommends process improvements based on findings
- Responds 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
- 3 years of experience handling acute and provider-based hospital medical billing (preferred)
- Proficient with 1500 and UB04 claim forms (preferred)
- Comprehensive revenue cycle understanding, spanning front-end, mid-cycle, and back-end RCM denial management (preferred)
- Strong technical background in charge entry, coverage verification, LOB guidelines, and authorization requirements (preferred)
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
