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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong healthcare industry knowledge and the ability to troubleshoot claim submission errors while adhering to compliance regulations such as HIPAA, GLBA, and FCRA. Excels in communication and teamwork, contributing to effective collaboration and problem-solving in a remote work environment.
Highest-signal resume keywords
Healthcare Industry KnowledgeClaim Submission TroubleshootingAttention to DetailExcellent Communication SkillsCompliance Adherence
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 ProcessingInsurance Follow-UpFeedback ProvisionClient System NotationPayer Portal Navigation
Soft Skills
Team-OrientedFlexibleCreative Problem-SolvingIntegrityEthics
Certifications & Qualifications
High School DiplomaGEDCompliance Training
Industry Keywords
HIPAAGLBAFCRAReimbursementHealthcare Compliance
About the role
Key responsibilities & impact- Support Appeals Specialists in pursuing proper reimbursement on behalf of hospitals
- Contact insurance companies for claim and appeal submission status
- Move accounts through insurance carriers’ claim processing systems
- Check client systems and payer portals for status when feasible
- Provide accurate and thorough feedback
- Properly notate internal and external systems
- Assist with special client projects
- Demonstrate integrity and ethics in day-to-day tasks and decision making
- Operate effectively within the work environment and work group
- Maintain focus on self-development and seek continuous feedback and learning opportunities
- Support the Compliance Program by adhering to relevant policies and procedures
Requirements
What you’ll need- High School Diploma or GED required
- Bachelor's degree preferred
- Strong healthcare industry knowledge
- Ability to troubleshoot and remedy claim submission errors
- Demonstrated attention to detail
- Excellent written and verbal communication skills
- Team-Oriented and Flexible
- Creative Problem-solving skills
- 1-3 insurance follow-up experience preferred
- Previous work from home experience preferred
- Must adhere to HIPAA, GLBA, FCRA, and other applicable laws and policies
- Must complete required compliance training and follow confidentiality obligations
- US remote-based colleagues are not permitted to work from a location outside of the United States without prior, written approval
Benefits
Comp & perks- Indefinite contract role with no predetermined end date, continuing based on ongoing business needs
- Fully remote work
- Reasonable accommodation may be made to enable individuals with disabilities to perform essential job functions