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Healthcare Billing & Insurance Coordinator
CQ Partners. Verify patient eligibility, benefits, coverage, authorization requirements, deductibles, coinsurance, and copays .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing, insurance verification, and claims processing, with a strong focus on compliance with Medicare, Medicaid, and commercial payer requirements. Proficient in managing multiple priorities while maintaining accuracy and attention to detail in financial transactions and patient interactions.
Highest-signal resume keywords
Healthcare Billing ExperienceInsurance VerificationClaims ProcessingMicrosoft Excel ProficiencyKnowledge of Medical Billing Regulations
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 SubmissionDenial ManagementAccounts Receivable ManagementPayer Requirements KnowledgeProcess ImprovementData AnalysisPayment ReconciliationInsurance AuthorizationQuality AssurancePatient Management Systems
Soft Skills
Strong Communication SkillsOrganizational SkillsCustomer Service SkillsAttention to DetailAbility to Manage Multiple Priorities
Tools & Technologies
Healthcare Software SystemsPayer PortalsMicrosoft Word
Industry Keywords
HIPAA ComplianceRevenue Cycle ManagementTPA RequirementsInsurance CarriersPayer Policies
About the role
Key responsibilities & impact- Verify patient eligibility, benefits, coverage, authorization requirements, deductibles, coinsurance, and copays
- Review TPA requirements and guidelines
- Communicate benefit information and insurance requirements to providers and staff
- Assist front office teams with insurance-related questions
- Maintain accurate insurance information in the patient management system
- Prepare, review, and submit clean claims
- Monitor claim acceptance and resolve submission errors
- Follow up on unpaid or pending claims
- Investigate denied claims and payment discrepancies
- Submit corrected claims, reconsiderations, and appeals
- Identify denial trends and recommend process improvements
- Post insurance and patient payments accurately
- Reconcile balances, adjustments, and payment variances
- Manage aging reports and outstanding balances
- Follow up on underpayments and unpaid claims
- Maintain relationships with insurance carriers and payer representatives
- Stay informed about payer policies and reimbursement updates
- Maintain compliance with Medicare, Medicaid, commercial payer requirements, HIPAA, and company policies
- Assist with audits, reporting, and quality assurance initiatives
- Support the patient journey from insurance verification through final payment collection
- Collaborate with providers, administrative staff, and team leads
- Participate in process improvement initiatives and special projects
Requirements
What you’ll need- High school diploma or equivalent
- Strong organizational, communication, and customer service skills
- Ability to manage multiple priorities in a fast-paced environment
- High attention to detail and accuracy
- Moderate to strong proficiency in Microsoft Excel and Microsoft Word, including creating, maintaining, and analyzing spreadsheets, generating reports, and preparing professional business documents
- Minimum of 2 years of healthcare billing, insurance verification, revenue cycle, or medical office experience (preferred)
- Experience working with insurance carriers, payer portals, and healthcare billing systems (preferred)
- Knowledge of insurance verification, authorizations, claims processing, appeals, denials, and accounts receivable management (preferred)
- Knowledge of medical billing regulations and payer requirements
- Proficiency with healthcare software systems and payer portals
- Must be local to Pittsburgh, Pennsylvania
Benefits
Comp & perks- Competitive hourly pay
- Paid time off
- Paid holidays
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- 401(k)
- Professional development opportunities
- Remote work with periodic office meetings