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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 knowledge of ICD-10 and CPT/HCPCS codes, while ensuring compliance with federal and state regulations. Proficient in utilizing billing software and electronic medical records to maximize reimbursement and maintain productivity standards.
Highest-signal resume keywords
Medical Billing ExperienceICD-10 And CPT/HCPCS KnowledgeEPIC System ProficiencyRevenue Cycle Data AnalysisMicrosoft Office Suite Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingICD-10 CodingCPT CodingBilling SoftwareElectronic Medical RecordsClaims InvestigationRevenue Cycle ManagementClaim Edits ReviewBilling AdjustmentsPayer-Mandated Guidelines
Soft Skills
ProfessionalismPunctualityCollaboration
Tools & Technologies
EPIC SystemMicrosoft Office SuiteMicrosoft TeamsGoToMeetingZoom
Industry Keywords
Medical ClaimsHealthcare OrganizationsBilling GuidelinesClaims DenialsReimbursement Maximization
About the role
Key responsibilities & impact- Prepare and submit physician billing data and medical claims to insurance companies
- Follow federal, state, and payer-mandated billing guidelines
- Maintain productivity standards while meeting quality requirements
- Review and correct claim edits, errors, and denials
- Ensure proper hospital claim submission and payment
- Investigate claims, follow up with payers, and work assigned claims
- Post billing adjustments
- Work billing reroutes promptly and according to company procedures
- Conduct duties professionally and punctually
- Maximize reimbursement for provided services
- Collaborate with client teams to support the financial success of healthcare organizations
Requirements
What you’ll need- Must be located in one of the following states: Arkansas, Arizona, California, Colorado, Florida, Georgia, Iowa, Illinois, Louisiana, Missouri, Montana, North Carolina, Nebraska, New Jersey, Nevada, Ohio, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Virginia, Washington, or Wisconsin
- High school diploma or equivalent required
- Associate's degree preferred
- 2+ years of work experience as a Medical Biller or similar role
- Experience with EPIC system preferred
- Proficiency in Microsoft Office Suite and Teams
- Proficiency in virtual meeting platforms such as GoToMeeting and Zoom
- Knowledge of ICD-10 diagnosis and procedure codes and CPT/HCPCS codes
- Knowledge of medical billing rules and regulations
- Knowledge of revenue cycle data analysis and interpretation
- Skilled in medical accounts investigation
- Skilled in billing software and electronic medical records
- Must complete payor-specific rules and regulations training
- Must consent to criminal background, employment verification, and government exclusion checks as a condition of employment or engagement
Benefits
Comp & perks- Fully remote position
- Background check, employment verification check, and government exclusion check conducted as part of hiring
- Payor-specific rules and regulations training
