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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, claims processing, and collections, with a strong understanding of insurance remits and medical terminology. Provides exceptional customer service while maintaining confidentiality and adhering to HIPAA guidelines.
Highest-signal resume keywords
Medical Billing ExperienceClaims ProcessingCustomer Service SkillsUnderstanding Insurance RemitsBilingual in English/Spanish
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 CodingClaims ProcessingPayment PostingBasic Math SkillsData EntryUnderstanding Medical ClaimsEOB UnderstandingAccount ReconciliationAR Follow-UpMulti-Line Phone System
Soft Skills
Excellent CommunicationCustomer Service OrientationAttention to DetailProblem-Solving
Tools & Technologies
EMR/EPM SystemsEClinical Works Practice ManagementMS OfficeMulti-Functional Printer/Copier/Fax
Industry Keywords
HIPAA ComplianceENT SpecialtyInsurance Reimbursement PracticesCollection Laws
About the role
Key responsibilities & impact- Handle all incoming patient billing inquiries for ENT Specialty Partners offices
- Settle account balances and resolve claim issues using company policies and procedures, medical coding, insurance reimbursement practices, and collection laws
- Accurately enter information into the computer system
- Provide reimbursement assistance and superior customer service to patients and their families
- Follow HIPAA guidelines and provide medical records to authorized parties upon request
- File and bill patient transactions accurately and timely
- Handle incoming calls and triage billing inquiries regarding outstanding balances
- Take payments over the phone
- Make outbound calls to patients or guarantors regarding outstanding balances and offer payment options
- Review patient account balances and determine appropriate prior actions by billing, payment posting, and AR follow-up
- Answer and respond to correspondence related to patient accounts
- Post charges, payments, adjustments, and related activities in the EHR
- Maintain confidentiality and perform other related duties as assigned
Requirements
What you’ll need- High School Diploma or equivalent
- Understanding insurance remits and remark codes (REQUIRED)
- Minimum 3 years recent experience in medical billing, claims processing and collections
- Minimum 3 years recent experience handling incoming patient calls for post adjudicated claims for providers
- Excellent customer service skills with an understanding of delivering information to a patient / customer in a timely manner
- Bilingual in English/Spanish preferred, but not required
- Understanding of medical claims and terminology
- Basic math skills and ability to accurately process money transactions; must be able to read and understand an EOB
- Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on
- Proficient using the computer, data entry, and above average typing skills
- Experience with MS Office, EMR/EPM systems
- Experience with eClinical Works Practice Management system preferred
- Prior experience with ENT specialty a plus