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Experienced Medical Biller – Worker's Compensation
EnableComp. Act as liaison between key client contacts and insurance companies .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in workers' compensation billing and collections, utilizing strong analytical skills to evaluate claims and ensure compliance with state fee schedules. Proven ability to manage client relationships and maintain confidentiality while achieving productivity targets.
Highest-signal resume keywords
Workers' Compensation BillingClient Facing ExperienceInsurance Claims ProcessingMS Office ProficiencyAnalytical Problem Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Workers' Compensation BillingClaims ProcessingData AnalysisMedical Record AcquisitionDocumentation Submission
Soft Skills
Customer ServiceCommunication SkillsProblem SolvingTime ManagementIndependence
Tools & Technologies
EnableComp SoftwareMS WordMS ExcelMS Outlook
Certifications & Qualifications
High School DiplomaGEDAssociate's DegreeBachelor's Degree
Industry Keywords
Healthcare BillingPayer Payment DocumentationConfidential Information ManagementProductivity TargetsPatient Health Information
About the role
Key responsibilities & impact- Act as liaison between key client contacts and insurance companies
- Analyze and evaluate workers’ compensation claim payments using EnableComp’s proprietary software, systems, and tools
- Use payer payment documentation to determine whether medical providers were reimbursed according to applicable state workers’ compensation fee schedules and/or PPO contracts
- Research, request, and acquire medical records, implant manufacturer invoices, and other supporting documentation
- Submit supporting documentation with hospital claims to insurance companies for prompt and correct reimbursement
- Conduct timely telephone follow-up with payers to confirm receipt of claims and documentation and facilitate reimbursement
- Prepare Workers’ Comp initial bill packets or appeal letters and submit them with required documentation
- Handle patient health information and maintain privacy and security of confidential and proprietary information
- Perform other duties as required
Requirements
What you’ll need- High School Diploma or GED required
- Associates or Bachelor’s Degree preferred
- 1-2+ years’ experience in healthcare field working in billing or collections
- 1+ years’ client facing/customer services experience
- 1+ years’ experience with workers compensation billing and collections preferred
- Intermediate understanding of insurance payer/provider claims processing and subsequent data requirements
- Strong computer proficiency and ability to use MS Office, including Word, Excel, and Outlook
- Equivalent combination of education and experience will be considered
- Regular and predictable attendance
- Ability to meet or exceed productivity targets and goals
- Ability to work independently without direct supervision
- Proven written and verbal communication skills
- Strong analytical and problem solving skills
- Proven experience working with external clients; strong customer service skills and business acumen
- Ability to prioritize and manage multiple competing priorities and projects concurrently
- Ability to remain in a stationary position 50% of the time
- Ability to operate a computer and other office equipment
Benefits
Comp & perks- Full-time employment
- Professional growth and development opportunities
- Tools, resources, and support for career growth
- Flexible, family-oriented work culture
- Work-life balance support