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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in zero balance operations, including recovery strategies, compliance, and performance management. Proficient in analyzing claims and collaborating with cross-functional teams to enhance operational efficiency and client satisfaction.
Highest-signal resume keywords
Zero Balance Operations ManagementHealthcare Revenue Cycle OperationsClaims Processing ExpertiseClient-Facing Customer ServiceSupervisory Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT KnowledgeICD-10 KnowledgeClaims AnalysisPerformance ManagementQuality Control ReviewsPayer StrategyBilling and CollectionsData Analytics CollaborationProprietary Systems ProficiencyRecovery Opportunity Identification
Soft Skills
Coaching SkillsMentoring SkillsInterpersonal CommunicationAnalytical Problem-SolvingWritten Communication
Tools & Technologies
Payer PortalsClaims SystemsHealthcare Revenue Cycle TechnologyMS Office Suite
Industry Keywords
Zero Balance RecoveryHospital ClaimsClient ManagementOperational InitiativesCompliance Standards
About the role
Key responsibilities & impact- Lead and oversee Zero Balance operations
- Provide daily supervision, coaching, and support to assigned team members
- Manage hiring, onboarding, training, performance management, and corrective action
- Prepare and deliver performance evaluations and account reviews
- Train and mentor staff on accuracy, payer strategy, and zero balance recovery practices
- Perform quality-control reviews for due diligence, compliance, and workflow adherence
- Identify and pursue recovery opportunities in large inventories of zero-balance hospital claims
- Analyze claim payments using proprietary systems, tools, and payer documentation
- Prepare and submit bill packets and appeal letters
- Follow up with insurance companies to drive correct reimbursement
- Research and compile medical records, implant invoices, and supporting documentation
- Apply CPT, ICD-10, and modifier knowledge to claims, appeals, and recovery strategy
- Escalate access and claim-resolution roadblocks
- Coordinate responses to external client requests and reported issues
- Facilitate meetings on client concerns, process improvements, and operational challenges
- Communicate directly with clients about system access, documentation, payment research, and training
- Partner with Managers to prioritize work and align operational goals
- Collaborate with Data Analytics, Data, and Product teams on claim, payment, data-import, and calculation issues
- Support departmental and enterprise operational initiatives
Requirements
What you’ll need- High School Diploma or GED required; Associates or Bachelor’s Degree a plus
- 5+ years’ experience in healthcare, working in zero balance line of business
- 5+ years’ client-facing/customer service experience
- 2–5 years’ supervisory experience
- 5+ years’ experience with commercial/government billing and collections
- Proven hospital revenue cycle operations experience, focused on zero balance or underpayment recovery
- Ability to identify recovery opportunities within large claim inventories
- Experience with payer portals, claims systems, and healthcare revenue cycle technology platforms
- Expert understanding of insurance payer/provider claims processing and data requirements
- Experience supporting outsourced zero balance or contingency-based recovery programs
- Strong computer proficiency, including MS Office (Word, Excel, Outlook)
- Equivalent combination of education and experience considered
- Regular and predictable attendance
- Exceptional interpersonal, coaching, mentoring, written, and verbal communication skills
- Strong analytical and problem-solving skills
- External client experience, customer service skills, and business acumen
- Ability to prioritize and manage multiple competing priorities and projects
- Ability to sit for long periods of time
Benefits
Comp & perks- Professional growth and development support
- Tools, resources, and support for career growth
- Flexible, family-oriented work environment
- Work-life balance support
- Remote work option