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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing and resolving healthcare accounts receivable, ensuring compliance with HIPAA guidelines, and effectively communicating with insurance companies. Proven ability to meet productivity targets while maintaining high-quality standards in claim resolution.
Highest-signal resume keywords
US Healthcare AR ExperienceHealthcare Accounts Receivable Process KnowledgeExcellent Written Communication SkillsExcellent Oral Communication SkillsBPO 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
Claim ResolutionOutstanding Receivables AnalysisPatient Billing ManagementCash PostingContractual Adjustments Writing Off
Soft Skills
Problem-SolvingAttention to DetailTime Management
Tools & Technologies
Computer Literacy
Industry Keywords
HIPAA ComplianceInsurance CoordinationRevenue Cycle ManagementDemographic DenialsEligibility Denials
About the role
Key responsibilities & impact- Review and analyze assigned outstanding receivables portfolios to identify unresolved claims
- Manage and resolve outstanding and denied claims by coordinating with insurance companies
- Follow up to obtain additional information required for claim resolution
- Resolve claims within established timelines and defined SLAs
- Perform website checks and work on non-callable, demographic, and eligibility denials
- Work on website-related claims based on coding team responses
- Meet daily productivity targets at the required quality level
- Prioritize pending claims from aging buckets and follow up to avoid revenue loss
- Review unpaid claims and verify insufficient or unclear insurance information
- Escalate difficult collection situations to management
- Handle patient billing queries and update account information
- Post cash and write off contractual adjustments
- Meet daily, weekly, and monthly individual targets
Requirements
What you’ll need- Bachelor's Degree / Graduation in any stream
- 3–6 years of BPO experience
- US Healthcare AR experience
- Excellent written (documentation) and oral communication skills
- Computer literacy
- Healthcare Accounts Receivable Process knowledge
- Follow confidentiality and HIPAA compliance guidelines when calling insurance companies