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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing outstanding receivables in the US healthcare sector, with a strong focus on claims resolution, adherence to HIPAA compliance, and effective communication with insurance representatives. Proficient in utilizing MCR LCD/NCD Guidelines for accurate billing and claims processing.
Highest-signal resume keywords
US Healthcare AR Calling ExperienceClaims Resolution ExpertiseMCR LCD/NCD Guidelines KnowledgeHIPAA Compliance AdherenceExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ManagementRevenue Cycle ManagementCPT CodingModifier UtilizationPatient BillingInsurance VerificationOutstanding Receivables AnalysisContractual AdjustmentsProductivity Target AchievementAging Bucket Prioritization
Soft Skills
Problem-SolvingInterpersonal CommunicationEscalation ManagementAttention to DetailTime Management
Tools & Technologies
MCR LCD/NCD Guidelines PortalHigh-Speed Broadband Internet
Industry Keywords
Healthcare Accounts ReceivableSurgeryASCOrthopedicsNeurosurgeryPain ManagementConfidentialityTelecommuter Policy
About the role
Key responsibilities & impact- Review, call, analyze, and manage assigned outstanding receivables portfolio
- Resolve outstanding and denied claims within defined timelines and Service Level Agreements (SLAs)
- Interact with and probe insurance representatives to obtain status updates and resolve claims
- Meet daily productivity targets at the required quality level
- Follow up on claims to avoid revenue loss and prioritize pending claims from the aging bucket
- Review claims not paid by insurance companies
- Check insufficient or unclear insurance information provided by patients
- Follow confidentiality and HIPAA guidelines while calling insurance companies
- 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
- Utilize MCR LCD/NCD Guidelines portals for CPT or Modifier requirements
Requirements
What you’ll need- Science Graduation
- 3 to 5 years in US Healthcare AR Calling
- Knowledge of Surgery, ASC, Ortho, Neuro, and Pain Management
- Excellent oral and written communication skills
- High-speed broadband internet connection at home
- Must understand and adhere to the telecommuter policy
- Knowledge of MCR LCD/NCD Guidelines and how to utilize the portal for LCD/NCD Guidelines for any CPT or Modifier
- Adherence to confidentiality and HIPAA compliance requirements
Benefits
Comp & perks- 40 hours per week as a full-time employee
- Weekends off
- High-speed broadband internet connection at home
- Hybrid work arrangement