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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification, eligibility requirements, and compliance with healthcare regulations. Proficient in using billing systems and payer portals to optimize claims reimbursement and maintain accurate patient information.
Highest-signal resume keywords
Insurance VerificationEligibility RequirementsBilling Systems (Epic, Cerner, Meditech)HIPAA ComplianceMedical Billing Certification
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 ReimbursementCoordination Of BenefitsPayer CorrespondenceBilling Forms (UB-04, 1500)Patient Registration
Soft Skills
Attention To DetailTime ManagementOrganizational SkillsCommunication SkillsAbility To Work Independently
Tools & Technologies
Insurance Discover PlatformHospital Patient Account SystemsMS Office (Excel, Word)Payer PortalsEMR/Billing Platforms
Certifications & Qualifications
Medical Billing CertificationHealthcare Administration Certification
Industry Keywords
MedicareMedicaidCommercial InsurancePatient AccessHIPAA Compliance
About the role
Key responsibilities & impact- Build foundational knowledge of insurance requirements and assist in resolving eligibility issues affecting claims reimbursement
- Pursue missed or secondary insurance coverages to optimize reimbursement and reduce patient liability
- Collaborate with payers, patients, and internal teams to resolve account discrepancies and complete the billing cycle efficiently and compliantly
- Learn and navigate the Insurance Discover platform and Hospital Patient Account Systems
- Work assigned insurance eligibility accounts and resolve coverage, coordination of benefits, and patient-information issues
- Contact insurance companies to verify active coverage, eligibility dates, and policy details
- Identify and document reasons for eligibility denials
- Load or correct insurance information in client systems and resubmit claims when applicable
- Use status codes and follow-up indicators in the system
- Escalate complex or recurring issues to senior staff
- Prepare basic payer correspondence or appeals when needed
- Maintain HIPAA and internal-policy compliance
- Obtain and maintain offsite access to patient accounting systems
- Complete mandatory PAS training
- Maintain process documentation
- Meet department productivity and quality standards
Requirements
What you’ll need- 1 or more years of experience in healthcare, insurance verification, or related field
- Basic understanding of health insurance types (Medicare, Medicaid, Commercial)
- Willingness to learn eligibility requirements and COB rules
- Excellent attention to detail, time management, organizational and communication skills
- Comfort using payer portals and EMR/billing platforms
- Proficiency with MS Office tools (Excel, Word)
- Ability to meet productivity and quality benchmarks within training period
- Familiarity with billing forms (UB-04, 1500) and payer correspondence preferred
- Coursework or certification in medical billing, healthcare administration, or insurance
- Experience in insurance verification, patient registration, or patient access roles
- Understanding of Medicaid eligibility processes or tools
- Proficiency with billing systems (e.g., Epic, Cerner, Meditech)
- Ability to work independently and in a team environment
- Must comply with HIPAA, FCRA, GLBA, FinThrive policies, and applicable laws
- Must complete mandatory PAS training and maintain offsite access to patient accounting systems
Benefits
Comp & perks- FinThrive perks and benefits are available; the posting directs candidates to finthrive.com/careers-benefits for the most up-to-date offerings
- Equal Opportunity Employer
