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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and claims submission, with a strong understanding of claim lifecycle processes including CMS-1500/837 claims and CPT/ICD-10 coding. Proficient in data analysis and communication, facilitating effective collaboration with health plans and internal teams to resolve payment issues.
Highest-signal resume keywords
Medical Billing ExperienceClaims Submission KnowledgeCPT/ICD-10 CodingGoogle Suite ProficiencyEMR/RCM Software 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
Claims SubmissionDenials ManagementCPT CodingICD-10 CodingClaim Lifecycle BasicsPayment Issue ResolutionData AnalysisBilling Reports PreparationDocumentation MaintenanceAged Claims Research
Soft Skills
Detail-OrientedAnalyticalAdaptableCuriousStrong Communication Skills
Tools & Technologies
Google SuiteExcelEMR SoftwareRCM SoftwareCandid
Industry Keywords
CMS-1500 Claims837 ClaimsEOBsERAsMedicaid BillingMedicare BillingNutrition Services BillingFood Billing
About the role
Key responsibilities & impact- Prepare and submit claims to health plans accurately and on time
- Research denied and rejected claims, identify root causes, make corrections, and resubmit
- Flag recurring denial and rejection patterns to address issues at the source
- Monitor claim status and follow up with health plans and RCM partners
- Help resolve payment issues
- Prepare claims and billing reports and support month-end close
- Maintain clean and up-to-date documentation
- Participate in investigations, one-off cleanups, and special projects
- Research aged claims and payer-specific issues
- Partner with finance, product, and engineering on claims data and process or system improvements
- Test and provide feedback on process or system improvements
- Support billing communications and questions for patients and health plans
Requirements
What you’ll need- 1-3 years of experience in medical billing, claims submission, or denials management
- Working knowledge of claim lifecycle basics (CMS-1500/837 claims, CPT/ICD-10 coding, EOBs/ERAs, common denial reason codes)
- Comfort with Google Suite and Excel (sorting, filtering, and ideally pivot tables and VLOOKUPs)
- Strong written and verbal communication skills, ideally also with comfort working with health plans to resolve payment issues
- Experience with EMR or RCM software (i.e. Candid) is a plus
- Experience with Medicaid or Medicare billing is a plus
- Experience with registered dietician, nutrition services and/or food billing is a plus
- Detail-oriented, analytical, adaptable, curious, able to work independently and know when to seek help
Benefits
Comp & perks- Remote-First Company
- Unlimited PTO
- Flexible & remote location
- Healthcare Coverage (Medical, Dental, Vision)
- 401k & bonus
- Registered Dietitian Sessions
- Equal employment and advancement opportunity