FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing healthcare claims, including Medicaid and Medicare, while ensuring compliance with federal regulations. Proficient in analyzing billing discrepancies and guiding members through complex claims processes with strong communication and problem-solving skills.
Highest-signal resume keywords
Healthcare Claims ManagementMedicaid And Medicare KnowledgeAnalytical Problem-SolvingEffective Communication SkillsProcess Improvement
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 AnalysisBilling Discrepancy InvestigationDocumentation And TrackingFamiliarity With ACA GuidelinesProficient In MS WordProficient In ExcelInternal Database ManagementAttention To DetailCritical ThinkingRoot Cause Analysis
Soft Skills
Strong Listening SkillsGuidance And MentoringPatienceCollaborationEffective Verbal Communication
Tools & Technologies
Internal DatabasesDual-Monitor WorkstationHigh-Speed Internet
Industry Keywords
HIPAA ComplianceBenefit ProgramsCOBRADental CoverageVision CoverageBehavioral Health
About the role
Key responsibilities & impact- Investigate billing discrepancies and identify errors
- Coordinate resolutions among members, carriers, and providers for timely claim processing
- Manage cases involving Medicaid, Medicare, motor vehicle claims, and other benefit programs
- Educate members about benefit plans and coverage details
- Guide members through challenging claims scenarios
- Follow internal policies, procedures, and federal regulations
- Collaborate with team members and escalate unresolved issues to supervisors or carriers
- Mentor new team members and share best practices
- Contribute to continuous process improvements
- Document and track cases using internal databases
Requirements
What you’ll need- At least 2 years of experience in healthcare, customer service, or claims
- Ability to analyze claims, identify root causes, and propose practical solutions
- Strong listening skills and ability to guide members with care and patience
- Familiarity with plan documents, ACA guidelines, Medicare, COBRA, dental, vision, and behavioral health is a plus
- Proficient in MS Word and Excel
- Comfortable using internal databases to document and track cases
- Private, HIPAA-compliant workspace where confidential member information cannot be viewed or overheard
- Sufficient desk space for a dual-monitor workstation and related equipment
- Reliable high-speed internet with a minimum download speed of 200 Mbps
- Ability to work in a professional, distraction-free environment during scheduled work hours
- Strong concentration and attention to detail
- Critical thinking and problem-solving skills
- Effective verbal and written communication skills
Benefits
Comp & perks- Competitive pay starting at $18.00 per hour
- Medical, dental, and vision coverage
- 401(k) with company match
- PTO
- Comprehensive training
- Collaborative team support
- Health Advocate provides the computer equipment, monitors, and other necessary technology required to perform the role
- Room to grow and opportunities for promotion from within