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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare and commercial billing processes, including claims submission on UB and 1500 forms, while ensuring compliance with regulatory guidelines. Proficient in managing patient accounts and revenue cycle benchmarks, with a focus on improving billing practices and resolving errors.
Highest-signal resume keywords
Medicare Billing ExperienceCommercial Billing ExperienceClaims Processing ExperienceEPIC ExperienceAdvanced Medical Billing Certification
About the role
Key responsibilities & impact- Bill and file claims on UB and 1500 forms
- Reference DDE to verify beneficiary names for Medicare claims
- Identify recurring billing errors and communicate them to the Billing Supervisor
- Recommend billing error solutions or resolutions
- Adjust claims as necessary
- Perform commercial and Medicare billing and research within management timelines and benchmark expectations
- Provide customer service to patients, government agencies, commercial insurers, hospital departments, physicians’ offices, and outside vendors
- Submit electronic and paper claims, monthly patient statements, and corrected claims daily
- Provide physician practice staff with feedback on data and demographic corrections
- Coordinate with practice managers and PBS staff to maintain submission, accounts receivable collections, closed claims, clean-claim, and bad-debt benchmarks
- Update spreadsheets with daily statistics
- Process Gateway EDI requests and receipts to reconcile with patient accounting system submissions
- Follow regulatory guidelines for timely submission and reprocessing
- Submit and receive 837 files from outside vendors
- Manage payer file maintenance and notify physician groups of relevant updates and changes
- Assist in developing, implementing, and improving internal controls for sound billing practices
- Report to the Billing Supervisor
Requirements
What you’ll need- Must reside in the greater Phoenix metro area
- Strong hospital billing experience from a medium to large healthcare system
- EPIC experience preferred
- High School Diploma or GED required
- 2 years of Medicare or Commercial physician billing and reimbursement, revenue cycle, or claims processing experience required
- 2 years of patient accounts experience required, or 3 years of physician billing experience required
- Advanced medical billing certification preferred within two years of hire date
- CCS coursework
- Experience with Medicare and commercial billing
- Experience submitting claims on UB and 1500 forms
- Knowledge of DDE, Gateway EDI, 837 files, and patient accounting systems
- Ability to meet billing, claims processing, and revenue cycle benchmarks
Benefits
Comp & perks- Remote work arrangement with required office attendance when necessary
- Work schedule available anytime between 6:00am and 5:00pm, Monday–Friday
- Career development opportunities
- Advanced medical billing certification completion within two years of hire date (preferred)
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 SubmissionBilling Error ResolutionPatient Accounts ManagementRevenue Cycle ManagementData Correction FeedbackSpreadsheet ManagementDDE KnowledgeGateway EDI Processing837 Files SubmissionUB and 1500 Forms Experience
Soft Skills
Customer ServiceCommunicationProblem-Solving
Tools & Technologies
Patient Accounting SystemsElectronic Claims Submission
Certifications & Qualifications
High School Diploma or GEDAdvanced Medical Billing CertificationCCS Coursework
Industry Keywords
Healthcare SystemBilling SupervisorAccounts Receivable CollectionsClean-Claim BenchmarksBad-Debt Benchmarks