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Acute Claim Biller – UB04, CMS-1500
IKS Health. Execute complete business office services day to day .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in full-cycle billing processes for Acute Hospitals and Physician claims, with a strong focus on accuracy, compliance, and customer service. Proficient in managing claims processing, third-party payer relations, and implementing process improvements.
Highest-signal resume keywords
Full-Cycle Billing ExperienceEClinicalWorks E.M.R. ProficiencyClaims And Denial ManagementPatient Billing And CollectionsOrganizational And Time-Management 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 ProcessingBilling AccuracyData EntryProcess ImprovementQuality Assurance StandardsPatient BillingThird-Party Payer RelationsInsurance Claim PreparationOverdue Account CollectionsCompliance With Payer Requirements
Soft Skills
Detail-OrientedMultitaskingCritical ThinkingTeam CollaborationCustomer Service
Tools & Technologies
EClinicalWorks E.M.R.
Industry Keywords
Critical Access HospitalRural Health ClinicUB-04 ClaimsCMS-1500 ClaimsCommercial ClaimsWorkers Comp ClaimsVA Claims
About the role
Key responsibilities & impact- Execute complete business office services day to day
- Provide claims processing services for Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities
- Coordinate hospital or clinic business office activities, including patient billing, collections, third-party payer relations, and insurance claim preparation
- Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
- Recommend and implement process changes and controls
- Follow up on third-party approvals, billing, and overdue account collections
- Ensure accurate and timely billing in accordance with procedures and payer requirements
- Meet production and quality assurance standards
- Maintain quality customer service and confidentiality of customer information
- Participate in company education opportunities to update job knowledge
- Process miscellaneous paperwork and administrative duties
- Assist managers with employee coaching, training, disciplinary actions, and action-plan follow-up
- Ensure employee compliance with dress code, attendance, and company policies
- Assist with team projects as requested
Requirements
What you’ll need- At least 3–5 years of full-cycle billing experience, including both Acute Hospital and Physician (Profee) claims
- Experience with Claims and Denial work queues
- Experience using eClinicalWorks E.M.R. (required)
- Familiarity with Commercial, Workers Comp, and VA claims (required)
- Strong organizational, multitasking, and time-management skills
- Detail-oriented, with ability to follow through on issues to resolution
- Ability to work independently and as a team member
- High School Diploma or equivalent combination of education and relevant experience
- Excellent critical thinking, organizational, and time-management skills
- Strong attention to detail, accuracy, and follow-through
Benefits
Comp & perks- Company-offered education opportunities
- Equal opportunity employment