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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, including claims processing for Acute Hospitals and Physician claims, while ensuring compliance with payer requirements and maintaining high standards of accuracy and customer service.
Highest-signal resume keywords
Full-Cycle Billing ExperienceEClinicalWorks E.M.R.Claims Processing for Acute HospitalCommercial and Workers Comp ClaimsOrganizational 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 ProcessingBillingCollectionsData EntryDenial ManagementPatient BillingInsurance Claim PreparationProcess ImprovementQuality AssuranceConfidentiality Compliance
Soft Skills
Detail OrientedMultitaskingCritical ThinkingTeam CollaborationIndependent Work
Tools & Technologies
EClinicalWorks
Industry Keywords
Critical Access HospitalRural Health ClinicUB-04CMS-1500Third-Party Payer Relations
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 billing, credit and collections, and data entry
- Recommend and implement process changes and controls for submission, billing, credit, and collections
- 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 customer service and protect confidential customer information
- Participate in company education opportunities and team projects
- Assist the manager with employee coaching, training, disciplinary actions, and action-plan follow-up
- Ensure employee compliance with dress code, attendance, and company policies
- Process miscellaneous paperwork and perform other assigned administrative duties
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 with strong attention to detail, accuracy, and follow-through
Benefits
Comp & perks- Company-offered education opportunities
- Remote work arrangement
- Equal opportunity employment