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Medical Biller
Indigenous Pact PBC, Inc.. Bill medical claims timely and accurately across multiple states .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and reimbursement processes, including compliance with CMS and HIPAA regulations. Proficient in managing claims, denials, and follow-ups while maintaining effective communication with payers.
Highest-signal resume keywords
Medical Billing ExperienceKnowledge Of CMS RegulationsProficient With Billing SoftwareCustomer Relations SkillsHealthcare Administration Degree
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Claims BillingReimbursement ManagementBilling Compliance KnowledgeClaims Denial ManagementPayment PostingEHR NavigationInsurance Follow-UpAccounts ReconciliationBilling Requirements KnowledgeGovernment Payer Experience
Soft Skills
Excellent Communication SkillsOrganizational SkillsProfessionalismConfidentialityAbility To Work Independently
Tools & Technologies
SAMMSKIPURPMSComputerized Billing Applications
Industry Keywords
Healthcare BillingBilling RegulationsInsurance ClaimsPayer CommunicationReimbursement Issues
About the role
Key responsibilities & impact- Bill medical claims timely and accurately across multiple states
- Report to the Billing Director and collaborate with the billing and coding team
- Manage daily and monthly billing, reimbursement, and insurance follow-up responsibilities
- Ensure billing and insurance follow-up meet performance standards
- Monitor accounts daily to maximize reimbursement opportunities
- Identify potential billing compliance issues, discrepancies, and billing problems
- Post payments and remittances daily
- Manage claims, including denials, rejections, and follow-up
- Develop and maintain communication networks with payers
- Navigate required EHR and billing systems
- Record payer payments accurately and reconcile differences
- Meet individual and team goals assigned by management
- Assist with other projects and duties as assigned
Requirements
What you’ll need- Minimum 1-2 years experience in healthcare billing or systems
- Associates degree in healthcare administration, or a related field, or a combination of education and experience
- Minimum 1 year experience working with government payers to resolve reimbursement issues is preferred
- Knowledge of reimbursement and billing requirements and regulations
- Knowledge of CMS, HIPAA and other governmental regulations, rules and policies as it pertains to billing and collections
- Proficient with various computerized applications and billing software; SAMMS, KIPU and/or RPMS preferred
- Must possess excellent customer relations and communication skills
- Professionalism, confidentiality, and organizational skills
- Ability to work well with limited supervision
- Must be willing to travel on a limited basis, as needed
Benefits
Comp & perks- Competitive benefits including 401(k), Medical, Dental, and Vision insurance
- Open, transparent lines of communication with leadership
- Committed to giving back to improve our communities and environmental impact
- A development-focused environment where you have autonomy to drive your career path