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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue cycle management, including claim submission, payment posting, and denial management, while effectively collaborating with clinical and financial teams to enhance revenue performance. Proficient in using Cerner (Oracle) and FinThrive Clearinghouse for billing and collections processes.
Highest-signal resume keywords
Revenue Cycle ManagementAccounts ReceivableCerner (Oracle)FinThrive ClearinghouseMedicare Billing
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim SubmissionPayment PostingDenial ManagementAppealsCollectionsCoding GuidelinesReimbursement MethodologiesCredit Balance ResolutionMetrics AnalysisBilling Edits Resolution
Soft Skills
CommunicationOrganizational SkillsTime ManagementInterpersonal SkillsProblem-Solving
Tools & Technologies
Cerner (Oracle)FinThrive ClearinghouseMicrosoft ExcelMicrosoft Outlook
Industry Keywords
Revenue Cycle ProcessesSelf-Pay CollectionsPayor ContractsMedicare DDE SystemHospital Revenue Cycle
Tech Stack
Tools & technologiesOracle
About the role
Key responsibilities & impact- Support hospital and clinic revenue cycle processes, including claim submission for all payers, payment posting, denial management, appeals, and collections
- Manage self-pay collections and resolve outstanding account balances
- Conduct accounts receivable follow-up to review, identify, and resolve discrepancies
- Research and resolve complex credit balance scenarios
- Use Cerner (Oracle) to review account information, document activity, and resolve billing and collection issues
- Use FinThrive Clearinghouse to resolve billing edits and submit secondary claims
- Review payor contracts and reimbursement methodologies to identify and resolve payment discrepancies
- Apply knowledge of coding guidelines, regulations, and reimbursement methodologies to resolve account issues
- Collaborate with clinical and financial teams to address issues affecting revenue
- Analyze metrics and reports to identify opportunities to improve revenue cycle performance
- Follow revenue cycle best practices and perform other duties as assigned
Requirements
What you’ll need- High school diploma
- Three or more years of experience in accounts receivable or revenue cycle management
- Knowledge of hospital and clinic revenue cycle processes, including claim submission, payment posting, denial management, appeals, and collections
- Knowledge of coding guidelines, applicable regulations, payor contracts, and reimbursement methodologies
- Experience with Medicare billing and collections, the Medicare DDE system, self-pay collections, and complex credit balance resolution
- Proficiency with Cerner (Oracle), Microsoft Excel, and Outlook
- Experience using FinThrive Clearinghouse to resolve billing edits and submit secondary claims
- Strong communication, organizational, time management, interpersonal, and problem-solving skills
- Ability to work independently and collaboratively with minimal supervision
- Commitment to the core values of Team, Integrity, Growth, and Innovation
Benefits
Comp & perks- Hourly wage based on experience
- Access to a 401(k) Retirement Savings Plan with company match
- Comprehensive medical, dental, and vision coverage
- Paid time off
- Paid holidays
- Pet insurance
- Employee Assistance Program (EAP)
- Discounted services
- Professional growth opportunities
- Sense of belonging within a dynamic and growing organization
