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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in reviewing and validating Advanced Beneficiary Notices (ABNs) for Medicare, ensuring compliance with departmental guidelines while maintaining accuracy in a high-volume environment. Strong organizational and analytical skills are essential for effective documentation and record-keeping.
Highest-signal resume keywords
Accounts Receivable ExperienceCICS Billing System KnowledgeProficiency In ExcelAttention To DetailDocumentation 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
Advanced Beneficiary Notices ReviewAlpha/Numeric Typing10 Key TypingHigh-Volume ValidationRecord-KeepingSystem NavigationData EntryAudit Trail DocumentationGuideline InterpretationModifier Management
Soft Skills
Effective CommunicationOrganizational SkillsTime-Management SkillsAdaptabilityProblem-Solving Skills
Tools & Technologies
CICS Billing SystemM-PowerMicrosoft ExcelMicrosoft Word
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
MedicareSOPsCompliance RequirementsInventory SupportProductivity Standards
About the role
Key responsibilities & impact- Review and validate Advanced Beneficiary Notices (ABNs) for Medicare based on required elements and departmental guidelines
- Determine ABN validity using multiple page elements and subjectivity where applicable
- Source and review determinations based on inventory
- Update systems to allow for specimen billing
- Document ABNs and add or remove modifiers
- Record decisions with detailed audit trail notes
- Communicate clearly and concisely, adapting tone and style to the audience
- Process high-volume validations while meeting productivity, quality, and turnaround time standards
- Provide inventory support as needed
- Follow departmental SOPs and compliance requirements
- Perform duties under general supervision with sound judgment and accountability
Requirements
What you’ll need- High School Diploma or GED equivalent
- 1 year or more accounts receivable experience
- CICS Billing System or m-Power knowledge (preferred)
- Alpha/numeric typing and 10 key
- Proficiency in Excel and Word
- Attention to detail and analytical skills
- Ability to interpret guidelines and apply appropriate judgment when reviewing documentation
- Effective organizational and time-management skills
- Ability to maintain accuracy while working in a high-volume environment
- Documentation and record-keeping skills
- Proficiency in navigating multiple systems and updating records accurately
- Ability to multitask within multiple systems
- Adaptability to changing duties, following SOPs and solving problems as required
- Ability to manage time and tasks independently while maintaining productivity
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability (STD)
- Long-term disability (LTD)
- 401(k)
- Paid Time Off (PTO) or Flexible Time Off (FTO)
- Tuition Reimbursement
- Employee Stock Purchase Plan
