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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in patient billing, medical billing, and insurance claims, with strong communication skills to explain complex coverage and costs. Capable of maintaining performance goals while navigating multiple systems and providing excellent customer service.
Highest-signal resume keywords
Customer Service ExperienceMedical BillingInsurance ClaimsBilingual English/SpanishAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient BillingMedical BillingInsurance ClaimsAlpha-Numeric Data EntryPayment Plan InitiationEOB ExplanationMolecular Testing ReimbursementMedicare ExperienceMedicaid ExperienceWomen’s Health Billing
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationCustomer-Focused Problem-SolvingOrganizational SkillsAbility to Work Independently
Tools & Technologies
Multiple Computer ApplicationsCall Center Systems
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Healthcare Customer ServicePatient AccountsBilling InquiriesConfidentialityRegulatory Compliance
About the role
Key responsibilities & impact- Answer high-volume inbound calls from patients, doctor’s offices, and private insurance carriers
- Make outbound calls to resolve open patient accounts receivable and customer inquiries
- Initiate payment plans for patients with outstanding balances
- Use multiple resources and systems to research and resolve patient inquiries during calls
- Maintain performance and quality goals
- Complete structured training and become proficient with role processes
- Serve as a frontline contact for patients, provider offices, and insurance carriers regarding patient accounts and billing inquiries
- Address customer questions and assist patients with payment options
Requirements
What you’ll need- High School Diploma or GED equivalent
- 1 year or more customer service experience
- Preferred: 1 year or more call center experience or healthcare-related customer service
- Preferred: 1 year or more medical billing, insurance claims, and explanation of benefits (EOB)
- Preferred: 1 year or more patient billing
- Preferred: 1 or more women’s health, genetics and oncology specialty testing billing experience
- Preferred: 1 year or more molecular testing reimbursement experience
- Preferred: 1 year or more Medicare and Medicaid experience
- Preferred: Bilingual English/Spanish capability
- Strong verbal and written communication skills
- Ability to explain complex WH, genetics and oncology testing coverage, costs, and financial responsibility clearly and empathetically
- Ability to establish protocols and procedures and collaborate cross-functionally
- Ability to learn in a fast-paced environment
- Attention to detail
- Ability to work independently and as part of a team
- Excellent organizational skills
- Proficiency navigating multiple computer screens and applications
- Alpha-numeric data entry proficiency
- Ability to explain billing or account information clearly and professionally
- Customer-focused problem-solving and resolution skills
- Adherence to confidentiality, privacy, and regulatory compliance requirements
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