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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient billing, insurance claims, and customer service within a healthcare setting, with a strong focus on communication and problem-solving skills. Proficient in navigating multiple systems and maintaining compliance with confidentiality and regulatory standards.
Highest-signal resume keywords
Customer Service ExperienceMedical BillingInsurance ClaimsPatient BillingVerbal And Written Communication 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
Medical BillingInsurance ClaimsPatient BillingAlpha-Numeric Data Entry ProficiencyProblem-Solving Skills
Soft Skills
Attention To DetailOrganizational SkillsTeam-Oriented MindsetAbility To Learn In A Fast-Paced EnvironmentEmpathetic Communication
Tools & Technologies
Multiple Computer ScreensApplications Navigation
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Healthcare Customer ServiceMedicare ExperienceMedicaid ExperienceWomen’s Health BillingGenetics And Oncology Testing BillingMolecular Testing Reimbursement
About the role
Key responsibilities & impact- Answer high-volume inbound calls from patients, doctors’ 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
- Routinely use multiple resources to resolve patient inquiries during calls
- Maintain performance goals and established quality standards
- Develop proficiency through a structured training program
- Serve as a frontline contact for patients, provider offices, and insurance carriers regarding patient accounts and billing inquiries
- Research and resolve issues in real time using multiple systems and resources
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
- 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 and focus
- Team-oriented mindset with ability to work independently
- 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