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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and claims processing, with a strong focus on HCPCS, CPT, and ICD-10 coding. Proven ability to manage high-volume billing tasks while ensuring accuracy and compliance with regulations.
Highest-signal resume keywords
Medical Billing ExperienceClaims ProcessingHCPCS KnowledgeAttention To DetailPayer Portal Experience
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 BillingClaims ProcessingHCPCS CodingCPT CodingICD-10 CodingERA ProcessingEOB ProcessingData EntryReconciliationBilling Accuracy
Soft Skills
Clear Written CommunicationTime ManagementAttention To DetailProblem SolvingIndependent Prioritization
Tools & Technologies
AI-Assisted Billing PlatformSpreadsheetsPayer PortalsClearinghousesBilling Trackers
Industry Keywords
Revenue Cycle ManagementSpecialty Pharmacy BillingInfusion BillingHome-Health BillingHIPAA Compliance
About the role
Key responsibilities & impact- Ingest nursing and pharmacy invoices and review them in the AI-assisted billing platform
- Resolve invoice discrepancies with vendors
- Build and submit clean claims to payers and TPAs accurately and on time
- Post payments, including ERA/EOB reconciliation
- Help close each month’s billing
- Maintain accurate treatment details, HCPCS/CPT codes and encounter information in billing trackers and systems
- Work with clinical and care teams to fill in missing information before submission deadlines
- Flag trends, errors and process gaps to the RCM lead to support automation and scaling
- Report to the Sr. Manager, RCM
- Own day-to-day billing work for infusion treatments
Requirements
What you’ll need- 2+ years of experience in medical billing, claims processing or revenue cycle
- Working knowledge of HCPCS, especially J-codes, CPT and ICD-10
- Strong attention to detail across high-volume, repetitive work
- Comfort with spreadsheets and learning new tools quickly
- Clear written communication and ability to prioritize and meet deadlines independently
- Specialty pharmacy, infusion or home-health billing experience (bonus)
- Experience with payer portals or clearinghouses such as Availity or Waystar (bonus)
- ERA/EOB processing experience (bonus)
- Familiarity with HIPAA (bonus)
- Must be legally authorized to work in the United States
- Must not require visa sponsorship to work in the United States
Benefits
Comp & perks- Stock options
- Benefits
- Competitive total rewards package