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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong data entry skills with a focus on accuracy and attention to detail, while maintaining compliance with HIPAA regulations. Proficient in Microsoft Office Suite and Adobe Acrobat, with the ability to analyze and process claims efficiently.
Highest-signal resume keywords
Data Entry SkillsMicrosoft Office SuiteAdobe AcrobatHIPAA ComplianceAttention 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
Data EntryClaim AnalysisDocument ManagementUB04 Data EntryClaim Status Assignment
Soft Skills
Attention to DetailOrganizational SkillsAnalytical SkillsInterpersonal SkillsTeam-Building Skills
Tools & Technologies
Microsoft Office SuiteAdobe AcrobatCompany-Specific Software
Industry Keywords
HIPAA ComplianceClaim ProcessingEOB AnalysisReimbursement Analysis
About the role
Key responsibilities & impact- Monitor incoming claim notifications and ensure all required documents are complete and legible
- Verify required submission documents are present and legible
- Perform initial claim setup, accurately enter data, and assign correct claim statuses
- Perform initial analysis of client-submitted claims, EOBs, bills, policies, correspondence, and other documents
- Combine and extract claim documents when needed
- Copy combined files and rename them according to policy and procedures
- Enter UB04 data information for analysts
- Transfer claim documents to Document Management and IBR departments
- Create appeal letters and return them to clients
- Analyze client-provided coversheets for correct reimbursement
- Adjust the system to reflect correct reimbursement and savings
- Escalate problematic claims to the Lead of Claim Processing
- Notify the Lead of Claim Coordinator when documents are missing or illegible
- Maintain compliance with HIPAA and other security requirements
- Perform other duties as assigned
Requirements
What you’ll need- Minimum typing speed of 40 WPM
- Strong data entry skills with a high degree of accuracy
- Intermediate to advanced computer proficiency, including Microsoft Office Suite and Adobe Acrobat
- Ability to work across multiple monitors
- Ability to quickly learn company-specific software
- Exceptional attention to detail
- Strong organizational, analytical, and critical thinking skills
- Strong interpersonal and team-building skills
- Ability to collaborate across a diverse team and drive change across functional and business boundaries
Benefits
Comp & perks- PTO, Paid Holidays, and Volunteer Days
- Eligibility for health, vision and dental coverage
- 401(k) plan participation with company match
- Flexible spending accounts
- Tuition Reimbursement
- Company-paid life insurance
- Company-paid short-term disability
- Company-paid parental leave
- Remote and hybrid work options
