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Biller
Med-Metrix. Review referrals to ensure all charges for each date of service have been captured .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare billing processes, including charge corrections, claims submissions, and insurance plan knowledge. Proficient in maintaining compliance with HIPAA standards and ensuring the accuracy of patient information.
Highest-signal resume keywords
Healthcare Claims ProcessingEPIC ExperienceCPT and ICD-10 KnowledgeMicrosoft Office Suite ProficiencyExcellent 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
Charge CorrectionsHealthcare Claims SubmissionsInsurance Plan KnowledgeCPT CodingICD-10 Coding
Soft Skills
CollaborationStress ManagementAttention to Detail
Tools & Technologies
EPICMicrosoft Office Suite
Industry Keywords
HIPAA CompliancePatient Demographics VerificationPayer Payment Delays ResolutionConfidentialityBilling Guidelines
About the role
Key responsibilities & impact- Review referrals to ensure all charges for each date of service have been captured
- Complete charge corrections in the billing system based on office documentation
- Meet and maintain daily productivity and quality standards
- Adhere to client/team policies and procedures
- Verify and correct patient demographics in the host system
- Verify proper authorizations are entered
- Analyze, identify, and resolve issues causing payer payment delays
- Maintain confidentiality and a professional attitude
- Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards
- Comply with Information Security and HIPAA policies and procedures
- Limit viewing of PHI to the minimum necessary to perform assigned duties
- Perform other duties as assigned
Requirements
What you’ll need- High school diploma or equivalent required
- Previous experience in Hospital/Facility or Physician billing: preferred
- Experience with EPIC preferred
- Basic knowledge of healthcare claims submissions and processing
- Knowledge of various types of insurance plans, CPT, ICD-10, and billing guidelines
- Proficiency in Microsoft Office Suite
- Must possess a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Excellent written and verbal communication skills required
- Ability to follow directions, collaborate with others, and handle stress
- Ability to operate computers, computer peripherals, telephones, and other office equipment