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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in obtaining and validating WC/NF information from patients while ensuring compliance with HIPAA standards. Strong bilingual communication skills in Spanish and English, along with investigatory and problem-solving abilities, are essential for effective patient interaction and data management.
Highest-signal resume keywords
Bilingual In SpanishHIPAA ComplianceMicrosoft Office Suite ProficiencyInvestigatory SkillsHealthcare 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
WC/NF Information GatheringInsurance VerificationDatabase ManagementPatient Contact ResearchData Annotation
Soft Skills
Interpersonal SkillsProblem SolvingCommunication SkillsCollaborationDependability
Tools & Technologies
Hospital Computer SystemsSearch EnginesOffice MachinesSmartphone
Industry Keywords
HealthcareInsurance PlansInformation SecurityPatient PrivacyClient Protocols
About the role
Key responsibilities & impact- Obtain WC/NF information from patients in the hospital
- Assist with both in-house and discharged patients
- Work in an onsite designated client area to meet with and gather information from patients
- Contact patients and screen for WC/NF insurance on cases referred by the client hospital, by phone or in person
- Review and validate insurance information
- Research and verify patient contact information using search engines and hospital computer systems; annotate hospital systems with daily notes
- Research and resolve pending WC/NF issues
- Retrieve information from hospital databases
- Verify insurance coverage through websites or by calling insurance companies
- Update the internal database with completed account work, actions taken to communicate with patients, and account codes
- Obtain and send mail and correspondence to the Supervisor
- Use, protect, and disclose patients’ PHI in accordance with HIPAA standards
- Comply with Information Security and HIPAA policies and procedures
- Limit viewing of PHI to the minimum necessary for assigned duties
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or equivalent is required
- Experience in the field of healthcare or insurance plans is a plus
- Fully bilingual in Spanish (spoken and written skills) required
- Ability to use the internet and learn databases
- Strong investigatory and researching skills
- Strict adherence to the policies and protocols of the client while conducting themselves professionally at all times
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
- Ability to work onsite at client location
- Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
- Ability to follow directions, collaborate with others, and handle stress
- Ability to operate office machines properly and in accordance with Hospital safety standards
- Ability to perform light lifting up to 15 pounds