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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 coding, healthcare business processes, and revenue cycle management, with a strong focus on customer service and operational efficiency. Capable of identifying and resolving client pain points while managing multiple accounts effectively.
Highest-signal resume keywords
Medical Billing CertificationMedical Billing And CodingHealthcare Business ProcessesInsurance Carrier KnowledgeMicrosoft Excel 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 BillingRevenue Cycle ManagementClaim-Level Denial ReviewsPatient Balance ReviewsDemographic ReviewsWorkflow Bottleneck IdentificationDocumentation PreparationTactical Risk Mitigation PlansData AnalysisClient Account Management
Soft Skills
Detailed Communication SkillsStrong Organization SkillsTime Management SkillsMultitasking AbilityTeam Collaboration
Tools & Technologies
Microsoft ExcelMicrosoft PowerPoint
Certifications & Qualifications
Medical Billing Certification
Industry Keywords
HealthcareInsurance CarriersMedicarePrivate HMOsPPOsClient ServiceOperational GapsClient Pain PointsSLA ManagementCustomer Focus
About the role
Key responsibilities & impact- Manage incoming client emails, support cases, and transactional questions regarding charges, payments, and claims, ensuring resolution within a 48-hour SLA
- Conduct claim-level denial reviews, patient balance reviews, and demographic reviews with client practice staff
- Manage phone queues related to transactional questions and route inquiries to appropriate internal parties
- Identify and escalate larger claim issues, recurring trends, or contract-related matters to the Client Advisor or appropriate functional teams
- Oversee daily support management across approximately 20 assigned client accounts
- Deliver exceptional customer service to Office Managers, billers, and front-desk staff
- Review individual client issue examples to diagnose underlying problems using product knowledge or prepare documentation for internal subject matter experts
- Identify repetitive workflow bottlenecks, recurring claim errors, and internal process gaps
- Suggest improvements to client-facing documentation and training materials
- Assist leadership and broader account teams in authoring and executing tactical risk mitigation plans for at-risk accounts
- Identify client pain points and operational gaps that could be resolved by additional ModMed services
- Perform additional projects and job duties as assigned
Requirements
What you’ll need- Minimum of 2 years of related experience and/or training in medical billing, healthcare business processes, or revenue cycle management, or an equivalent combination of education and experience, required
- Bachelor's Degree or equivalent work experience preferred
- Medical Billing Certification preferred
- Solid knowledge of medical billing and coding
- Knowledge of healthcare business processes
- Strong understanding of insurance carriers, including Medicare, private HMOs, and PPOs
- Basic Microsoft Excel skills, including formulas, functions, and formatting
- PowerPoint skills required
- Detailed written, verbal, and interpersonal communication skills
- High attention to detail
- Strong organization and time management skills
- Demonstrated ability to multitask in a fast-paced environment
- Ability to work effectively independently and as part of a collaborative team
- Alignment with ModMed core competencies, including Accountability, Agility, Customer Focus, Communication, and Results Driven
Benefits
Comp & perks- Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
- 401(k) matching contribution of 50% of employee contributions deferred on up to 6% of compensation; vested after one year of employment
- Generous Paid Time Off
- Paid Parental Leave programs
- Company-paid Life and Disability benefits
- Flexible Spending Account
- Employee Assistance Programs
- Company-sponsored Business Resource & Special Interest Groups
- Professional development opportunities
- Tuition reimbursement programs
- Unlimited access to LinkedIn Learning
- Global presence and in-person collaboration opportunities
- Dog-friendly HQ (US)
- Weekly catered breakfast and lunch
- Treadmill workstations
- Zen and wellness rooms within BRIC headquarters