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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical documentation processes, including compliance with CMS and HIPAA regulations, while effectively collaborating with cross-functional teams to enhance revenue cycle performance. Proficient in navigating electronic medical records and applying medical billing knowledge in oncology and organ health settings.
Highest-signal resume keywords
Medical DocumentationOncology ExperienceHIPAA ComplianceElectronic Medical Records (EPIC)Analytic 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 Billing SystemsMedical TerminologyBasic Procedure CodingData ExtractionRevenue Cycle Management
Soft Skills
Organizational SkillsTime ManagementProblem SolvingInterpersonal SkillsCritical Thinking
Tools & Technologies
G-SuiteGoogle CalendarGoogle Sheets
Certifications & Qualifications
Undergraduate DegreeCertification in Medical Billing
Industry Keywords
CMS GuidelinesNCD Coverage CriteriaLCD Coverage CriteriaPHI PrivacyClinical Setting
About the role
Key responsibilities & impact- Obtain necessary medical documentation by collaborating with in-house billing operations, customer experience teams, medical records case managers and accounts
- Serve as a primary liaison among relevant internal teams
- Apply CMS, state and insurer medical policy and coverage guidelines, including LCD and NCD coverage criteria
- Navigate and extract data from electronic medical records, including EPIC
- Lead and coordinate account outreach efforts
- Track special contact requests, review incoming medical records and respond to account phone calls
- Assist with regular case uploads and database maintenance
- Develop working relationships with departments affecting revenue cycle performance
- Participate in meetings, discussions, case reviews and continuing education to review metrics, workflows, trends and improvement opportunities
- Support team performance initiatives and productivity goals while maintaining quality standards for QA
- Follow procedures and document activities in compliance with business process and regulatory requirements
- Complete required training related to HIPAA, PHI privacy, general policies, procedure compliance and security
Requirements
What you’ll need- Two- or Four-year undergraduate degree or certification preferred
- At least 2 years prior customer service or support experience
- Previous laboratory experience in oncology and/or organ health is strongly preferred
- Multilingual skills are a plus
- Knowledge of medical billing systems, medical terminology and abbreviations, basic procedure coding knowledge, and health care nomenclature and systems
- Proficiency with G-Suite products, including Google Calendar and G-Sheets
- Strong analytic skills with ability to interpret, evaluate and act on clinical information
- Previous experience working in an Oncology or Transplant clinical setting strongly preferred
- Excellent organizational, time management and problem solving skills
- Excellent interpersonal skills and ability to work with internal and external colleagues at all organizational levels
- Ability to work in a high performing, fast paced team environment requiring flexibility
- Ability to navigate multiple customer demands and balance competing priorities
- Ability to analyze, identify and articulate/report trends clearly and concisely
- Ability to solve problems using critical thinking skills
- Ability to maintain confidentiality of sensitive PHI information
- Required completion of HIPAA & PHI privacy, General Policies and Procedure Compliance, and security training
Benefits
Comp & perks- Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
- Free testing for employees and their immediate families
- Fertility care benefits
- Pregnancy and baby bonding leave
- 401k benefits
- Commuter benefits
- Employee referral program