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OhioHealthCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including claim submission, denial resolution, and patient account management. Strong analytical and communication skills are essential for effective collaboration with payers and ensuring accurate account handling.
Highest-signal resume keywords
Medical BillingClaim SubmissionDenial ResolutionAnalytical SkillsClear Communication
About the role
Key responsibilities & impact- Submit medical billing to the appropriate party
- Work insurance edits and errors
- Follow up on adjudication of claims
- Work payer rejections and denials
- Review, analyze, and correct denied and rejected claims
- Follow up on unpaid accounts to collect payment
- Research correspondence and information from payer phone calls to ensure accurate account handling
- Review and update patient insurance information
- Collaborate with payer representatives to complete accounts
- Report trends and payer issues to management
- Communicate with payers, patients, family members, guarantors, hospital departments, and physician practices regarding insurance claim information
Requirements
What you’ll need- High School or GED (Required)
- At least 1 year experience with similar work
- No certification or licensure required
- Analytical skills to gather and interpret data where information or problems are not overly difficult or complex
- Clear communication and organizational skills to prioritize and meet deadlines
- Ability to work from Ohio
Benefits
Comp & perks- Full-time schedule
- Day shift
- 40 scheduled hours per week
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim AdjudicationInsurance EditsPayer RejectionsPayment CollectionData Interpretation
Soft Skills
Organizational SkillsPrioritizationCollaboration
Industry Keywords
Payer RepresentativesPatient Insurance InformationUnpaid AccountsInsurance Claim Information