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Medical Billing Coordinator
Remote Raven. Verify patient insurance eligibility, network status, active coverage, deductibles, copays, coinsurance, out-of-pocket maximums, and service-specific benefits .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Proficient in verifying patient insurance eligibility and benefits, navigating payer portals, and documenting interactions in EMR/EHR systems. Demonstrates strong communication skills and the ability to manage high call volumes while maintaining HIPAA compliance.
Highest-signal resume keywords
Insurance Verification ExperienceEMR/EHR ProficiencyPayer Portal NavigationMedical Scheduling ExperienceHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationBenefits ChecksReferral CoordinationPrior Authorization IdentificationDeductibles KnowledgeCopays KnowledgeCoinsurance KnowledgeOut-Of-Pocket Costs KnowledgeDocumentation AccuracyPatient Interaction Management
Soft Skills
Clear CommunicationDetail OrientedOrganizedDependableCalm Under Pressure
Tools & Technologies
EMR SystemEHR SystemPayer PortalsMicrosoft 365Google Workspace
Industry Keywords
US HealthcareCall Center EnvironmentPatient InsuranceHIPAA ComplianceInsurance Carriers
About the role
Key responsibilities & impact- Verify patient insurance eligibility, network status, active coverage, deductibles, copays, coinsurance, out-of-pocket maximums, and service-specific benefits
- Identify referral requirements and prior authorization needs by payer and service type
- Navigate payer portals and contact insurance carriers to verify benefits
- Document insurance verification details in the EMR/EHR
- Handle inbound patient calls
- Make outbound calls for scheduling, benefit confirmations, document collection, and follow-up
- Explain insurance benefit information to patients clearly
- Address patient questions and concerns
- Schedule, reschedule, and confirm appointments across providers and service lines
- Process referrals and coordinate with internal teams and external providers
- Verify and update patient demographic information
- Maintain complete documentation across patient interactions and transactions
Requirements
What you’ll need- Demonstrated experience in a US healthcare call center environment — this is a firm requirement
- Hands-on experience conducting insurance verification and benefits checks (VOB) for US payers
- Working knowledge of deductibles, copays, coinsurance, out-of-pocket costs, and benefit structures across commercial and government payers
- Experience identifying referral and prior authorization requirements by payer
- Proficiency navigating payer portals and contacting insurance carriers
- Experience documenting insurance verification and patient interactions in an EMR or EHR system
- Medical scheduling experience, including referral coordination
- Detail oriented and accurate in verification and documentation
- Organized and dependable when managing high volumes of calls and tasks
- Clear and professional communication skills
- Ability to handle difficult conversations and complex payer situations calmly
- HIPAA awareness and compliance
- EMR/EHR proficiency required
- Payer portal navigation required
- Proficiency with Microsoft 365 or Google Workspace
- Reliable high-speed internet, a quiet dedicated workspace, and a quality headset
- Full-time availability Monday through Friday aligned to US business hours
- Ability to work in a HIPAA-compliant environment