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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical claims investigation and billing, with strong communication skills for interacting with various stakeholders. Proficient in multitasking and maintaining productivity in a fast-paced environment while ensuring accuracy in claims processing.
Highest-signal resume keywords
Medical Claims InvestigationInsurance BillingCoordination Of BenefitsMicrosoft Office ProficiencyCritical Thinking
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 Claims ProcessingBilling DocumentationClaims ResolutionPayer Information ReviewProductivity Metrics Management
Soft Skills
Clear CommunicationOrganizational SkillsProblem-SolvingMultitasking AbilityAttention To Detail
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft OutlookComputer Software Applications
Industry Keywords
Workers' Compensation ClaimsHigh-Volume Outbound CallsPatient InteractionInsurance Company LiaisonHome Workspace Requirements
About the role
Key responsibilities & impact- Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims for hospitals and medical providers
- Investigate and resolve troubled and/or denied workers' compensation claims
- Contact patient employers, insurance company representatives, attorneys, and patients
- Submit bills and proper documentation to insurance companies or appropriate payers
- Review payer information and documentation when bills are not paid correctly
- Determine appropriate next steps for underpaid or incorrectly paid bills
- Participate in special projects to achieve goals and ensure client success
Requirements
What you’ll need- Must reside in the United States within one of the listed eligible states
- Eligibility to work in the United States
- Successful completion of a background check
- Working knowledge of Microsoft Office (Word, Excel, Outlook)
- Technical proficiency to work on multiple computer screens and software applications simultaneously
- Ability to maintain strong performance in a fast-paced environment with productivity metrics
- Ability to remain organized while multitasking
- Critical thinking and problem-solving skills
- Clear and professional verbal and written communication
- Experience with Coordination of Benefits and a general understanding of insurance billing are a plus, but not required
- Private, distraction-free home workspace
- Secure internet connection
- Home internet speeds greater than 20 Mbps download and 10 Mbps upload
- Workspace must accommodate workstation equipment and related materials
- Ability to be fully present, actively participate, and remain on camera during training
- Ability to commit full attention during scheduled work hours and meet productivity expectations
- Ability to actively participate on camera
- Ability to manage high volumes of inbound and outbound calls while maintaining accuracy and productivity standards
Benefits
Comp & perks- Incentive Plan
- Comprehensive training beginning on the first day and lasting 8-10 business days
- Ongoing support from teammates following training
- Robust knowledgebase for continued reference
- Individual performance metrics visibility
- Computers and necessary work equipment provided
- Involved management support
- Remote work arrangement