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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 managing high-volume calls while maintaining accuracy and productivity in a fast-paced environment.
Highest-signal resume keywords
Medical Claims InvestigationInsurance BillingMicrosoft Office ProficiencyCritical ThinkingProblem-Solving
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 ClaimsBilling DocumentationCoordination of BenefitsProductivity MetricsMultitaskingTechnical ProficiencyVerbal CommunicationWritten Communication
Soft Skills
Organizational SkillsAttention to DetailActive Participation
Tools & Technologies
Multiple Computer ScreensSoftware Applications
Industry Keywords
Workers' Compensation ClaimsPayer InformationClient SuccessFast-Paced Environment
About the role
Key responsibilities & impact- Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims
- 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
- Ensure maximized payments to hospital and medical-provider clients
- Review payer information and documentation when bills are not paid correctly
- Determine next steps for incorrectly paid or unpaid bills
- Participate in special projects to achieve team goals and ensure client success
- Attend and actively participate in 8-10 business days of on-camera training
Requirements
What you’ll need- Must reside in the United States within one of the listed eligible states
- Employment eligibility to work in the United States
- Successful completion of a background check
- Working knowledge of Microsoft Office (Word, Excel, Outlook)
- Technical proficiency with 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
- Full focus during scheduled work hours with productivity tracking
- Active participation on camera
- Ability to manage a high volume of inbound and outbound calls while maintaining accuracy and productivity standards
- Private, distraction-free home work environment
- Secure internet connection
- Home internet speeds greater than 20 Mbps download and 10 Mbps upload
- Workspace accommodating workstation equipment and related materials
- Experience with Coordination of Benefits and general understanding of insurance billing are a plus, but not required
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 for goal setting
- Computers and necessary work equipment provided
- Involved management support
- Remote work from home
- Secure internet and home office requirements supported by provided equipment