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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 effective interaction with clients and insurance representatives. Proficient in multitasking and maintaining productivity in a fast-paced environment while ensuring accuracy in documentation and claims processing.
Highest-signal resume keywords
Medical Claims InvestigationInsurance BillingMicrosoft Office ProficiencyCritical-Thinking SkillsHigh-Volume Call Management
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 DocumentationCoordination of BenefitsTechnical ProficiencyMultitasking Ability
Soft Skills
Clear CommunicationProblem-Solving SkillsOrganizational Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft Outlook
Industry Keywords
Workers' Compensation ClaimsPayer Information ReviewClient SuccessFast-Paced Environment
About the role
Key responsibilities & impact- Make high-volume outbound calls to investigate, bill, and maximize payments on medical claims for hospital and medical-provider clients
- Investigate and resolve troubled 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 and determine next steps
- Participate in special projects to achieve goals and ensure client success
- Remain present, participate actively, and stay on camera during training
Requirements
What you’ll need- Must reside in the United States in 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
- Ability to work in a private, distraction-free home environment
- Secure internet connection required
- Home internet speeds above 20 Mbps download and above 10 Mbps upload
- Workspace must accommodate workstation equipment and related materials
- Experience with Coordination of Benefits and general understanding of insurance billing is a plus, but not required
- Full focus during scheduled work hours and active participation on camera required
- Ability to manage a high volume 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
- Access to a robust knowledgebase
- Computers and necessary work equipment provided
- Involved management support
- Remote work from home