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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in researching and resolving health insurance claims, including commercial health, Medicare, and Medicaid. Proficient in billing processes and maintaining productivity in a fast-paced environment while ensuring accuracy and compliance.
Highest-signal resume keywords
Claims Research And ResolutionUB04 And 1500 HCFAs FilingExperience With EPICMicrosoft Office ProficiencyFast-Paced Environment Performance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationHealth Insurance BillingSubrogation Information ManagementTimely Follow-UpProductivity Metrics Management
Soft Skills
Team SupportCommunication SkillsProblem-Solving
Tools & Technologies
EPICMicrosoft WordMicrosoft ExcelMicrosoft Outlook
Industry Keywords
Commercial Health ClaimsMedicare ClaimsMedicaid ClaimsDenial ReportsAuto Accident Billing
About the role
Key responsibilities & impact- Bill and investigate health insurance claims on behalf of hospitals and medical providers
- Research and investigate commercial health, Medicare, and Medicaid claims
- Follow up on unresolved claims to facilitate payment
- Maximize payments to healthcare provider clients
- Contribute to denial reports and audits
- Provide overall team support
- Participate fully in 8–10 business days of instructor-led training with interactive discussions and hands-on activities
- Maintain on-camera presence during training and regular work
- Manage high volumes of inbound and outbound calls while maintaining accuracy and productivity standards
Requirements
What you’ll need- Experience researching and resolving claims for commercial health, Medicare, and Medicaid
- Knowledge of filing correct UB04s and 1500 HCFAs with subrogation information to payers
- Familiarity with billing health insurance as part of auto accidents
- Experience conducting timely follow-up to determine claim status and collect or provide information to resolve claims
- Experience working in EPIC
- Working knowledge of Microsoft Office, including Word, Excel, and Outlook
- Technical proficiency working on multiple computer screens and software applications simultaneously
- Ability to maintain strong performance in a fast-paced environment with productivity metrics
- Private, distraction-free home work environment
- Secure internet connection with download speeds greater than 20 Mbps and upload speeds greater than 10 Mbps
- Must reside in the United States in one of the listed states
- Eligibility to work in the United States
- Successful employment history verification and background check
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 arrangement