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Sight PartnersCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and coding, including proficiency in ICD-10 and CPT codes, while effectively managing accounts receivable and resolving insurance denials. Strong communication and interpersonal skills are essential for collaborating with team members and clients.
Highest-signal resume keywords
ICD-10 CodingCPT CodingBilling Certification (CPC, CPC-A, COPC, CPB)Accounts Receivable ManagementMedical Terminology Knowledge
About the role
Key responsibilities & impact- Answer patient phone calls
- Work denials and worklists within 24 hours of receipt
- Work Accounts Receivables reports within benchmarks
- Work Unbilled/Exclusion lists within 24 hours of receipt
- Work denials related to coding issues
- Perform initial charge review to determine appropriate ICD-10 and CPT codes for physician services
- Review and research insurance denials from remittances, correspondence, or Clearinghouse rejections
- Follow up on outstanding accounts receivable using practice management worklists, payer portals, phone inquiries, and written communications
- Communicate denials or trends requiring practice knowledge or action
- Collaborate with RMC team members and offices to ensure account accuracy and resolve issues
- Communicate payer billing guidelines to clients and staff
- Meet or exceed client AR objectives in 30-, 60-, and 90+-day aging categories
- Perform other related duties as assigned
Requirements
What you’ll need- Required to answer patient phone calls
- Good working knowledge of medical terminology and anatomy
- Knowledge of current third-party billing and collection regulatory guidelines and requirements
- Good interpersonal skills and a basic understanding of team management concepts
- Ability to gather and interpret clinical data
- Ability to work independently in a fast-paced environment
- Excellence in communication skills; ability to convey information verbally and in writing
- A high school diploma or GED completion is required
- Billing or Coding Certification (CPC, CPC-A, COPC, CPB) or willing to obtain certification within 6 months of employment
- Two (2) years experience with CPT ICD-10 coding of physician services preferred
Benefits
Comp & perks- Medical, Dental, and Vision Insurance
- Robust Ancillary Benefits
- 401(k) Plan with employer contribution
- Company Paid Life Insurance
- Generous PTO/Holiday
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 CodingCPT CodingAccounts Receivable ManagementCharge ReviewInsurance Denial Research
Soft Skills
Interpersonal SkillsCommunication SkillsTeam Management ConceptsIndependent Work AbilityFast-Paced Environment Adaptability
Tools & Technologies
Practice Management SoftwarePayer PortalsClearinghouse Systems
Certifications & Qualifications
Billing Certification (CPC, CPC-A, COPC, CPB)
Industry Keywords
Third-Party BillingCollection Regulatory GuidelinesClinical Data InterpretationPatient CommunicationDenial Management