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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing insurance claims, including verification, denials management, and prior authorization. Proficient in managing accounts receivable and resolving inquiries from payers and agencies.
Highest-signal resume keywords
Medical Claims ExperienceInsurance VerificationDenials ManagementData Entry SkillsAccounts Receivable 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
Insurance ClaimsClaims ProcessesPrior AuthorizationData VerificationClaims Submission
Soft Skills
Customer ServiceProblem Solving
Tools & Technologies
Electronic Claims Processing
Industry Keywords
InsuranceAccounts ReceivableKentucky Residency
About the role
Key responsibilities & impact- Prepare and process various insurance claims
- Verify data by conferring with appropriate agencies daily
- Create and process electronic claim submissions for various payers daily
- Research claim errors, make corrections, and resubmit claims
- Review accounts receivable reports daily and follow up on delinquent accounts
- Receive, investigate, and respond to inquiries from payers and/or agencies concerning accounts receivable activity
- Maintain and develop accounts receivable schedules to track issues and resolutions
- Resolve customer requests, inquiries, and concerns
Requirements
What you’ll need- High school diploma required
- 1+ year of Medical Claims or Insurance experience
- Reliable internet and office space to work from home
- Strong computer skills and data entry
- Skills in insurance verification, denials management, prior authorization, insurance claims, and claims processes
- Must live in Kentucky
Benefits
Comp & perks- Medical, dental & vision
- Critical Illness, Accident, and Hospital coverage
- 401(k) Retirement Plan with pre-tax and Roth post-tax contributions
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short- and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)