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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including accounts receivable management, compliance with HIPAA standards, and proficiency in ICD-9 and CPT coding. Capable of leading a team, providing guidance, and identifying areas for operational improvement.
Highest-signal resume keywords
Medical Billing ExperienceAccounts Receivable ManagementICD-9 And CPT Coding KnowledgeHIPAA ComplianceTeam Leadership
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 BillingAccounts ReceivableICD-9 CodingCPT CodingCharge EntryClaims FilingPayment ProcessingAudit Trail ManagementFinancial Data AuditingDelinquent Balance Review
Soft Skills
Team CoordinationProblem SolvingCommunicationGuidance And DirectionConflict Resolution
Tools & Technologies
Electronic Health Systems
Certifications & Qualifications
Billing Or Coding Program Completion
Industry Keywords
HIPAA ComplianceRed Flag RulesCorporate Compliance ProgramPatient Financial DataMandatory Vaccination Laws
About the role
Key responsibilities & impact- Coordinate and supervise daily activities of Billing Specialists
- Support billing and collections functions of the medical practice
- Adhere to Tenet Physician Resources policies, procedures, HIPAA compliance, and confidentiality standards
- Support the corporate compliance program and report compliance concerns
- Provide direction and guidance to less experienced team members
- Identify and recommend areas for improvement
- Assist in scheduling and coordinating team activities
- Handle escalated and unresolved issues
- Enter charges in a timely manner
- File claims and run/work audit trails daily
- Process ERAs, payments, and adjustments
- Balance daily activity and prepare/send Batch Cover Sheets to the Director and accounting
- Audit patient financial data to ensure collection of copays and balances due
- Review and work delinquent insurance and patient balances
- Work credit balances
- Run reports requested by management or accounting
- Perform other assigned responsibilities
Requirements
What you’ll need- High school diploma/GED required
- Completion of a billing or coding program preferred
- Minimum of 5 years of experience working in medical billing
- Knowledge of Accounts Receivable collection process
- Knowledge of Red Flag rules
- Knowledge of Electronic Health Systems
- Knowledge of ICD-9 and CPT codes
- Compliance with applicable mandatory vaccination laws, where required
Benefits
Comp & perks- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts
- Healthcare and dependent flexible spending accounts
- Employee Assistance Program
- Employee discount program
- Voluntary pet insurance
- Voluntary legal insurance
- Voluntary accident and critical illness insurance
- Voluntary long-term care insurance
- Voluntary elder and childcare benefits
- Voluntary auto and home insurance