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Inpatient Biller – Collection Specialist
The Carpenter Health Network. Prepare, review, and submit claims accurately and timely .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in hospital billing and collections, with a strong understanding of Medicare, Medicaid, and institutional reimbursement methodologies. Proficient in managing accounts receivable and resolving claim discrepancies while maintaining compliance with payer regulations.
Highest-signal resume keywords
Hospital Billing ExperienceInstitutional Reimbursement MethodologiesMedicare And Medicaid KnowledgeUB-04 RequirementsAccounts 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
Claims PreparationClaims SubmissionClaim Rejection ResolutionPayment PostingRemittance Advice AnalysisAccounts Receivable Follow-UpContractual Allowances ReviewBilling System DocumentationPayer Portal ProficiencyClearinghouse Experience
Soft Skills
Strong Organizational SkillsExcellent Communication SkillsCustomer Service Skills
Industry Keywords
Medicare ComplianceMedicaid CompliancePayer GuidelinesReimbursement DiscrepanciesPayment Variances
About the role
Key responsibilities & impact- Prepare, review, and submit claims accurately and timely
- Monitor claim status through payer portals, clearinghouses, and internal RCM systems
- Investigate and resolve claim rejections, denials, underpayments, and payment variances
- Submit corrected claims, appeals, and reconsiderations as necessary
- Post payments and collections to accounts
- Analyze remittance advices and explanations of benefits to identify reimbursement discrepancies
- Perform accounts receivable follow-up activities to secure payment on outstanding accounts, including patient statements
- Review accounts for appropriate adjustments, write-offs, and contractual allowances
- Document all account activity thoroughly within the billing/RCM system
- Maintain compliance with Medicare, Medicaid, and commercial payer billing regulations
Requirements
What you’ll need- Minimum 2-year hospital billing and collection experience, required
- Strong understanding of Institutional reimbursement methodologies
- Demonstrated knowledge of Medicare, Medicaid, and other payor guidelines and criteria for reimbursement
- Experienced in UB-04 requirements
- Ability to interpret remittance advises, contracts, and payer correspondence
- Proficiency with clearinghouses and payor portals
- Strong organizational skills with the ability to manage high account AR volumes
- Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers
- Strong computer and software skills
- Only candidates with appropriate experience will be considered
Benefits
Comp & perks- Excellent Pay
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Paid Time Off (PTO)
- 401-K
- Remarkable Career Advancement Opportunities