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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reviewing and evaluating medical claims, verifying patient and physician information, and maintaining knowledge of CPT and ICD-10 coding standards. Proficient in managing billing processes and ensuring compliance with federal regulations and medical billing guidelines.
Highest-signal resume keywords
Medical Claims EvaluationCPT and ICD-10 KnowledgeFederal Regulations ComplianceCustomer Service SkillsTime Management Skills
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 Claims ReviewPatient VerificationBilling Guidelines KnowledgeCPT CodingICD-10 Coding
Soft Skills
Detail-OrientedSelf-StarterCommunication Skills
Tools & Technologies
ETech LogsManual Tech Logs
Industry Keywords
Medical BillingInsurance VerificationPre-AuthorizationCross-TrainingDepartment Meetings
About the role
Key responsibilities & impact- Review and evaluate medical claims
- Identify patients and verify exams performed, ordering physicians or non-physician practitioners, and supporting documents
- Review ETech Logs and Manual Tech Logs for patient accuracy
- Verify designated fields on patient claims using medical records
- Update patient and insurance information
- Contact clients to obtain missing information
- Contact insurance companies to obtain pre-authorizations
- Maintain current knowledge of medical billing guidelines and federal regulations
- Cross-train in five billing work queues: MBI Medicare, Missing Payor, Billing, Dr Mobilex, and MBI Replacement Plan
- Attend and participate in department meetings
- Work overtime as needed to meet departmental goals
- Perform other assigned tasks supporting organizational goals
Requirements
What you’ll need- High school diploma or better
- Intermediate computer skills
- Intermediate time management skills
- Intermediate customer service skills
- Communication skills
- Detail-oriented
- Self-starter
- Ability to review and evaluate medical claims
- Ability to verify patient, physician, exam, and supporting documentation information
- Knowledge of CPT books and ICD-10 materials
- Knowledge of federal regulations and relevant billing guidelines
- Ability to cross-train in five billing work queues
- Ability to work required overtime as needed
Benefits
Comp & perks- Two weeks of vacation time
- Health insurance after 30 days
- Sick time
- 8 paid holidays
- Same day pay available
- Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
- Dental insurance
- Vision insurance
- Disability insurance
- Company paid life insurance
- 401(k)