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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, ensuring compliance with current CPT and ICD-10 guidelines, and maintaining accurate patient and insurance information. Strong communication and detail-oriented skills are essential for effective customer service and collaboration with clients and insurance companies.
Highest-signal resume keywords
Medical Claims EvaluationKnowledge of CPT and ICD-10Intermediate Computer SkillsCustomer Service SkillsTime 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
Medical Claims ReviewCPT KnowledgeICD-10 KnowledgeFederal Regulations KnowledgeData Verification
Soft Skills
Detail OrientedSelf-StarterCommunication Skills
Tools & Technologies
ETech LogsManual Tech Logs
Industry Keywords
Medical Billing GuidelinesPre-AuthorizationsPatient Information Management
About the role
Key responsibilities & impact- Review and evaluate medical claims
- Identify the patient and verify exams performed, ordering physician or non-physician practitioner, and supporting documentation
- Review ETech Logs for accuracy of patients seen
- Review Manual Tech Logs and ETech Logs for probationary technicians
- Verify designated fields on patient claims using medical records
- Update patient and insurance information as necessary
- 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 department meetings
- Perform other tasks supporting organizational goals
Requirements
What you’ll need- High School or better
- Intermediate computer skills
- Intermediate time management
- Intermediate customer service
- Communication skills
- Detail oriented
- Self-starter
- Ability to review and evaluate medical claims
- Knowledge of current CPT books, ICD-10 materials, Federal Register, and other pertinent materials
- Ability to work required overtime as needed to meet departmental goals
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)