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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in full-cycle billing processes for Critical Access Hospitals and Rural Health Clinics, with a strong focus on claims processing, customer service, and compliance with third-party requirements. Proficient in utilizing eClinicalWorks E.M.R. to enhance billing accuracy and efficiency.
Highest-signal resume keywords
Full-Cycle Billing ExperienceEClinicalWorks E.M.R.Claims And Denial ManagementOrganizational SkillsCustomer Service
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 ProcessingBillingCredit And CollectionsData EntryProcess ImprovementThird-Party ApprovalsQuality AssuranceTime ManagementAttention To DetailAdministrative Duties
Soft Skills
MultitaskingCritical ThinkingTeam CollaborationIndependent WorkCoaching And Training
Industry Keywords
Critical Access HospitalRural Health ClinicUB-04CMS-1500Commercial ClaimsWorkers Comp ClaimsVA Claims
About the role
Key responsibilities & impact- Execute complete business office services and claims processing for Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities
- Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
- Recommend and implement process improvements and controls for submission, billing, credit, and collections
- Follow up on third-party approvals, billing, and overdue account collections
- Ensure accurate and timely billing in accordance with established procedures and third-party requirements
- Meet production and quality assurance standards
- Maintain customer service and protect confidential customer information
- Process miscellaneous paperwork and perform administrative duties
- Work with high-profile customers and difficult processes
- Participate in team projects
- Assist the manager with employee coaching, training, discipline, and action-plan follow-up
- Ensure employee compliance with dress code, attendance, and company policies
Requirements
What you’ll need- At least 3–5 years of full-cycle billing experience, including both Acute Hospital and Physician (Profee) claims
- Experience with Claims and Denial work queues
- Experience using eClinicalWorks E.M.R. (required)
- Familiarity with Commercial, Workers Comp, and VA claims (required)
- Strong organizational, multitasking, and time-management skills
- Detail-oriented and able to follow through on issues to resolution
- Ability to act independently and as a team member
- High School Diploma or equivalent combination of education and relevant experience
- Excellent critical thinking, organizational, and time-management skills with strong attention to detail, accuracy, and follow-through
Benefits
Comp & perks- Company-offered education opportunities
- Full-time employment
