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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 Acute Hospitals and Physician claims, with a strong focus on accuracy, compliance, and customer service. Proficient in managing claims processing, billing, and collections while ensuring adherence to third-party requirements.
Highest-signal resume keywords
Full-Cycle Billing ExperienceEClinicalWorks E.M.R. ProficiencyClaims And Denial ManagementCommercial And Workers Comp Claims FamiliarityOrganizational And Time-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
Claims ProcessingBilling And CollectionsData EntryPatient BillingThird-Party Payer RelationsInsurance Claim PreparationQuality Assurance StandardsProcess ImplementationFollow-Up On Overdue AccountsCritical Access Hospital Claims
Soft Skills
Detail-OrientedMultitaskingTime-ManagementCritical ThinkingTeam Collaboration
Tools & Technologies
EClinicalWorks E.M.R.
Industry Keywords
UB-04CMS-1500Acute Hospital ClaimsPhysician ClaimsRural Health ClinicCustomer ServiceConfidential Information Protection
About the role
Key responsibilities & impact- Execute complete business office services day to day
- Provide claims processing services for Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities
- Coordinate hospital or clinic business office activities, including patient billing, collections, third-party payer relations, and insurance claim preparation
- Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
- Recommend and implement new or revised processes
- Implement controls for proper submission, billing, credit, and collections
- Follow up on third-party approvals, billing, and overdue account collections
- Ensure accurate and timely billing in accordance with procedures and third-party requirements
- Meet production and quality assurance standards
- Maintain customer service and protect confidential customer information
- Process paperwork and perform administrative duties
- Assist with team projects
- Assist the manager with employee coaching, training, disciplinary actions, 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 with ability to follow through on issues to resolution
- Ability to work independently and as a team member
- High School Diploma or equivalent combination of education and relevant experience needed
- Excellent critical thinking, organizational, and time-management skills with strong attention to detail, accuracy, and follow-through
Benefits
Comp & perks- Company-offered education opportunities