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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, including claims processing for Critical Access Hospitals and Rural Health Clinics, while ensuring compliance with third-party requirements and maintaining high standards of customer service.
Highest-signal resume keywords
Full-Cycle Billing ExperienceClaims Processing for Critical Access HospitalsCommercial and Medicaid Claims KnowledgeOrganizational and Time-Management SkillsAttention to Detail
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 EntryThird-Party Payer RelationsQuality Assurance StandardsUB-04 ClaimsCMS-1500 ClaimsDenial ManagementProcess ImprovementPatient Billing
Soft Skills
Critical ThinkingMulti-TaskingTeam CollaborationIndependenceCustomer Service
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Healthcare BillingPatient AccountsClaims SubmissionConfidentialityCompliance
About the role
Key responsibilities & impact- Execute TruBridge’s complete business office services
- Provide claims processing services to Critical Access Hospital (UB-04) and Rural Health Clinic (CMS-1500) facilities in New Hampshire
- Coordinate hospital and clinic business office activities, including patient billing and collection, third-party payer relations, and insurance claim preparation
- Coordinate business office functions and personnel, including patient billing, credit and collections, and data entry
- Recommend new processes and changes to current processes
- Implement controls for appropriate submission, billing, credit, and collections
- Implement procedures for follow-up on third-party approvals, billing, and overdue account collection
- Ensure accurate and timely staff billing in accordance with procedures and third-party requirements
- Meet production and quality assurance standards
- Maintain quality customer service according to company and customer policies
- Protect confidential customer information
- Process miscellaneous paperwork and 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 other company policies
Requirements
What you’ll need- At least 3-5 years Full-Cycle billing experience, can include Acute Hospital and/or Physician (Profee) claims
- Experience with Claims and Denial Que's
- Familiar with Commercial and Medicaid claims REQUIRED
- Strong organizational, multi-tasking, and time-management skills
- Must be detail oriented and able to follow through on issues to resolution
- Must be able to act both 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 a strong attention to detail, accuracy, and follow through
Benefits
Comp & perks- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave