FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing financial and administrative claim denials, with a strong focus on reconciliation of billing and medical records. Proficient in preparing and submitting claim appeals while ensuring compliance with insurance provider deadlines.
Highest-signal resume keywords
Claim Denial AnalysisReconciliation of Billing RecordsClaim Appeals SubmissionMicrosoft Office ProficiencyHospital Billing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial AnalysisClaim ReconciliationDenial ClassificationDocument ValidationDeadline Tracking
Tools & Technologies
Tasy SystemZero Glosa
Industry Keywords
Insurance ProvidersBilling PeriodAdministrative ClaimsMedical RecordsContractual Rules
About the role
Key responsibilities & impact- Analyze and monitor financial and administrative claim denials submitted by insurance providers
- Receive, organize, and review denial statements, identifying amounts, reasons, and billing periods
- Perform a critical analysis of denials by reconciling information across the system, billing records, medical records/documentation, and contractual rules
- Identify the root causes of denials, classifying them by reason, insurance provider, facility, billing period, and type
- Prepare and submit claim appeals within the deadlines established by insurance providers
- Gather and validate the supporting documents required to substantiate appeals
- Monitor the transmission and receipt of appeal submissions, ensuring process traceability
- Track deadlines for appealing, reviewing, and paying recovered claims
Requirements
What you’ll need- Completed undergraduate degree
- Intermediate to advanced proficiency in Microsoft Office
- Experience in hospital or clinic billing/operations
- Experience with the Tasy system (preferred)
- Experience with Zero Glosa (preferred)
Benefits
Comp & perks- Meal or food allowance
- Transportation allowance
- SulAmérica health insurance
- Dental insurance
- Gympass