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Analyst
Westerkamp Group, LLC. Resolve outstanding and unpaid insurance claims for hospital and/or physician accounts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in resolving insurance claims, including billing and collections, while adhering to HIPAA compliance. Proficient in analyzing account balances and denials, with a strong ability to work independently on various projects within the business office.
Highest-signal resume keywords
Insurance Follow-Up ProcessesEpic Patient Accounting SystemCPT, HCPCS, ICD-10 CodesAnalytical SkillsHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
BillingCollectionsAccount ReviewDenial ManagementAdjustmentsWrite-OffsClaims ProcessingManaged CareMedicareMedicaid
Soft Skills
Communication SkillsInterpersonal SkillsWork EthicReliabilityWillingness to Learn
Tools & Technologies
Epic
Industry Keywords
Insurance ClaimsHospital AccountsPhysician AccountsThird-Party InsuranceCompliance Guidelines
About the role
Key responsibilities & impact- Resolve outstanding and unpaid insurance claims for hospital and/or physician accounts
- Provide patient and third-party hospital and/or physician follow-up services to clients
- Work as a member of the business office
- Work in the Epic patient accounting system
- Review account balances and denials and take steps to overturn denials
- Identify adjustments and write-offs when appeals are denied or required by policy
- Work independently on a wide variety of special projects within the business office
- Handle a high volume of claims
- Work with guarantors and third-party insurance departments
Requirements
What you’ll need- Must have full understanding of insurance follow up processes, including billing, collections, credit balances, managed care, Medicare, Medicaid, and commercial insurance claims for hospital and/or physician claims
- Ability to review account balances and denials and perform steps to overturn denials
- Ability to identify adjustments and write-offs when an appeal is denied or as required by policy
- Strong analytical skills
- Ability to adhere to strict compliance and confidentiality guidelines related to HIPAA
- Excellent telephone and communication skills
- Ability to work a high volume of claims
- Well-developed interpersonal skills to work with guarantors and various third-party insurance departments
- Basic knowledge of CPT, HCPCS, and ICD-10 codes
- Ability to work independently and accomplish goals on a wide variety of special projects
- Experience is a plus; work ethic, reliability, and willingness to learn are emphasized
- Applicants must be located in Texas, Tennessee, Georgia, Kentucky, Louisiana, Illinois, Michigan, or Alabama
Benefits
Comp & perks- Competitive salary and benefits compensation
- Remote work