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Medical Billing Representative
WRS Health. Prepare and submit clean, accurate claims to insurance companies via electronic systems, mail, or fax .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and collections, with proficiency in Electronic Medical Record (EMR) systems and a strong understanding of healthcare billing codes such as CPT and ICD-10. Maintains compliance with HIPAA regulations while ensuring accurate claims submission and effective communication with providers and staff.
Highest-signal resume keywords
Medical Billing ExperienceElectronic Medical Record (EMR) ProficiencyHealthcare Billing Codes (CPT, ICD-10)HIPAA Compliance KnowledgeStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Claims Submission ProceduresBilling Discrepancy ResolutionInsurance Payment ProcessingFinancial Workflow CreationCollection ActivitiesBilling and Collection ReportingClaim CorrectionsThird-Party Payer OperationsMedical Coding FamiliarityAttention to Detail
Soft Skills
Interpersonal SkillsCollaborative Team EnvironmentProblem-Solving SkillsEngagement with ProvidersCommunication with Staff
Tools & Technologies
Electronic Medical Record (EMR) Systems
Industry Keywords
HIPAA RegulationsPatient Health Information (PHI)Healthcare CollectionsBilling ConcernsInsurance Companies
About the role
Key responsibilities & impact- Prepare and submit clean, accurate claims to insurance companies via electronic systems, mail, or fax
- Respond to inquiries from providers, staff, and insurance companies regarding billing concerns
- Identify, troubleshoot, and resolve billing discrepancies or complaints
- Review accounts and recommend next steps to the Billing Team Lead for resolution or escalation
- Perform collection activities, including follow-ups, claim corrections, and resubmissions to third-party payers
- Process insurance payments and maintain accurate daily deposit records
- Generate and maintain daily, weekly, and monthly billing and collection reports
- Participate in mandatory monthly staff meetings
- Maintain strict confidentiality of patient health information and ensure compliance with HIPAA regulations
Requirements
What you’ll need- 1–3 years of proven experience in medical billing and collections
- Proficiency in Electronic Medical Record (EMR) systems
- Strong understanding of healthcare billing codes (CPT, ICD-10) and claims submission procedures
- Familiarity with medical coding, third-party payer operations, and healthcare collections
- Working knowledge of HIPAA and PHI confidentiality standards
- High attention to detail and ability to create consistent financial workflows
- Excellent communication skills for engaging with providers, staff, and documentation teams
- Strong interpersonal skills and ability to thrive in a collaborative team environment
- Available during standard US business hours (9am–5pm EST or 8:30am–4:30pm EST)
- Must be based in the Philippines
Benefits
Comp & perks- Join a successful and continually growing USA-based company established in 1999
- Team-oriented environment
- Remote work arrangement
- Opportunity to make a positive impact on patient care
- Mandatory monthly staff meetings