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Medical Billing Specialist
Cardiac Study Center (CSC), inc., PSMedical Billing Specialist ensuring cardiology billing operations are accurate and efficient. Collaborating with insurance companies and internal teams to resolve issues and ensure compliance.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Proficient in processing health insurance claims, including submitting and tracking appeals, while ensuring compliance with HIPAA regulations. Demonstrates strong organizational skills and attention to detail in managing claim statuses and resolving denials.
Highest-signal resume keywords
Health Insurance Claims ProcessingCMS-1500 Claim FormsHIPAA ComplianceInsurance Payer WebsitesOrganizational 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 SubmissionClaims TrackingAging Report AnalysisDenial InvestigationPayment PostingCorrective Action DeterminationBilling Process ImprovementCoordination of Benefits (COB)Medical Terminology
Soft Skills
Strong Communication SkillsDetail-OrientedTime-Management Skills
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
PHIInsurance AppealsClaim Status Verification
About the role
Key responsibilities & impact- Contact insurance companies to verify claim status and request reprocessing when needed
- Submit and track insurance appeals and corrected claims
- Review and analyze aging reports to resolve outstanding claims
- Investigate insurance denials and determine appropriate corrective action
- Identify denial patterns and report trends to improve billing processes
- Prepare, audit, and submit claims to primary and secondary payers
- Ensure accurate payment postings and balance allocations
- Maintain strict compliance with HIPAA when handling patient financial information
Requirements
What you’ll need- High School Diploma or GED
- Minimum 1 year of healthcare experience
- Minimum 1 year of experience processing health insurance claims
- Understanding of CMS-1500 claim forms, coordination of benefits (COB), PHI, and medical terminology
- Experience using insurance payer websites to verify eligibility and claim status
- Strong organizational and time-management skills
- Detail-oriented with a high commitment to accuracy
- Strong communication skills for working with insurance companies and internal teams
Benefits
Comp & perks- Medical, dental, and vision coverage
- Retirement benefits
- Paid time off
- Competitive compensation
- Tuition Assistance