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Medical Claims Specialist – Billing
GT IndependenceMedical Claims (Billing) Specialist preparing billing data for GT Independence. Involved in submission and management of billing processes, ensuring compliance and efficiency.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in billing data preparation, compliance with contractual provisions, and effective record-keeping. Proficient in Microsoft Excel and possesses strong organizational and communication skills to enhance team collaboration and process improvement.
Highest-signal resume keywords
Billing Data PreparationCompliance StandardsMicrosoft ExcelAttention to DetailTeam Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Billing Data PreparationInvoice SubmissionPayment ApplicationReconciliationRecord KeepingBasic Math SkillsAdministrative ProceduresClerical Procedures
Soft Skills
Excellent Written CommunicationExcellent Oral CommunicationOrganizational SkillsAbility to Meet Deadlines
Tools & Technologies
Microsoft Office
Certifications & Qualifications
High School DiplomaGEDAssociate Degree (Preferred)
Industry Keywords
Compliance StandardsConfidentialityProcess ImprovementAudit Purposes
About the role
Key responsibilities & impact- Preparation of billing data to be used in the billing of payers
- Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
- Submit invoices to agencies
- Applies payments
- Collects on unpaid claims
- Prepares advance reconciliations and applies payments to the general ledger
- Enters information into computer databases for effective record keeping
- Collaborates with other staff members to optimize delivery of services
- Ensures all compliance standards are met for audit purposes
- Maintains confidentiality of records relating to clients
- Identifies opportunities to improve our processes
- Upholds company values and mission
- Other duties as assigned
Requirements
What you’ll need- High School Diploma or GED required
- Associate degree preferred
- 2 years of experience relevant to the work performed
- Experience with Microsoft Office products is necessary, specifically Microsoft Excel
- Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
- Excellent written and oral communication skills
- Ability to plan and organize daily work to meet strict deadlines
- Strong attention to detail
- Able to work with numbers and apply basic math skills to daily tasks
- Strong ability to participate on a highly effective team
Benefits
Comp & perks- flexible paid time off
- competitive wages & benefits
- meaningful opportunities for professional growth