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Hospital Medicare Biller
InfinxHospital Medicare Biller tasked with managing accounts receivable and ensuring compliance with Medicare regulations at Ni2 Health. Role requires extensive billing experience and adaptability to technology.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in hospital and physician claims follow-up, with a strong understanding of Medicare billing regulations and proficiency in various billing systems. Capable of independently managing accounts receivable processes, including appeals and denials management, while maintaining organized documentation.
Highest-signal resume keywords
Hospital Claims Follow-UpMedicare Billing ExperienceAccounts Receivable ManagementDenials ManagementProficiency in EMRs
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Accounts Receivable ProcessingClaims Research and ResolutionBilling Regulations KnowledgeRTP and Denied Claims ManagementAppeals and Reconsiderations PreparationMS Excel ProficiencyMS Outlook Proficiency
Soft Skills
Excellent Communication SkillsOrganizational SkillsTime Management SkillsInterpersonal Skills
Tools & Technologies
CernerEpicMcKessonCPSIMeditechWaystarSSIQuadaxAvailityMedicare DDE System
Industry Keywords
Inpatient BillingOutpatient BillingCAH BillingRHC BillingProvider-Based Billing
About the role
Key responsibilities & impact- Process accounts receivable payments and adjustments
- Research and resolve AR discrepancies promptly
- Follow up on outstanding/aged receivables
- Maintain organized AR documentation
- Identify opportunities to improve AR processes
- Have proven experience with hospital inpatient, outpatient, CAH, Method I & II, RHC, and Provider-based billing and AR follow-up knowledge
- Have a solid understanding of billing regulations related to Medicare and Medicare Advantage
- Be able to function independently to complete timely and thorough follow-up on unresolved hospital and physician claims
- Have strong proficiency in managing RTP and denied claims
- Have a strong proficiency in preparing and submitting appeals and reconsiderations to health plans
- Adapt quickly to proprietary tools and technology
Requirements
What you’ll need- 5 years of hospital and physician claims follow-up and denials management
- 3 years of Medicare billing or Medicare follow-up experience
- Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc.
- Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc.
- Proficiency with Medicare DDE system
- Proficiency in MS Excel and MS Outlook
- Excellent written and oral communication skills
- Excellent organizational, time management, and interpersonal skills
Benefits
Comp & perks- Hourly wage based on experience
- Full benefits to include 401k with company match
- Progressive PTO policy with paid holidays