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Senior Insurance Specialist
Meduit | Driving Revenue Cycle PerformanceSenior Insurance Specialist focused on resolving insurance processing errors for healthcare revenue cycle. Utilizing expertise in patient billing and claims submissions to ensure accurate payments.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and follow-up, with a strong focus on managing claims inventory and providing exceptional customer service. Proficient in handling Medicare, Medicaid, and commercial payor processes while ensuring compliance with billing policies and procedures.
Highest-signal resume keywords
Medical Billing ExperienceClaims ManagementMedicare ExperienceCalifornia Payer ExperienceProficiency in Microsoft Office
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaims Follow-upPatient Demographic ManagementBilling ProceduresClaims ProcessingData EntryInsurance VerificationPatient Financial CareHospital BillingPayer Information Management
Soft Skills
Customer ServiceProfessional CommunicationProblem SolvingInterpersonal SkillsTimely Response
Tools & Technologies
BenchmarkStar McKessonMicrosoft OutlookMicrosoft WordMicrosoft Excel
Certifications & Qualifications
DiplomaGED
Industry Keywords
Accounts ReceivableMedicareMedicaidCommercial PayorBilling PoliciesClaims InventoryPatient Financial ServicesSecure WorkspaceBackground CheckEmployment Eligibility
About the role
Key responsibilities & impact- Reduce outstanding accounts receivable by managing claims inventory
- Speak to patients and insurance companies in a professional manner regarding their outstanding balances
- Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc.
- Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
- Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
- Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
- Work with Claims and Collections in order to assist patients and their families with billing and payment activities
Requirements
What you’ll need- Diploma/GED
- 2+ Medical Billing/Follow-up experience
- 2+ Medicare, Medicaid, and commercial payor experience required
- 2+ Experience with Benchmark and/or Star McKesson
- 2+ years California payer experience
- 2+ years Hospital Billing experience
- Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
- Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED
- Access to a Secure and Private workspace
- Must be willing to submit for a background check
- Employment eligibility: Candidates must be legally authorized to work in the United States at the time of hire
Benefits
Comp & perks- Medical, dental, and vision insurance
- HSA and FSA available
- 401(k) with company match
- Paid Wellness Time and Holidays
- Employer paid life insurance and long-term disability
- Internal growth opportunities