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Medical Billing Administrator
ReWorks SolutionsMedical Billing Administrator responsible for accurate medical claims processing and reimbursement for healthcare providers. Requires attention to detail, compliance, and stakeholder communication.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including claim preparation, submission, and follow-up, while ensuring compliance with healthcare regulations and payer requirements. Strong organizational and communication skills support effective collaboration with providers and stakeholders.
Highest-signal resume keywords
Medical Billing ExperienceClaims SubmissionAccounts Receivable Follow-UpHealthcare Industry KnowledgeAttention to Detail
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 Claims PreparationClaim TrackingBilling Documentation ReviewDiscrepancy ResolutionRevenue Cycle Understanding
Soft Skills
Strong CommunicationProblem-SolvingOrganizational SkillsAbility to Manage Multiple PrioritiesTeam Collaboration
Industry Keywords
Healthcare RegulationsPayer RequirementsCredentialing ProcessPatient ConfidentialityQuality Assurance
About the role
Key responsibilities & impact- Prepare, review, and submit accurate medical claims to insurance providers and government healthcare programmes.
- Monitor submitted claims and track their progress through to payment.
- Investigate and resolve rejected, denied, or unpaid claims.
- Perform accounts receivable (A/R) follow-up to ensure timely reimbursement.
- Submit corrected claims and appeals where necessary.
- Ensure all claims are submitted within payer filing deadlines.
- Maintain accurate provider, patient, and billing records.
- Review billing documentation for completeness and accuracy before claim submission.
- Verify billing information and resolve discrepancies.
- Maintain organised billing files and supporting documentation.
- Liaise with insurance companies, governing agencies, and healthcare providers regarding billing enquiries and claim status.
- Build and maintain effective working relationships with providers, management, and external stakeholders.
- Provide updates on outstanding claims and reimbursement issues.
- Ensure billing activities comply with healthcare regulations, payer requirements, and company policies.
- Maintain confidentiality of patient and provider information.
- Support internal audits and quality assurance processes.
Requirements
What you’ll need- Minimum 1 year of medical billing experience
- Previous experience working within the healthcare industry
- Understanding of medical billing processes and the revenue cycle
- Knowledge of the credentialing process is advantageous
- Excellent attention to detail and organisational skills
- Ability to manage multiple priorities and meet deadlines
- Strong communication and problem-solving skills
- Ability to work independently and as part of a team
- Comfortable working in a fast-paced, growing environment.
Benefits
Comp & perks- Comfortable working U.S. hours
- Remote work from home