Technical Skills:
1. Claims Processing & Collections: Skilled in reviewing, tracking, and managing medical claims, including settlement status, disbursement, and write-offs, ensuring accuracy and compliance with billing procedures.
2. Electronic Health Records (EHR) Management: Proficient in updating and maintaining patient records with precision, supporting smooth coordination between collections and clinical teams.
3. Medical Terminology Knowledge: Strong grasp of healthcare and insurance-related terminology, enabling clear communication with patients, providers, and law firms.
4. Data Entry & Documentation: Experienced in accurate entry of payments, claim adjustments, and patient account updates, with strict attention to confidentiality.
5. Scheduling & Coordination: Capable of organizing appointments, meetings, and follow-ups across collections and scheduling teams to streamline workflows.
6. Healthcare Communication Tools: Familiar with secure email, fax, and messaging systems used to transmit claim updates, settlement details, and patient information.
Soft Skills:
1. Professional Communication: Clear and concise in conveying claim statuses, settlement updates, and patient account details to colleagues and external contacts.
2. Attention to Detail: Highly attentive to discrepancies in claims, payment records, and documentation, ensuring accuracy and compliance.
3. Time Management: Efficient in prioritizing claim follow-ups, patient updates, and law firm correspondence to meet deadlines.
4. Problem-Solving: Resourceful in identifying issues in claim processing or collections and proposing practical solutions.
5. Empathy & Patient Support: Skilled at handling sensitive patient inquiries with compassion while maintaining professionalism.
