Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

Certified Medical Billing and Coding Specialist with experience in fast- paced, multi-client outpatient facility. Accurate Medial Biller performs all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Brings experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. Focus on deadlines and the assurance that all medical billing is handled efficiently and without errors. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Trained Medical Coder knowledgeable in AMA and the CMS coding rules. Organizational and Prioritization abilities for achieving financial performance goals. Interpersonal and communicational skills. A fully engaged parent, eager to return to pursuing a full time career. Gained internet and computer skills, written and verbal communication, multi-tasking, time management, ability to work under pressure, decision making, self-motivation, conflict resolution, leadership, adaptability, team work all while being a fully engaged parent and prior educations and employments.

  • Medical Billing and Coding
  • Customer service
  • Patient relations skills
  • Accounts receivable/Accounts payable
  • Statement issuing
  • Credit and collections
  • Payment management
  • Investigative research
  • Adjustment posting
  • Billing dispute resolution
  • General ledger
  • Invoicing proficiency
  • Claims processing
  • Medical terminology
  • Medical Insurance
  • Office Technology
  • Clerical procedures
  • MsWord/Excel, Power point
  • Electronic Health Records for the Physician's Office
  • SimChart
  • CPT coding
  • HCPCS Level II coding
  • ICD-10-CM coding/ICD-9 conversions /ICD-10-PCS
  • Time Management
  • Bilingual
Accounts Receivable Specialist, 06/2004 to 01/2006
Amn HealthcareSunset Hills, MO,

Supervisor : Paul

  • Contacted Patients with past due accounts to formulate payment plans and discuss options.
  • Prepared and mailed invoices to patients, processed payments and documented account updates.
  • Reviewed accounts on a monthly basis to assess aging and pursue collection of funds.
  • Responded to inbound inquires regarding accounts and payments.
  • Handled financial postings for patients and insurance companies such as Federal, Medicare, Medicaid , Private and Workman's Comp claims.
  • Verified insurance coverage for patients, Processed denial claims in a timely manner.
  • Operated office equipment.
  • Adjusted $27,363 and 955 transactions in my first month.
  • Adjusted $51,367 and 1,780 transactions in my second month.
Medical Billing Specialist, 07/2000 to 04/2004
'Ike GroupHonolulu, HI,

Supervisor: Wendy

  • Printed and reviewed monthly patient/insurance aging reports and solicited overdue payments.
  • Posted and adjusted payments from insurance Co.,/Patients.
  • Located errors and promptly refiled rejected claims.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Communicated with patients/insurances for unpaid claims for HMO, PPO and Private accounts and delivered friendly follow up calls for proper payments to contracts.
  • Verified insurance benefits and eligibility for patients. including deductibles, co-insurance, co-pays, out of pocket expenses and not covered services.
  • Data entry of insurance information and patient demographics.
  • Accurately processed and sent out medical 1500 claim forms.
  • Identified and resolved patient billing and payment issues.
  • Spanish interpreter for Spanish speaking patients
  • Collections - creative communicational skills to handle difficult patients, made arrangements to resolve payment issues before any further action. Kept track of monthly arranged payments. Submitted broken payment arrangements to a collection agency.
  • Magistrate - Attended court proceedings against patients and/or insurance companies after careful review for accuracy and having all information to validate claims, this was last result and was very rare,
  • Operated office equipment.
Medical Accounts Payable, 05/1998 to 07/2000
Aetna US Healthcare 610-336-1000City, STATE,
  • Effectively communicated with patients about payment needs such as co-payments, co-insurances, out of pocket expenses, deductibles, and non- covered services.
  • Followed federal and state requirements to minimize legal and financial risks. Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures. Applied mathematical abilities on a daily basis to calculate and check figures in all areas
  • Verified accuracy of claims payable payments resulting in reduction of payment errors.
  • Maintained a daily quota processing medical claims for various medical facilities
  • Located and attached appropriate files to claims requiring replies such a s denial or approval of payments
  • Efficiently and effectively processed a large volume of medical claims on a daily basis.
  • Sent clinical request and missing information letters to obtain incomplete information.
  • Based the payment or denials of medical claims upon well-established criteria for claims processing.
Education and Training
CBCS: Certified Billing And Coding Specialist , Expected in 6 2020
National Healthcare Association - ,

Successfully completed the requirements set forth by the NHA as a certified Billing and Coding Specialist .

Certification # F3N7M4G5

Type of exam: CBCS

Diploma: Medical Billing And Coding Specialist , Expected in 0 2020
Penn Foster Career School - Scranton, PA,

Graduated with an overall grade of 93%.

Program outline includes:

  • Introduction to Allied Health
  • Office Procedures
  • Law, Ethics and Confidentiality in Allied Health
  • Word and Excel
  • Business English
  • Body Systems/Terminology 1
  • Body Systems/Terminology 2
  • Basic Pharmacology
  • Medical coding 1
  • Medical coding 2
  • Electronic Medical Records
Certificate of Completion: , Expected in 6 2004
Baltimore Medical Systems - Baltimore, MD,

HIPPA Privacy, Security and Transactions Standard Training

Certification: Medical Billing And Coding, Expected in 4 1998
Aetna US Healthcare - Allentown, PA,

Medical Billing and Coding training program through Aetna US Healthcare.

Offered position after completion of training as Medical Accounts Payable Specialist .

Certificate : Office Technology, Expected in 5 1996
Lehigh Carbon Community College - Allentown, PA,

Program for Office Technology

  • Phone Etiquette
  • Respond to inquires
  • Data Entry
  • Prepared reports
  • Office equipments
  • General Office Procedures

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy


Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score
could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:


resume Strength

  • Formatting
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended

  • National Healthcare Association
  • Penn Foster Career School
  • Baltimore Medical Systems
  • Aetna US Healthcare
  • Lehigh Carbon Community College

Job Titles Held:

  • Accounts Receivable Specialist
  • Medical Billing Specialist
  • Medical Accounts Payable


  • CBCS
  • Diploma
  • Certificate of Completion
  • Certification
  • Certificate

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in: