BILLING/Credentialing Specialist Resume Example

• Posted and reconciled insurance and patient payments, resolve incorrect payment and refunds
• Analyze and resolve claim denials and perform billing adjustments

● Worked collaboratively with Senior Management and team on projects, assemble spreadsheets in Excel

● Handled claims procedures effectively and follow-up with Medicare, Medicaid and private insurance providers to resolve billing issues.

● Researched, obtained and submitted supporting documents required for claim resubmission

● View reports regularly to make sure processing was conducted efficiently

● Work with multiple programs and provider portals at the same time

● Assisted billing department with verification of eligibility and benefits

● Interacted with clients and employees, which helped cultivate positive working relationships

● Maintained strict confidentiality with all personal data as per company guidelines

● Interpreted and communicate new or revised policies to staff

• Prepared tax returns for clients according to government regulations and requirements
• Maintained complete records of client tax returns and supporting documentation in secured areas
• Nterviewed clients to collect information
• Reviewed clients tax filing papers thoroughly to determine eligibility for additional tax credits or deductions

• Accurately scheduled and monitored appointments
• Set up new patient charts and demographics
• Assisted the doctor with clinic by taking patient's measurements
• Prepared examination rooms between appointments
• Used excellent customer service skills at registration desk
• Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
• Converted paper charts into digital files
• Data entry
• Prepared and maintained accurate digital health records for patients