Livecareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Talented Billing Supervisor proficient in daily accounts receivable operations, collections and reporting. Open and clear communicator with consistent approach to reviewing and improving processes. Adept at maximizing productivity across 3-year history of career success.

Pursuing long/short term position (contract) with room for growth and career advancement in the state of New Jersey.

Skills
  • Medical/Customer billing
  • Insurance claims
  • Knowledge of ICD10/CPT/MODIFIERS
  • Billing Inquiries
  • Billig Systems
  • Multitasking ability
  • Detail-oriented
  • Time Management
  • Oral and written communications
  • Process Improvement
  • MS Office
  • Team Leadership
  • Excellent researching skills
  • Analytical and problem-solving skills
  • Effective presentation skills
  • Work ethic
  • Strategic planning and implementation
  • Turkish-English-Russian intrepretation
Education
Istanbul University Istanbul, Turkey, Expected in 06/2017 Bachelor of Science : Business And Managerial Economics - GPA :
MOU SOSH 25 Nalchik, Russia, Expected in 06/2011 High School Diploma : - GPA :
Medical School Nalchik, Russia, Expected in 2009 : Medical Assisting - GPA :
Work History
Liberty Mutual - BILLING/Credentialing Specialist
Overland Park, KS, 06/2019 - 04/2020
  • Orchestrated day-to-day operations of billing department, including medical coding, timely and accurate charge submissions, payment posting and accounts receivables
  • Drove billing improvements which resulted in savings and doubled profit margins
  • Trained and mentored new team members and managers on coding /claim submission/payment posting and Insurance plans to build cohesive groups and promote operational performance
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
  • Posted surgical charges for seven doctors in podiatric clinic
  • Researched and followed up on denied/rejected insurance claims
  • Improved and increased timely payment of claims by developing appropriate CPT/ICD 10/modifier rules
  • Gathered information from multiple sources including provider portals to simplify billing and organize accounts
  • Prepared/Reviewed outgoing bills for eligibility and accurateness
  • Followed up with customers on unresolved issues/bills
  • Provided interpreter service in conversations between physicians and patients
  • Provided productivity and payment reports to CEO and filed financial documentation for accounting purposes on a weekly basis
  • Enrolled providers with Medicaid, Medicare and private insurance plans
  • Completed practitioners credentialing/re-credentialing applications and maintained confidentiality of practitioner information
  • Review/update provider contracts and fee schedules
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates
Rollins, Inc - Claims Specialist
Shreveport, LA, 11/2017 - 05/2019
  • 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

Liberty Tax Service - Income Tax Preparer
City, STATE, 01/2019 - 03/2019
  • 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
Dr. Pokov's Clinic - Medical/Administrative Assistant
City, STATE, 09/2017 - 10/2017
  • 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
Accomplishments
  • Doubled company profit by developing/applying appropriate CPT/ICD10/Modifier rules.

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Resume Overview

School Attended

  • Istanbul University
  • MOU SOSH 25
  • Medical School

Job Titles Held:

  • BILLING/Credentialing Specialist
  • Claims Specialist
  • Income Tax Preparer
  • Medical/Administrative Assistant

Degrees

  • Bachelor of Science
  • High School Diploma
  • Some College (No Degree)

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