billing customer service liaison ahcccs backup hospital procedure scheduler resume example with 20+ years of experience

(555) 432-1000,
, , 100 Montgomery St. 10th Floor

Adaptable professional with 12+ years of work experience and proven knowledge of leadership, problem-solving, and workflow prioritization. Aiming to leverage my abilities to successfully fill the Medical Billing role at your company.

  • Front, Middle And Back Office Medical Assistant Experience
  • Electronic Filing System, Review Of Coding And Documentation On File To Confirm Billed Charges With Regards To
  • Explanation Of Benefits And Denial Received, Interacting With Payers To Find Out What The Billing Guidelines Are On
  • Covered And Non-Covered Services ; Filing Claims With In Timely Filing Parameters, Trending Reports For Top Denials
  • Received, Reviewing Facility Claim Payments Status, Interacting With Patients To Update COB As Needed, Interaction
  • W/ Various Employees To Provide Information On Claims Direction, Attending In House Or On The Phone Payer
  • Conferences Regarding Denials And Or Trends, Submitting Appeals And Working On Claims With In The 60 Day
  • Adverse Action To Avoid Timely. Payment Posting, Refunds, Credit Card Processing, Handling Tribal Contracts,
  • Invoicing, Purchase Orders, Operating Systems Microsoft Windows, Excel AMPFM, Sunrise Records Management,
  • Citrix, Mysis Vision, Net Gear, Phone Calls, Emails
  • 1994-2007 Richard E. Nussbaum, MD 4955 Van Nuys Blvd Sherman Oaks California CA
  • Early AM Office Opener , Verified Eligibility While Updating Demographic Info. Message Taking, Collecting Copays And
  • Deductibles, Answering Phones Obtaining Prior Authorizations, Referrals, Taking Messages. Scheduling And
  • Rescheduling Of Appointments For Pre And Post Op Visits. Balanced Receipt Book Nightly Of Collected Copays And
  • Deductibles. Arranging Transportation To And From Surgeries, Assisting In Performed Office Procedures And Test As
  • Needed, Performed Vital Signs On Patients While Keeping Accurate Documentation Records Of Collected Specimens
  • Placed In Storage Refrigerator . Pulled Medical Records For Outside Vendors To Come In And Copy, Ensuring File
  • Contents Remained With In The HIPPA Guidelines. Kept Patients Charts And Service Orders Files Up To Date On
  • Office Equipment, Interaction With Insurance Companies Re: Covered And Non-Covered Services And Benefits.
  • Responsible For Communicating Patient's Insurance Plan And Covered Services. Patients Services Being Done Or
  • What Patient Responsibility Would Be. Accounted For End Of Day Superbills And Charges, Made Sure They Were
  • Signed Off On And Taken To The Coding /Transcription Department For Proper Data Entry And Verification Of
  • Services Documented. Prepped Travel Vehicle For Business In Our Satellite Office 2x A Week, Ensuring All Medical
  • Records For Said Patients Was Available With Test Results And Reports/Printed Schedules And Itineraries For The
  • Doctor. Maintaining And Displaying Professionalism With Over 25+ Employees Physicians, Nurses On A Daily Basis
  • For Over 11 Years.
Education and Training
, Expected in 01/1993 CERTIFIED NURSING ASSISTANT : - GPA :
Santa Barbara High School , Expected in 01/1990 HIGH SCHOOL DIPLOMA : - GPA :
L3harris - Billing/Customer Service Liaison/Ahcccs Backup Hospital Procedure Scheduler
Fort Belvoir, VA, 02/2018 - 12/2019
  • Commercial, Private and Government Billing.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Conducted pre-authorizations and referrals to meet third-party insurer requirements.
  • Kept financial records and patient information according to Hippa guidelines.
  • Prevented key account losses by researching discrepancies and correcting problems.
  • Excelled in posting of payments and locating missing accounts due to system issues.
  • Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
  • Incoming and outgoing phone calls to insurance companies, hospitals, medical imaging facilities as needed with necessary information.
  • Attending payer conferences regarding denials, trends, submitting appeals and grievances.
Phoenix Childrens Hospital - Billing Revenue Cycle Specialist
City, STATE, 04/2007 - 09/2017
  • Evaluated financial and operational performance of companies facing financial difficulties to determine possible remedies.
  • Assessed requisitions each month to ensure accuracy and reconciled transactions.
  • Produced accounting reports and provided targeted recommendations for improving revenue standing.
  • Contacted insurance providers to check patient coverage.
  • Completed weekly account reconciliations to identify discrepancies.
  • Reached out to responsible companies and individuals to collect on outstanding debts.
  • Managed and reconciled Indian Health Reservation Contracts.
  • Identified and corrected payment problems involving patients or third-party payers.
Richard E. Nussbaum, M.D. - Front Office Coordinator
City, STATE, 07/1994 - 03/2007
  • Performed administrative support tasks, completing duties within required timeframes.
  • Delegated work to staff, setting priorities and goals.
  • Guided employees in handling difficult or complex problems.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Maintained general office organization and cleanliness.
  • Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
  • Produced and distributed memos, newsletters and other forms of communication.
  • Transmitted information or documents to customers, using computer, mail or facsimile machine.
  • Responded to messages and emails to the office and transferred correspondence.
  • Resolved customer complaints or answered customers' questions.
  • Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
  • Coordinated travel arrangements, including booking transportation, lodging and event reservations.

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Resume Overview

School Attended

  • Kristofers School Of Beauty
  • Santa Barbara High School

Job Titles Held:

  • Billing/Customer Service Liaison/Ahcccs Backup Hospital Procedure Scheduler
  • Billing Revenue Cycle Specialist
  • Front Office Coordinator



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