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Billing Office Manager Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
To utilize my skills and abilities to be an asset to a company that provides exceptional service to its clients and provides a culture of challenge, education, and personal growth for its associates.
 
Professional Experience
2016 to Current
Billing Office Manager Encore Rehabilitation Huntsville, AL,
 
Responsibilities include overseeing billing and accounts receivable teams, weekly calibration and coaching (one on one training opportunities), account auditing for A/R and Billing, uploading and scanning financial batches to the FTP file drives, reviewing 835 Files, bank deposits for insurance checks and patient payments, month end reporting, inbound call escalations for patients and payer issues, assigning special payer projects, assist walk in patients with financial inquiries, assist with attorney correspondence, follow up on all credentialing related issues and completing W9 form updates administrative access to setup logins for our team, review attendance and time off requests, complete month end reports, create training documents/walk-throughs and implement, deliver corrective action plans and enforce all company policies & organizational changes.​​
09/2014 to 10/2015
Accounts Receivable Specialist American Outdoor Brands Chicopee, MA,
 
As an Accounts Receivable Specialist, I ensure the accuracy of all claims by performing follow-up on delinquent accounts and rejected claims. Work involves monitoring Medicare, Medicaid, and other third party payers for compliance with various regulatory requirements, policies and procedures. Other tasks include solving various reimbursement problems to ensure timely receipt of account receivables.
  • I ensure the accuracy of all claims by performing follow-up on delinquent accounts and rejected claims.
  • Workflow involves monitoring Medicare, Medicaid, and other third party payors for compliance with various regulatory requirements, policies and procedures.
  • Other tasks include solving various reimbursement problems to ensure timely receipt of account receivables.
  • I ensure the accuracy of all claims by performing follow-up on delinquent accounts and rejected claims.
  • Workflow involves monitoring Medicare, Medicaid, and other third party payors for compliance with various regulatory requirements, policies and procedures.
  • Other tasks include solving various reimbursement problems to ensure timely receipt of account receivables.
  • I ensure the accuracy of all claims by performing follow-up on delinquent accounts and rejected claims.
  • Workflow involves monitoring Medicare, Medicaid, and other third party payors for compliance with various regulatory requirements, policies and procedures.
  • Other tasks include solving various reimbursement problems to ensure timely receipt of account receivables.
  • 02/2014 to 09/2014
    Medicare Reimbursement Coordinator Envision Healthcare Clearwater, FL,
     
    Responsible for timely follow-up and retrieval of Certificate of Medical Necessity (CMN), Written verbal orders (WVOs) & medical documentation.Qualify for completion, accuracy & Medicare coverage criteria.Prepare & distribute CMN/WVO's for all respective locations via Inscrybe to prescribing physicians & branches.Review returned CMN/WVO's for completion & return to physician &/or branch for correction when needed.Respond to customer inquiries resolve billing and revenue discrepancies and prepare adjustments.
    05/2013 to 02/2014
    Reimbursement Specialist Saint Peter's Healthcare System East Brunswick, NJ,
     
    Working with healthcare providers to process specialty drug prescriptions, completing thorough benefit investigations for coverage approval, aiding physicians and referrals for submitting clinical documentation and prior authorizations, appeal management for claim denials, understanding of multiple drug coverage policies for various payers, review case outcomes to analyze and identify payment and denial trends as well as key findings for client reporting, conduct patient pre-screening to identify appropriate alternate funding for patient assistance programs.
    07/2011 to 04/2013
    Patient Quality Specialist Calspan Corporation Edwards Air Force Base, CA,
     
    Assisting patients to obtain durable medical equipment (DME) items prescribed by their physicians.Tasks include verifying insurance coverage and eligibility, distributing durable medical equipment within Medicare/Government & working with several major insurance compliance guidelines.Obtaining proper clinical documentation & pre-certification via fax/phone, working with account liaisons and physician offices, scheduling patients for clinical appointments, meeting appropriate deadlines in a timely fashion, and being cross-trained to assist other departments with different procedures.
    05/2008 to 02/2010
    Quality Assurance Analyst Farfetch Los Angeles, CA,
     
    Promoted from Customer Service Representative to Quality Assurance Dept.within 90 days of hire date.Duties included: monitoring and assessing Customer Service Representatives calls and emails for developing performance, identifying strengths and areas of opportunities, trend tracking on progress, delivering feedback to the agents and supervisors, side by side coaching, calibration with management and meeting monthly deadlines.
    2008 to 05/2008
    Medco Patient Services Trainer West Corporation City, STATE,
     
    In house transfer from Inpulse Response Group.Promoted from CSR to Customer Service Trainer.Duties included: Inbound/Outbound Customer Service Training for assisting clients with maintenance prescription plans, offering a savings and doorstop delivery.Facilitated the implementation and overall development to prepare agents to deliver professional service.
    09/2007 to 2008
    Tele-Sales Consultant West Corporation -Inpulse Response Group City, STATE,
     
    knowledge on many various infomercial products and assisting customers with product information and placing their orders with utilizing up-selling, down-selling techniques.
    2007 to 09/2007
    Sales Associate Guess Clothing Company City, STATE,
     
    Duties included organizing merchandise, cleaning the store, greeting customers, up-selling products, promote customer contests, sponsoring special events affiliated with the company, working cash register, issuing returns and merchandise redemption cards, securing sections that were assigned, floor changes for seasonal apparel, correspondence with other Guess stores on selling techniques and assisting customers in all of their needs.
    09/2005 to 03/2006
    Credit Customer Service Representative FACS - Financial Administrative Credit Services City, STATE,
     
    Duties included Customer Billing support, Statement Evaluation & Review, Customer Credit Checks, Credit Granting, Authorization & Approvals, Credit and Guideline increases based on pulling credit Bureau Reports, Collections and Customer Support Mail for Macy's, Bloomingdales and Pier 1 Imports customers.
    2005 to 2007
    • Respite & Habilitation Care Provider AASK- Aid To Adoption For Special Kids City, STATE,
     
    Traveling to clients homes to care and attend for special needs children.Teaching new skills, Goal setting, Active skills and techniques, Documenting progress, Parental correspondence, Billing and providing feedback to State and parents.
    Education and Training
    Expected in 2010
    : General Studies
    Phoenix College - Phoenix, AZ
    GPA:
    General Studies
    Expected in 2010
    : General Studies
    Rio Salado College - Tempe, AZ
    GPA:
    General Studies
    Expected in 2008
    : Fashion Marketing
    Art Institute of Phoenix - Phoenix, AZ
    GPA:
    Fashion Marketing
    Expected in 2005
    High School Diploma:
    Mesa High School - Mesa, AZ
    GPA:
    Skills
    Revenue Capture, Management, Leadership, Medical Billing, Accounts Receivable, Administrative Assistance, Data Analysis, Professional and Legal Correspondence, Billing, Insurance Verification, Moderate Credentialing/W9 Processing, Cash Posting, Coaching, Quality Assurance, Reporting, Trend Forecasting.
     
    Systems & Software:
    ACIS, McKesson Systems, Cysco Portal - SHC Hospital Network, Banner Cerner Portal, Horizon WP Physician Portal - Iasis, Provider Portals for Insurance Networks, ERA 835 File Portal Access for ERA's. Ingenious Med, Allscripts, Navicure, GE Centricity, Kareo, Zirmed, Noridian, Care Cloud, AdvancedMD, eClinical Works, GEHRimed, Point Click Care, CoreFTP, Various EHR systems Microsoft Office Programs including - Powerpoint, Word, Excel, Silverlight, Outlook, Publisher, OneNote. Adobe CS Photoshop, Adobe Illustrator, Adobe PDF Creator, RightFax, Content Manager Software.

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    Resume Strength

    • Length
    • Personalization
    • Target Job

    Resume Overview

    School Attended
    • Phoenix College
    • Rio Salado College
    • Art Institute of Phoenix
    • Mesa High School
    Job Titles Held:
    • Billing Office Manager
    • Accounts Receivable Specialist
    • Medicare Reimbursement Coordinator
    • Reimbursement Specialist
    • Patient Quality Specialist
    • Quality Assurance Analyst
    • Medco Patient Services Trainer
    • Tele-Sales Consultant
    • Sales Associate
    • Credit Customer Service Representative
    • • Respite & Habilitation Care Provider
    Degrees
    • High School Diploma