Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary

Hardworking Billing Representative eager to contribute to customer and business needs by leveraging top strengths in organization, prioritization and communication. Adept at generating bills, entering data and resolving discrepancies. Ready to take on new professional challenges.

  • Medical billing and coding
  • EMR / EHR
  • Medical Records Management
  • Medical office administration
  • Collections understanding
  • Business office administration
  • Customer relations skills
  • Account monitoring
  • Account Management
  • Data entry experience
  • Regulatory Compliance
  • Data Entry
  • Payment collection
  • Insurance claims
  • Payment processing
Work History
04/2011 to 09/2013
Billing Representative Cvs Health Eastvale, CA,
  • Accurately posted and sent out all medical claims.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Promptly sent out and posted all medical claims.
  • Precisely evaluated and verified benefits and eligibility.
  • Accurately posted surgeries, hospital visits and payments for assigned carriers.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Posted and adjusted payments from insurance companies.
  • Reconciled past due accounts achieving 75% reduction in outstanding invoices.
  • Developed rapport with clients and vendors to cultivate loyalty and satisfaction.
  • Executed billing tasks and recorded information in company databases.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Accepted payments for medical services and discussed remaining balances with customers to take accounts to zero.
  • Handled account payments and provided information regarding outstanding balances.
  • Responded to patient, family and external payer inquiries.
  • Posted payments and processed refunds.
  • Contacted patients after insurance was calculated to obtain payments.
  • Electronically submitted bills according to compliance guidelines.
  • Worked with outside entities to resolve issues with billing, claims and payments.
  • Assisted patients in filling out check-in and payment paperwork.
  • Used Centricity to schedule appointments.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Balanced deposits and credit card payments each day.
09/2006 to 04/2011
Medical Office Administrator Hanger, Inc. Casa Grande, AZ,
  • Audited customer files to verify medical necessity and satisfaction of coverage criteria.
  • Verified benefits and worked with insurance companies to obtain payments.
  • Maintained patient databases and updated information in alignment with HIPAA protocols.
  • Entered procedure codes and diagnosis codes into medical billing software.
  • Maintained optimal supply levels by closely monitoring and proactively replenishing supply inventory.
  • Reviewed and sent medical records to other physicians upon request.
  • Aided with prescription refill requests.
  • Managed appointments, registrations and patient relations in busy Dermatology office.
  • Coordinated luncheons with Pharmaceutical Representatives.
  • Oversaw office records and maintained strict document control.
  • Received, recorded and filed medical payments by check, cash and credit card.
  • Accurately collected personal, billing and medical details for 80 patients per day.
  • Trained all new employees on records management system.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Analyzed and solved multi-faceted problems that effected executive leaders and business initiatives.
  • Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
  • Codified office structures and processes to promote teamwork and performance.
  • Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
  • Interpreted management directives to define and document administrative staff processes.
  • Completed bi-weekly payroll for 12 employees.
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
  • Interacted with customers professionally by phone, email or in-person to provide information and directed to desired staff members.
  • Performed billing, collection and reporting functions for office generating over $1,000,000 annually.
  • Tracked and recorded expenses and reconciled accounts to maintain accurate, current and compliant financial records.
  • Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
07/2006 to 09/2006
Medical Front Office Receptionist U.S. Physical Therapy Cedartown, GA,
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Removed invalid computer alerts and cleaned accounts to assure information accuracy.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Completed clerical duties and tasks for clinic administration.
  • Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
  • Communicated effectively with staff, patients and insurance companies by email and telephone.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Utilized Centricity to manage and confirm patient data, such as insurance, demographic and medical history information.
  • Kept accurate log of all requests for medical information and records.
Expected in
Bachelor of Science: Communications
Ashland University - Ashland, OH
  • Minored in Business Management
Expected in
Practical Nursing Certificate: Nursing
Florida Hospital College of Health Sciences - Winter Park, FL,

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School Attended

  • Ashland University
  • Florida Hospital College of Health Sciences

Job Titles Held:

  • Billing Representative
  • Medical Office Administrator
  • Medical Front Office Receptionist


  • Bachelor of Science
  • Practical Nursing Certificate

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