SEARCH

BILLING REPRESENTATIVE Resume Example

Resume Score: 90%

Love this resume? Build Your Own Now
BILLING REPRESENTATIVE
Professional Summary

Certified Medical Biller/Coder and Medical Office Manager experienced in data entry and general office procedures. Proficient in implementing and maintaining an alpha/numeric filing system. Goal oriented, with the ability to multi-task and functions well in stressful situations. Has excellent inter-personal and customer service skills. Experienced in using Microsoft Office and has utilized QuickBooks.

Core Qualifications
  • ICD-9 coding
  • CPT and HCPCS coding, CMS 1500
  • HHM and Medisoft billing systems
  • Medical billing software
  • Managed care contract knowledge
  • Outstanding Customer Service and Satisfaction
  • Exceptional interpersonal skills *Knowledge of HMOs, Medicare and Medicaid
  • HIPAA compliance
  • Patient-focused care
  • Strong work ethic, positive attitude
  • Deadline-driven
  • Word, Excel, PowerPoint, Outlook
  • Knowledge of Access
  • QuickBooks / Accounts Receivable
Experience
July 2011 to Current HOME ADMINISTRATION － Plainfield, NJ
  • Personnel and Facilities management Domestic finance and accounting Accounts receivable and Payable Child Development and Education Insurance and Medical benefits, short and long term planning Health nutrition and safety management, planning and care for all corporate family members.
BILLING REPRESENTATIVE
February 2008 to June 2011 Chemrx Long Term Pharmacy － South Plainfield, NJ
  • Compiled daily census and face sheets from each facilities Data entry of primary and secondary insurances Called for med-d status, answered high volume incoming inquires Monthly pre-billing for each facility Completed registration quickly and cordially for all new patients Monitored shared email in-boxes and ensured inquiries were addressed promptly Handled all patient information according to HIPAA privacy and security regulations Reviewed remittance codes from Explanation of Benefits (EOBs) and Accounts Receivable Confirmed patient information, collected copays and verified insurance Completed appeals, filed and submitted claims Performed quality control of data entry system, verifying claims and payments posted correctly Performed insurance verification and pre-certification and pre-authorization functions.
OFFICE ASSISTANT
January 2007 to January 2008 YWCA of Central New Jersey － Plainfield, NJ
  • Performed general office duties, including data entry, filing, copying and faxing.
  • Prepared presentations with Career Center Director.
  • Assisted students of the Career Center with computerized assignments.
  • Participated in United Way Interview and supported staff when necessary.
MEDICAL CLERICAL ASSISTANT
May 2007 to August 2007 Perot Systems Perry Wayne & Associates － Bayonne, NJ
  • Posted money received from insurance companies and Medicare/Medicaid Faxed information to insurance companies, answered phones, typed and filed documents Performed quality control of data entry system, verifying claims and payments posted correctly Remained up-to-date on all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans Informed patients of their financial responsibilities prior to rendering services Tracked and resolved underpayments Prepared, reviewed and submitted patient statements Submitted refund requests for claims paid in error Posted charges, payments and adjustments Filed and submitted claims, completing appeals as needed.
Education
Certified Medical Biller/Coder : Billing, 2013 Union County College － Elizabeth, NJ, USA

Medical terminology, Billing & Coding, Quickbooks, Microsoft Office, Word, Excel , Outlook, Access, Typing

Certified Office Assistant/Office Administration : 2007 Union County College － Elizabeth, NJ

Microsoft Office, Word, Excel, Powerpoint, Outlook, Access, Typing
Certified Medical Billing and Coding Specialist Certified Office Assistant/Office Administration
Skills

accounting, Accounts Receivable, Benefits, billing, billing systems, CMS, interpersonal skills, copying, CPT, Customer Service, Data entry, email, Facilities management, faxing, filing, finance, financial, general office duties, ICD-9, Insurance, Director, Medical Billing, Medisoft, Access, Excel, money, Office, Outlook, PowerPoint, Word, Office Administration, Personnel, presentations, Coding, quality control, QuickBooks, rendering, safety, phones, Medical Manger

Build Your Own Now

Resume Overview

Companies Worked For:

  • HOME ADMINISTRATION
  • Chemrx Long Term Pharmacy
  • YWCA of Central New Jersey
  • Perot Systems Perry Wayne & Associates

School Attended

  • Union County College

Job Titles Held:

  • BILLING REPRESENTATIVE
  • OFFICE ASSISTANT
  • MEDICAL CLERICAL ASSISTANT

Degrees

  • Certified Medical Biller/Coder : Billing , 2013
    Certified Office Assistant/Office Administration : 2007
    Certified Medical Billing and Coding Specialist Certified Office Assistant/Office Administration

Advertisement

Similar Resumes

View All

Billing Representative

Behavioral Health Network

Springfield, Massachusetts

Posted 722 days ago