BILLING REPRESENTATIVE Resume Example HOME ADMINISTRATION

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

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

BILLING REPRESENTATIVE Resume Example

Resume Score: 90%

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