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Billing Representative II Resume Example

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BILLING REPRESENTATIVE II
Summary
Precise, detail-oriented billing representative with sound judgment and decision-making skills. Experienced in A/P processes and managing vendor relations. Accomplished Accounts Payable Clerk with a high degree of professionalism and strong problem resolution capabilities. Maintains 100% accuracy in processing invoices. Self-motivated offering a strong work ethic and determination to complete tasks in a timely manner. Accurate and detail-oriented with extensive bookkeeping and clerical knowledge. Quality-focused accounting professional with over 19 years processing invoices, managing vendors and auditing expense reports.
Highlights
Complex problem solving Scheduling, ICD & CPT coding, insurance verification, Microsoft Word proficiency EPIC, BICS, PATCOM. Bolt on systems, Huron, Patient Gateway, Sovera, Cathedral and Cleartran.
Complex problem solving
Strong communication skills
Expert in customer relations.
​
  • Claims appeal procedures
  • Insurance processing
  • Current Procedural Terminology (CPT)
  • Patient charting
  • Health insurance processing
  • Inventory systems
  • Medical billing
  • Patient care advocacy
  • Medical terminology
  • UB-92 billing forms
  • Deadline-oriented
  • Self-starter
 
Accomplishments
Training
  • Successfully trained staff in all office systems and databases, policies and procedures while focusing on minimizing errors and generating superior results.
Scheduling
  • Facilitated onboarding of new employees by scheduling training, answering questions and processing paperwork.
 Research
  • Investigated any necessary information for proper billing for insurance companies, patients and DMEs such as proper billing codes.
 Research
  • Investigated and analyzed client complaints to identify and resolve issues.
 Multitasking
  • Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within high-volume environment.
 Administration
  • Answered multiple phone lines, transferred calls to corresponding departments, filed patient records and billed accordingly.
 Customer Service
  • Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.


 Data Preparation
  • Prepared medical records packets for insurance reviews of procedures and fees/services justification.


 Patient Assistance
  • Assisted patients with application for Medical, Medicare and initial appeals for payments.



Professional Experience
Billing Representative II Dec 2015 to Current
 Mass General Physician's Organization － Boston, MA
​Verified details of transactions, including funds received and total account balances. Reduced time and costs and increased efficiency by introducing new accounting procedures. Researched and resolved billing and invoice problems. Verified and logged in deadlines for responding to daily inquiries. Contacted providers to discuss status of rebilling and reimbursement process to ensure account resolution.
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Senior Customer Service Representative Jun 2011 to Nov 2015
 Partners Healthcare － Boston, MA Managed incoming and outgoing calls for busy medical office. Implemented updated online collection procedures for payment, increasing on-time payments Calculated Coordination of Benefits (COB). Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays. Coordinated admission processes and prepared medical records and agreement packets. Cross-trained and provided back-up for other customer service representatives when needed.
Medical Assistant May 2010 to Jun 2010
 Boston Medical Center － Boston, MA
  • Took patient vital signs Set up and breakdown of rooms Set patient appointments and other front office responsibilities Used medical software Logician.
Server Oct 1997 to Current
 Warren Tavern － Charlestown, MA
  • Manage service staff at fast paced historical landmark Experience with Posi Touch Software Provide excellent customer service, as well as trivia and information about the Freedom Trail and the restaurant's historical significance Maintain a clean work environment Answer phones and take patron's orders Restock all inventory Inform customers of specials and answer menu questions Seat customers Handle all cash and credit transactions Schedule wait staff.
Education
Medical Assistant Diploma June 2010 Kaplan Career Institute － Boston, MA 3.75 Director's List · Gold Award for 100% Attendance
Skills
Administrative, Computer Proficiency, billing, strong interpersonal skills, CPR certified, CPT coding, credit, excellent customer service, dependable, front office,  injections, insurance, inventory, Microsoft Word, phlebotomy, policies,  research, Scheduling, Vital signs, team player,Professional and friendly,Careful and active listener, Coordination, Creative Problem Solving, Critical Thinking, Customer Needs Assessment.
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Resume Overview

Companies Worked For:

  • Mass General Physician's Organization
  • Partners Healthcare
  • Boston Medical Center
  • Warren Tavern

School Attended

  • Kaplan Career Institute

Job Titles Held:

  • Billing Representative II
  • Senior Customer Service Representative
  • Medical Assistant
  • Server

Degrees

  • Medical Assistant Diploma June 2010

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