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billing specialiat resume example with 11+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - - -
Professional Summary

Highly qualified, detail-oriented, quick learner, and hardworking employee with more than 10 years of experience in financials, research, data entry, billing, customer and client relations. Expert computing and technology skills including competence in Revenue Manager and Revenue Cycle through WellSky, Cerner, Epic, Centrique, HEAT, and Microsoft Office.

Skills
  • Supervisory experience
  • Medical billing - both insurance and private pay
  • Posting of patient and insurance payments on account for accurate collections and financials.
  • Customer service expert
  • Analytical and critical thinker
  • Skilled multi-tasker
  • Highly dependable
  • Creative problem solver/troubleshooting
  • Strong time management skills
  • Desire for education and growth
  • Proficient in cash management
  • Phone etiquette and multi-line phone talent
  • Workplace efficiency
  • Excellent attention to detail
  • Exceptional computer aptitude
Work History
07/2018 to Current
Billing Specialiat Merakey Mount Morris, MI,
  • Executed insurance and private pay billing tasks and recorded information in company databases.
  • Collected data to provide detailed financial reports for management and our Board of Directors.
  • Checked insurance eligibility daily/monthly to ensure accurate insurance billing.
  • Submitted up to 20 authorization requests to insurance companies per week.
  • Produced large volumes of client invoices using Quickbooks.
  • Followed up with appropriate parties to obtain prompt payments.
  • Developed rapport with clients and vendors to cultivate loyalty and satisfaction.
  • Kept all patient information secure and confidential.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Assisted with answering phone calls when call volumes were high.
  • Worked effectively with medical payers such as Medicare, Medicaid, and Blue Cross
12/2017 to 10/2018
Billing Specialist Hansen Family Hospital City, STATE,
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Correctly billed medical claims for critical access hospital and clinics.
  • Adeptly managed multi-line phone system and pleasantly greeted all patients and assisted with their questions/concerns.
  • Verified patients’ eligibility and claims status with insurance agencies.
  • Maintained strict patient and physician confidentiality.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Accurately sent out all medical claims.
  • Submitted electronic/paper claims documentation for timely filing.
  • Performed billing for OB, emergency room, impatient and outpatient services.
  • Responded to correspondence from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Documented patient information in Revenue Manager and Revenue Cycle.
08/2014 to 09/2017
Patient Account Representative/Unit Clerk/Secretary Story County Medical Center City, STATE,


Unit Clerk/Secretary:

  • Register patients when they come in to ER or on the floor.
  • Verify insurance eligibility
  • Data entry
  • Answering call light system for patients room
  • Assist Nurses and CNA's in anything requested for patients


Patient Account Representative:

  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Correctly billed medical claims for critical access hospital, clinic, and rural health.
  • Adeptly managed multi-line phone system and pleasantly greeted all patients and assisted with their questions/concerns.
  • Verified patients’ eligibility and claims status with insurance agencies.
  • Diligently filed and followed up on third party claims.
  • Maintained strict patient and physician confidentiality.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Accurately posted and sent out all medical claims.
  • Submitted electronic/paper claims documentation for timely filing.
  • Performed billing for ambulance, emergency room, impatient and outpatient services.
  • Responded to correspondence from insurance companies.
  • Posted and adjusted payments from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Maintained deposit tracking spreadsheet.
  • Took patient payments over the phone and processed promptly.
  • Processed daily check deposits.
  • Trained new staff
  • Interviewed patients to obtain current demographic and insurance information.
  • Documented patient information in Centrique/Epic systems.
  • Addressed patient call lights
  • Created paper charts, registered patients, faxed documentation for both ER and Acute departments.
  • Answered multiple telephone lines.
  • Contacted staff and agencies to fill open shifts in Nursing, PCT, and Unit Clerk schedules.
  • Partnered with team of registered nurses to achieve over-all well-being of all patients.
  • Admitted and discharged patients in a timely manor.
  • Assisted in cleaning ER rooms.
05/2010 to 08/2014
Supervisor/Help Desk Technician/Team Lead Caleris City, STATE,


Supervisor:

  • Upheld top-quality workmanship and excellent customer service.
  • Supervised a team of up to 38 agents.
  • Trained and assisted staff.
  • Answered Supervisor calls.
  • Answered telephone and relayed information.
  • Drafted, addressed, and documented attendance, coaching, disciplinary actions, and reviews.
  • Trained Team Leads and QA personnel.
  • Performed live QA monthly.
  • Worked closely with management and client to implement changes, training's, and improvements.
  • Attended conference calls twice per week with client and relayed information timely.
  • Assisted in implementing a ticketing system.
  • Reviewed all tickets and responses.
  • Met with Team Leads once per month to review questions and concerns.


Help Desk Technician/Team Lead

  • Provided base level IT support remotely.
  • Reset passwords and unlocked accounts
  • Installed software and resolved technical issues.
  • Managed call flow and responded to technical support needs.
  • Resolved customer issues in a clear, courteous and straightforward manner.
  • Identified and solved technical issues with a variety of diagnostic tools.
  • Conducted research to address customer concerns.
  • Utilized HEAT ticketing system and various other software programs.
  • Worked closely with management and the client to properly address client needs.
  • Reviewed team tickets daily.
  • Completed QA from recorded phone calls monthly.




Education
Expected in 2010 to to
Associate of Arts: Liberal Arts
Marshalltown Community College - Marshalltown, IA
GPA:
Accomplishments

Caleris:

  • Promoted to Team Lead after 1 1/2 years and Supervisor after 3 years.

Story County Medical Center:

  • Promoted to Patient Account Representative after 1 year.

Hansen Family Hospital:

  • Developed a daily routine that allowed my department to clean up over 3,000 old claims in 6 months from our billing system, many of which were still able to receive payment

Greenbelt Home Care:

  • Successfully worked a recoupment project and was able to recollect on a large majority of $99,000 that was taken back from Amerigroup for claims that were billed incorrectly back to 2016.

College:

  • Student Leader- Provided tours to new students, assisted in college activities promoting the school for students and families, created a power point presentation for college graduation.

Grinnell Fire Department:

  • Member of the Ladies Fire Auxiliary - completed fund raisers to assist the Fire Department in purchasing equipment/fire gear and donated to local charities. Provided victims of fires with funds for housing, clothing, food, etc.

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Resume Overview

School Attended

  • Marshalltown Community College

Job Titles Held:

  • Billing Specialiat
  • Billing Specialist
  • Patient Account Representative/Unit Clerk/Secretary
  • Supervisor/Help Desk Technician/Team Lead

Degrees

  • Associate of Arts

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