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billing specialist resume example with 14+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Results driven Medical Biller with hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.

Skills
  • Medical Billing and Collections
  • Audit Procedures
  • Invoicing Proficiency
  • Billing Dispute Resolution
  • Claims Processing
  • Accounts Receivable Expertise
  • Verbal and Written Communication
  • Billing Data Verification
  • Customer Contact
  • Account Posting
  • Itemized Statement Preparation
  • Services Rendered Documentation
  • Error Revision
  • Adding, Calculating and Billing Machines
  • Billing and Invoicing
  • Financial Documentation
  • Relationship Building
  • Statement Distribution
  • Coding Proficiency
  • Dispute Negotiation
  • Digital Postal Meters
  • Spreadsheet Tracking
  • Discount Calculation
  • Work Planning and Prioritization
  • Decision Making
  • Billing Document Creation
  • Microsoft Office
  • 10-Key Data Entry
  • Machine-Assisted Statement Preparation
  • Word Processing
  • Deadline Adherence
Experience
Billing Specialist, 03/2022 - Current
Bioplus Specialty Pharmacy CO, State,
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
  • Processed and sent invoices, adjustments and credit memos to customers.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Performed data import, scanning or manual keying processes to verify invoice accuracy.
  • Investigated and resolved issues to maintain billing accuracy.
  • Developed database systems to track billing and adjust claims.
  • Reviewed and sent accounts with overdue balances to third-party collections for settlement.
  • Worked with team members and leadership to identify and develop process improvements.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Posted surgical charges for providers across facilities.
  • Processed refunds on credit balances to maintain positive account relationships.
  • Added current information to accounts, including demographic, personal and payment details.
  • Applied billing adjustments to resolve discrepancies in account receivable journals.
  • Solved issues with well-organized and professional approach.
  • Input data into digital system for recordkeeping.
  • Reviewed and interpreted insurance explanation of benefits statements and applied to patient accounts.
  • Accurately and concisely documented notes in patient files in adherence with HIPAA regulations.
  • Researched reimbursement and appeals to quickly and effectively resolve claims.
  • Contacted customers to obtain and submit payments.
  • Evaluated accounts for payment compliance and contacted customers.
  • Researched claim denials, identified causes and resolved issues to promote prompt insurance payment.
  • Maintained confidentiality on all patient record data.
  • Calculated discounts, percentage allocations and credits.
  • Worked with outside parties to obtain payments and solve problems.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Identified and posted accounts receivable payments to appropriate accounts.
  • Collected and entered claim information with great attention to detail.
  • Coded invoices properly based upon patient services and medical records.
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
  • Worked with Epic and Medent to create and submit large numbers of client invoices each day.
School Bus Driver, 11/2007 - 03/2022
Salem-Keizer School District Salem, OR,
  • Learned and followed school transportation procedures.
  • Performed pre-trip inspection and mechanical checks before scheduled run.
  • Followed schedules and routes to maintain timely arrivals and departures.
  • Obeyed DOT rules and regulations and local laws to maximize safety.
  • Used navigation equipment and two-way radio while remaining focused on safety.
  • Operated motorized ramps and lifts to assist special needs students.
  • Performed routine bus maintenance and cleaning for ideal condition.
  • Transported students and teachers on school activity trips while exercising responsible leadership.
  • Assisted passengers in evacuation of bus in case of emergency.
  • Maintained order and discipline on bus to prevent accidents or injuries.
  • Provided safe and reliable school bus transportation service on fixed routes.
  • Reported accidents and completed required reports.
  • Transported passengers on predetermined routes while obeying traffic regulations.
  • Reconfigured routes to accommodate added or removed scheduled stops.
  • Transported only authorized students and discharged at approved stops.
  • Enforced safety rules as students boarded and exited buses and crossed streets near bus stops.
  • Cleaned and sanitized bus interiors to lessen germ spread.
  • Inspected vehicle tires, brakes, windshield wipers, lights and fluids to verify safe operation.
  • Maintained order among passengers and explained safety rules and hazards.
Front Desk Receptionist, 01/2014 - 06/2014
Education Affiliates Essington, PA,
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Answered telephones and greeted visitors to assist, answer questions and direct.
  • Received incoming calls and coordinated with staff to fulfill customer requests.
  • Prepared daily shift close reports and balanced cash register to accurately reflect transactions.
  • Signed for packages, recorded deliveries and distributed to personnel.
  • Explained policies and procedures to visitors.
  • Scheduled and confirmed appointments.
  • Answered and directed incoming calls using multi-line telephone system.
  • Answered office phone and emails to schedule appointments, answer questions and document information.
  • Greeted incoming patients and verified paperwork to manage smooth intake processes.
  • Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
  • Managed customer complaints and rectified issues to complete satisfaction.
  • Processed payments and updated accounts to reflect balance changes.
  • Sorted incoming mail and directed to correct personnel each day.
  • Maintained front office cleanliness and organized supplies to increase productivity.
  • Oversaw office inventory by restocking supplies and submitting purchase orders.
  • Conducted transactions, confirming patient information and processing according to standard protocol.
Education and Training
Associate of Applied Science: Health Information Technology, Expected in 06/2013
-
Kaplan University - Hagerstown,md,
GPA:
Status -
  • 2012,2013 - Dean's List
  • 3.65 GPA
  • Graduated magna cum laude
  • Capstone Project: Potomac Case Management, scheduled patients, scanned EMR into system, Answered phone calls, helped patients with dr. appointments and getting prescription meds counseling appointments, filed paper medical records for patients, updated records.
Certificate: Medical Billing And Coding, Expected in 06/2012
-
Kaplan University - Hagerstown, Md,
GPA:
Status -
  • 2012,2013- Dean's List
  • 3.56 GPA
Languages
English :
Full Professional:
Negotiated :
:

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Resume Overview

School Attended

  • Kaplan University
  • Kaplan University

Job Titles Held:

  • Billing Specialist
  • School Bus Driver
  • Front Desk Receptionist

Degrees

  • Associate of Applied Science
  • Certificate

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