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Billing Specialist Resume Example

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BILLING SPECIALIST
Professional Summary
  • Detail oriented quality focused professional billing specialist. Dedicated to maintaining strict patient confidentiality.
  • Billing Specialist with experience supporting physicians in a busy medical office.
  • Expertise includes verifying insurance coverage, records reviews and schedule maintenance.
Skill Highlights
  • Windows Experienced in MS Office Word, Excel, Outlook Billing Software Over seven years' experience working as a billing representative
  • Familiar with CPT-4, ICD-9, and Medical Office procedures
  • Working knowledge of medical and billing terminology
  • Well versed in analyzing and verifying dates of service and billed amounts
  • SKILLS
  • ICD-9
  • CPT-10
  • 10-Key
  • Online Claim Submission
  • Medical Terminology
  • Internet
  • MS Windows proficient
  • Familiar with commercial and private insurance carriers
  • Understands insurance benefits
  • Resourceful and reliable worker
  • Close attention to detail l Office support (phones, faxing, filing)
  • Excellent verbal communication
Professional Experience
Billing Specialist Jul 2014 to Current
Cedar Riverside Peoples Center - Minneapolis, MN
  • Prepares and submits clean claims to various insurance companies either electronically or by paper
  • Answers questions from patients, clerical staff and insurance companies
  • Identifies and resolves patient billing complaints.
  • Prepares, reviews and sends patient statements
  • Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
  • Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
  • Processes payments from insurance companies and prepares a daily deposit.
  • Participates in educational activities and attends monthly staff meetings
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.



Patient Account/Billing RepresentativeJun 1998 to Mar 2014
HealthPartners - St.Paul, MN
  • Obtains insurance eligibility to ensure adequate coverage.
  • Examines insurance claims, completes or ensures necessary completion of required information and submits to appropriate insurance company.
  • Responsible for timely billing, managing, monitoring, researching and processing patient accounts for all visits.
  • Investigates and corrects errors in billing accounts to ensure records are accurate; as well as Identifies complex problem accounts and determines necessary action to resolve them in a timely manner.
  • Maintains knowledge of payer program requirements and contracts.
  • Processes correspondence relating to insurance information or questions.
  • Performs necessary follow-up to resolve rejected claims, resubmissions and other insurance inquiries.
  • Assists as needed in processing insurance payments so that all accounts are up-to-date and accurate.
  • Responds promptly and accurately to patient inquiries or complaints.
  • Filing of claims either electronically or manually to facilitate timely reimbursementOther l duties as required.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Bank TellerJan 1994 to May 1998
Norwest Bank St. Paul - St. Paul, MN
  • Attract and retain customer relationships by extending a warm welcome and common courtesies to every customer and by providing accurate and timely service, which includes, but is not limited to, cashing checks, accepting deposits and withdrawals, handling loan and credit card payments, dispensing monetary instruments and bonds, within established guidelines to ensure an excellent customer experience at every point of contact.
  • Balance and proves cash daily to maintain accurate transactions processed.
  • Identifies payees and verifies signatures and endorsements, remains up-to-date on all security procedures.
  • Answers telephone inquiries and provides information in accordance with company policies, while delivering a exceptional customer experience.
  • Protect the Bank's financial interests by complying with internal and external procedures, and regulations.
  • Learn the bank's products and services to retain and enhance customer account relationships.
  • Identify opportunities to resolve customer needs and refer the customer to Bank Colleagues who can help meet their needs.
  • Share product and service promotions and new opportunities with our customers.
  • Support and service fellow colleagues within and outside of the banking office by adhering to the company's vision and values.
  • Perform office and administrative duties such as: requisitioning supplies.
  • Service the safe deposit area, vault and night drop, as assigned.
  • In offices with Safe Deposit functions: monitor access to safe deposit boxes, open new safe deposit accounts, maintain lease agreements, and answer any questions to ensure client satisfaction and safety.
  • Qualifications Organized, stocked and maintained the teller window area.
  • Executed wire transfers, stop payments and account transfers.
Records ClerkMar 1991 to Dec 1992
Higher Education Assistance Foundation - St Paul, MN
  • Scanned documentation and entered into the database.
  • Organized forms, made photocopies, filed records and prepared correspondence and reports.
  • Added new material to file records and created new records.
  • Assisted with receptionist duties, file organization and research and development.
Education and Training
High School Diploma1988Central Senior High School - St Paul, MN
Skills

10-Key, administrative duties, attention to detail, Balance, banking, benefits, Billing, bonds, contracts, CPT, credit, client, database, documentation, faxing, Filing, financial, forms, government, ICD-9, insurance, managing, Medical Terminology, access, Excel, MS Office, Office, Outlook, Windows, window, MS Windows, Word, policies, Processes, coding, protocols, receptionist, researching, research, safety, telephone, phones, verbal communication, vision

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Resume Overview

Companies Worked For:

  • Cedar Riverside Peoples Center
  • HealthPartners
  • Norwest Bank St. Paul
  • Higher Education Assistance Foundation

School Attended

  • Central Senior High School

Job Titles Held:

  • Billing Specialist
  • Patient Account/Billing Representative
  • Bank Teller
  • Records Clerk

Degrees

  • High School Diploma 1988

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