billing specialist resume example with 14+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000
Cell:
resumesample@example.com
:
Summary
Driven and skilled Medical Billing Specialist/Collection Coordinator offering 19 years of experience. Proven success managing, reducing aged accounts, building client relationships and team building and prior auth service skills, maintaining error free billing. Excellent organizational skills and problem-solving abilities with superior department leadership.
Skills
EMR AND LOCKBOX payments
Electronic medical records
ICD-10 (8 years) &ICD-9 (11+ years)/ HCPCS/NDC
All types of Payment posting for all Insurance and patient accounts
Retinal eye injections: (Lucentis, Eylea, Gourde, Viviene, Macugen, Jetrea and Avastin) Drug Foundation (Regeneron and Genentech).
Keeping up on new rules and policy's from Medicare, Medicaid, government plans and commercial insurances.
ICD-10 coding, Insurance appeals, insurance recoupments, insurance denials insurance adjustments, patient and insurance payment posting and A/R reports monthly.
ASC Billing
Liaised between patients, insurance companies and billing office personnel to effectively provide company morale.
Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
Resolved variances Lockbox & ERA payments to reconciled histories with bank statements.
Post ER. MEOB and paper EOB and checks
Verified proper coding on more than claims daily, investigating and resolving issues to maintain billing accuracy.
Review office & surgical charges for 14 providers across 13 facility each morning.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
Contacted insurance providers to verify insurance eligibility and obtain authorization office and surgery procedures.
Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances.
Reviewed and submitted workers' compensation, claims for remittance.
Processed insurance and patient refund requests every 2 weeks .
Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
Worked remotely and on site
Billing Specialist/ Project Leader, 12/2007 to 12/2010 Cowan Systems – Sparrows Point, MD,
Posted surgical charges for 15 providers across 10 facility locations
Liaised between Woolfson and QPS
Followed up on claims to update and verify status or patients' of outcome and obtain payments for parties.
Verified proper coding on claims daily, investigating and resolving issues to maintain billing accuracy.
Contacted offices to verify correct insurance information
Obtain authorization for proper billing codes.
Reviewed and submitted workers' compensation, claims for remittance.
Verified patient insurance coverage, created financial plan according to treatment schedules for collection.
Reviewed existing billing processes and spearheaded ongoing simplification initiatives and operational strategies that improved company A/R.
Maintained accounting ledgers by verifying and posting patient surgery payment and copay transactions.
Trained new team members on company policies and job duties.
Prepared monthly and year-end closing , financial documents and spreadsheet.
Managed 2 optometry offices complete billing.
Lead Billing Specialist, 12/2005 to 12/2007 Woolfson Eye Institute – City, STATE,
Coding office procedures, credentialing ,hospital inpatient, outpatient Cataract surgery, diagnostic testing, emergency room (trauma), make deposits and posting payment manually and electrically, editing medical records with ICD-9 and CPT coding.
Post all payment, adjustment, denials and processed all EMR
Reviewing/auditing charts for correct documentation and surgery Dates and coding.
Attending seminars for updates on coding, procedure and proper clinical documentation.
Worked remotely and multiple on- site locations.
Trained new team members on company policies and accounting systems to keep team operations productive and effective
Billed all claim and ASC billing
Managed front desk team members for all locations
Improved profit margins by streamlining operations and workflow and negotiating competitive none contracted insurances.
Provided excellent service and attention to patients when face-to-face or through phone conversations.
Collaborated with other mangers/team leads to discuss new practice procedures.
Education and Training
certificate in Medical Billing and Coding: , Expected in 2002 to Georgia Medical Institute - Jonesboro, GA GPA:
High School Diploma: , Expected in 05/1996 to Velma Jackson High School - Camden, MS GPA:
Activities and Honors
Willing to relocate: Anywhere
Additional Information
Medical Billing certification
Medical Billing/Collection Specialist diploma
Collection /Coding techniques (ICD-9, CPT, and HCPCS)
Inpatient ER coding/Outpatient ASC coding
Willing to relocate: Anywhere, Authorized to work in the US for any employer
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