Billing Specialist Resume Example
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BILLING SPECIALIST
Summary
Dependable and loyal employee with over 14 years of experience and comprehensive knowledge of various workings in a busy medical practice. Successful at multitasking and cultivating long-term relationships with patients, doctors and fellow employees. Looking to bring integrity and hard work to the Nexus program.
Skills
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Experience
Altru Health System ClinicDevils Lake , NDBilling Specialist10/2017 to Current
- Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
- Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
- Resolved variances in accounts and reconciled histories with bank statements.
- Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Determined prior authorizations for medication and outpatient procedures.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Entered procedure codes, diagnosis codes and patient information into
- Completed appeals and filed and submitted claims.
- Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
Equality HealthHidalgo , TXMedical Front Office Coordinator12/2006 to 12/2017
- Improved productivity initiatives, managing accounts, coordinating itinerary and scheduling client/leadership appointments.
- Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
- Automated office operations, managing client correspondence, record tracking and data communications in database and case management software.
- Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
- Conducted patient intake interviews to collect medical information and insurance details.
- Compiled physical and digital documents, charts and reports to meet business and patient need.
- Entered patient information including insurance, demographic and health history into the system to keep all records up-to-date
- Collected demographic and medical information to conduct intake for patients with HIV.
- Assisted with insurance pre-authorization to obtain medication for patients.
- Participated in health fairs and community events to explain organization's services and mission.
- Documented and maintained client records with strict attention to confidentiality.
- Attended outreach events to perform rapid HIV tests and provide referrals for future testing and treatment.
- Scheduled appointments and office visits, prepared client files and documented case notes.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Completed employee evaluations and created plans to reward or enhance performance.
- Evaluated employee job performance and motivated staff to improve productivity.
Maryville AcademyChicago , ILMedical Front Office Supervisor07/2005 to 12/2006
- Coordinated office activities and operations to secure efficiency and compliance with company policies.
- Managed daily operations within the office by supporting continuous delivery of excellent services and care.
- Trained employees on best practices and protocol while managing teams to maintain optimal productivity.
- Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.
- Optimized personnel coverage, preparing work schedules based on staff availability and forecasted demands.
- Evaluated employee job performance and motivated staff to improve productivity.
- Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
Chantilly High SchoolCity , STATEInstructional Assistant12/1994 to 06/2005
- Conducted special assessments and tutoring sessions to support individual student needs.
- Collaborated with teacher to devise and implement developmentally appropriate lessons aligning with school's philosophy and mission.
- Promoted student learning by providing individualized and small group support to reinforce classroom topics.
- Tutored and supported students individually and in groups by reteaching and reviewing lesson concepts.
- Prepared bulletin boards, classroom materials and individual student portfolios to support teacher plans.
- Marked homework assignments, tests and special projects to communicate grading.
- Supervised students and maintained security throughout school buildings and on field trips.
- Prepared lesson plans and assist counselors in maintaining student files.
- Leveraged evidence-based techniques to foster academic progress, social inclusion and critical thinking.
Education and Training
High School Diploma06/1982Oakton High School, City, State
- Completed professional development in Early Childhood Education
Associate of Applied Science:Medical Assistant Certification ProgramNorthern Virginia Community College, City, State
- Completed professional development as a certified Medical assistant with office management administration.
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Resume Overview
School Attended
- Oakton High School
- Northern Virginia Community College
Job Titles Held:
- Billing Specialist
- Medical Front Office Coordinator
- Medical Front Office Supervisor
- Instructional Assistant
Degrees
- High School Diploma 06/1982
Associate of Applied Science : Medical Assistant Certification Program
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