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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
  • Front Office Management
  • Working knowledge of various office equipment and software
  • Friendly, cooperative, conscientious, team player
  • Active volunteer for local food bank and community outreach church group
Experience
Infectious Diseases Physicians IncAnnandale, VABilling 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.
Infectious Disease Physicians IncAnnandale, VAMedical 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.
Capital Area PediatricsVienna, VAMedical 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 SchoolChantilly, VAInstructional 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, Vienna, VA
  • Completed professional development in Early Childhood Education
Associate of Applied Science:Medical Assistant Certification ProgramNorthern Virginia Community College, Annandale, VA
  • Completed professional development as a certified Medical assistant with office management administration.
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Resume Overview

Companies Worked For:

  • Infectious Diseases Physicians Inc
  • Infectious Disease Physicians Inc
  • Capital Area Pediatrics
  • Chantilly High School

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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