Billing Specialist/Administrative Assistant Resume Example IWI

BILLING SPECIALIST/ADMINISTRATIVE ASSISTANT

Summary

Career-oriented Billing Specialist and Administrative Assistant professional seeking a long term position within an organization that offers possible career advancement within a positive work environment. Offering a solid track record of enforcing office protocols, billing expertise, project management, administrative skills as well as proven determination to excel within my job duties. Looking to grow professionally and further enhance my skills, knowledge and experience to face and overcome the challenges of today's changing work environment. Familiar with generating invoices, handling payments and collecting past-due accounts. Proficient in accurately coding bills and maintaining clear records. Collaborative, reliable and results-focused.

Skills

Medical billing and collections
Invoicing and billing
Billing processes
Billing discrepancy
Excel spreadsheets
Advanced MS Office Suite knowledge
Microsoft
Data entry documentation
Sensitive material handling
10-key proficiency
Technologically savvy

Scheduling
Leadership skills
Excellent customer service skills
Medical terminology, ICD-9, ICD-10, CPT4, CPT3 CODES
Efficient communication skills & stress tolerance
Time management nd problem-solving
Time mamagement
Prioritizing patients
Charting and clinical documentation
Multi-line phone operations

Experience

Billing Specialist/Administrative AssistantIWI | Newport News, VA | Jun 2019-Jun 2020

Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
Invoiced freight customers with proper backup and accurate rates, reviewed and analyzed contracts to verify accurate billing and resolved billing issues with vendors and carriers.
Tracked timely receipt of invoices, monitored and identified late invoices and contacted vendors to obtain tardy invoices.
Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
Created and maintained spreadsheets and developed administrative and logistical reports.
Processed financial documents including contracts, expense reports and invoices.
Arranged domestic and international travel, hotel and transportation needs for corporates visitors. .
Controlled and managed document processes by reviewing files, records and critical information to confirm accuracy and ensure compliance with company policies and procedures.
Tracked and submitted employee time sheets to accounting department for payroll processing.
Assisted with administrative tasks, including filing, answering phones and scheduling..
Must be detail oriented, have a keen knowledge of mathematics and finances, a good understanding of computers and of billing software programs
Prepares bills of lading, Certificates of Origins, ocean manifests and prepare packing lists
Review invoices to identify any errors before invoice delivery.

Medical Claims ProcesorOptima Health | Norfolk, VA | Jul 2017-Jun 2019

Prepared billing statements for patients, ensuring correct diagnostic coding.
Determined prior authorizations for medication and outpatient procedures.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Reviewed and verified benefits and eligibility with speed and precision.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Applied payments, adjustments and denials into medical manager system.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Submitted refund requests for claims paid in error.
Posted charges, payments and adjustments.
Accurately coded diagnostics and prepared billing statements for patients.
Precisely completed appropriate paperwork and system entry regarding claims.

Medical Claims Processor/Customer Service Representative SupervisorWPS Health Solutions | Hampton, VA | Jul 2016-Jul 2017

Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
Ensured claims were billed and paid correctly.
Efficiently and effectively processed a large volume of medical claims on a daily basis.
Performed site evaluations, customer surveys and team audits.
Analyze claims to determine if eligibility requirements and claim filing requirements are met and make determinations.
Read and assessed medical documents.
Copies authorized health information for patient transfer, insurance, disability, etc.
Answer billing inquiries for patients, providers, and staff.
Proficient with Medical terminology.
Knowledge of CPT and ICD-10 physician procedural coding.
Regularly attend departmental, staff meetings and continuing educational sessions as requested
Complete Revenue Cycle Billing Management of all claims for multiple providers to third party payers; bill secondary insurance as requested, request for reviews and follow-up with inquiry on rejected claims to ensure maximum benefit payments to the hospital.
Ability to manage multiple projects concurrently
Recognized by management for providing exceptional customer service.
Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
Set up patient charts and documented information in various company software.

Customer Service AgentUnited Parcel Service | Newport News, VA | Sep 2015-Jul 2016

Managed high-volume of inbound and outbound customer calls.
Evaluated customer account information to assess current issues and determine potential solutions.
Talks to customers over the phone, email, online chat or social media to resolve their questions or concerns
Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.
Processed customer account changes.
Investigated and solved routine, complex and long-standing customer issues each day.
Create On-Call Airs for drivers to pick-up packages from businesses.
Order supplies and track packages.
Process refund payments for customers.
Recognized by management for providing exceptional customer service.
Improved operations by working with team members and customers to find workable solutions.
Earned reputation for good attendance and hard work.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Improved customer satisfaction by finding creative solutions to problems.

Education and Training

Associate of Science: Health SciencesUltimate Medical Academy - Clearwater | Feb 2018

3.2 GPA
Major in Medical Administration
Honor Roll from 2016-2018

High School DiplomaFriendly High School | Jun 2016

Accomplishments

Started out as a Billing Specialist at IWI and was promoted to Administrative Assistant within a 3 month time span of employment.

Resume Overview

Companies Worked For:

IWI
Optima Health
WPS Health Solutions
United Parcel Service

School Attended

Ultimate Medical Academy - Clearwater
Friendly High School

Job Titles Held:

Billing Specialist/Administrative Assistant
Medical Claims Procesor
Medical Claims Processor/Customer Service Representative Supervisor
Customer Service Agent

Degrees

Associate of Science : Health Sciences
High School Diploma

Billing Specialist/Administrative Assistant Resume Example

Resume Score: 80%

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