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Billing Specialist Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Dedicated Billing Specialist eager to offer an excellent work ethic and a proactive attitude to contribute immediate value to the team.

Efficient in billing principles, reconciliation procedures, report generation and processing payments on account.

Familiar with preparing and distributing customer statements, maintaining thorough and compliant records and resolving customer issues.

Skilled in processing and documenting insurance and patient payment transactions, including cash, checks, and credit cards.

Detail-oriented , Focused, dedicated in quickly identifying errors to minimize losses.

Skills
  • Research and due diligence
  • Medical coding experience
  • Month-end closing procedures
  • Collection Practices
  • Billing patient and insurances
  • Insurance Knowledge
  • Billing Inquiries from insurance and patient
  • Collections duties
  • Billing statement review
Work History
Billing Specialist, 10/2014 to Current
AdpHonolulu, HI,
  • Contacted patients and insurances with past due accounts to formulate payment plans and discuss restructuring options.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Worked effectively with commercial insurances to obtain timely and accurate payments.
  • Handled in-bound calls pertaining to reconciliation of delinquent accounts.
  • Generated financial statements and reports detailing accounts receivable status
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Responded to patient and insurance concerns and questions on daily basis.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Posted and adjusted payments from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Posted payments and collections on regular basis.
  • Collected payments and applied to patient accounts.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Filed and updated patient information and medical records.
  • Liaised between patients, insurance companies and billing office.
Registar, Switchboard Operator, Admissions , 01/2012 to 07/2015
Cvs HealthCranberry, PA,
  • Registered patients into Emergency room
  • Entered charges into billing system after encounter
  • Connected callers with appropriate professional, department or business.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Confirmed all insurance benefits met standards of admissions as dictated by policy.
  • Assisted in patient admission process based on federal and state laws into sleep study and Behavioral Health unit
  • Managed multi-line switchboard system
  • Completed preliminary paperwork for incoming and outgoing patients.
  • Announced Code calls on demand, relaying important information and emergency notifications over PA system.
  • Called Cath lab team, Helicopter for emergency transfers, Hospitalist on demand as Trauma emergencies arrived
Early Education Tutor, 09/2008 to 06/2015
Self EmployedCity, STATE,
  • Conducted tutorial services for students to provide academic support, Specializing in early speech and reading comprehension
  • Provided planned objectives and instruction for struggling early childhood readers
  • Assessed literacy needs of student by reviewing student data and current curriculum
  • Conducted ongoing evaluations of improvement and communicated results to parents, and teachers
  • Administered feedback to students using positive reinforcement techniques to encourage and build confidence.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
Medical Billing Specialist, 01/2003 to 09/2008
Chester County Eye CareCity, STATE,
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Posted and adjusted payments from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
Education
Certification : Certified Physician Coding , Expected in 01/2022
AAPC American Academy of Professional Coders - Salt Lake City, UT,
GPA:
Dental Assistant Certification : Dental And Oral Surgery , Expected in 01/2014
Contemporary Health Career Institute - Exton ,
GPA:

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Resume Overview

School Attended
  • AAPC American Academy of Professional Coders
  • Contemporary Health Career Institute
Job Titles Held:
  • Billing Specialist
  • Registar, Switchboard Operator, Admissions
  • Early Education Tutor
  • Medical Billing Specialist
Degrees
  • Certification
  • Dental Assistant Certification