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billing specialist resume example with 8+ years of experience

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

Dedicated healthcare professional with exceptional problem-solving abilities, a decisive nature and a good understanding of the market. Offering 8+ years of experience in the industry devoted to balancing customer and company needs to drive profits and build brand loyalty.

Skills
  • Strong leadership and management skills
  • Collaboration and communication
  • Medical billing and coding experience
  • Research and due diligence
  • Great attention to detail
  • Excellent work ethic
  • Insurance verification and medical authorization guru
  • Well versed in excel, word and power point
  • Quick to learn and strong ability to train others
  • Compassionate
  • Extremely organized
  • Extensive training on HIPAA and medical compliance
  • Outstanding customer service
  • Epic, HC360, Axxess, KanTime and many other EMR system experience
Education
Rangeview High School Aurora, CO Expected in High School Diploma : - GPA :
Pickens Technical College Aurora, CO Expected in : - GPA :

Completed a CNA and First Responder course and obtained a CNA license and CPR certificate.

Work History
21St Century Oncology - Billing Specialist
Clinton, NC, 11/2020 - Current
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Performed targeted collections on past due accounts aged over 30 days.
  • Negotiated to collect balance in full.
  • Researched accounts and completed due diligence to resolve collection problems.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
City Of Boston, Ma - Scheduling Manager
Boston, MA, 04/2019 - 08/2020
  • Assigned, scheduled and monitored all patient episodes and clinician assigned tasks including those assigned to Registered Nurses, LPNs, Physical Therapists, Occupational Therapists, Physical Therapist Aides and Certified Nurse Aides to keep accurate and compliant patient charts.
  • Staffed all new cases with the appropriate clinicians based on services ordered and frequencies ordered.
  • Coordinated with patients and clinicians to create a schedule that worked for both in order to provide outstanding care at home.
  • Constantly audited all charts to ensure that the visits, and frequencies of those visits, matched what was ordered by the case managing RN and the patient’s physician.
  • Ran several different reports weekly to track and manage expiring episodes and schedule deviations.
  • Entered new patients into the EMR software. Answered overflow calls and took/denied new referrals based on insurance, location and patient needs.
  • Verified insurance and ran benefits for home care services.
  • Managed and approved all time off requests and provided coverage for all employees in the field during scheduled time off and emergency/sick time off.
  • Ensured that incorrectly scheduled tasks and missing tasks were eliminated, increasing productivity and putting an end to double work.
  • Increased patient satisfaction by having correctly scheduled tasks and improved communication, and decreased the chance of being written up by the State of Colorado during yearly state run surveys/audits.
Mountain View Care Center - Patient Care Coordinator
Boulder City, NV, 01/2019 - 04/2019
  • Managed and triaged all phone calls to ensure that patients were scheduled appropriately.
  • Scheduled all visits for five doctors and four vision therapists.
  • Verified insurance for all patients scheduled each week.
  • Explained vision benefits and relayed copays to each patient prior to their visit.
  • Pulled and maintained all patient charts to keep them accurate for the doctors during each exam.
  • Faxed clinical and patient prescriptions to specialist offices as requested.
  • Scheduled and triaged all emergency visits. P
  • Laced reminder calls for yearly exams to retain current patients and keep them current with their prescriptions. R
  • Received countless kudos from patients regarding compassion when dealing with emergency scheduling and going above and beyond for each and every patient.
Amita Health - Admissions Manager
Sheboygan, WI, 07/2012 - 12/2018
  • Initially hired for forms procurement making certain that all forms were signed by all patients and physicians for billing purposes. Organized all clinical paperwork into categories such as labs, pharmacy orders and insurance forms and filed into paper and electronic patient charts.
  • Earned a promotion to an Authorization and Insurance Verification Specialist, requesting authorizations through all contracted commercial and government insurance providers.
  • Generated and worked various reports through Excel to meet the company’s goal of lowering the dollar amount of outstanding claims to below 8% of the monthly budget by correcting or obtaining new authorizations/clinical to capture payment on each patient claim.
  • Slashed the aforementioned goal and led a small team of four, that brought that number down from over 15% to below 2%.
  • After 3 years of processing insurance information and obtaining authorization, again earned a promotion to a manager in the admissions dept. who oversaw the process of on-boarding new patients while continuing to manage the ongoing billing reports.
  • Supervised a team of 8 that included the receptionist, two forms procurement employees, two nursing care coordinators and three patient admission specialists.
  • Corrected broken processes within the admissions department to increase new referrals and the speed of which they were processed and onboarded. As a result, became an example of how to lead and implement new processes and was chosen to give multiple in-services outlining the new processes for our neighboring branches to follow.
  • Took on the responsibility of interviewing, hiring and training all new employees in forms, reception and admissions departments.

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Resume Overview

School Attended

  • Rangeview High School
  • Pickens Technical College

Job Titles Held:

  • Billing Specialist
  • Scheduling Manager
  • Patient Care Coordinator
  • Admissions Manager

Degrees

  • High School Diploma

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