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Billing Specialist (Externship) Resume Example

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BILLING SPECIALIST (EXTERNSHIP)
Professional Summary

Results-driven Billing Specialist with strong attention to detail and desire to help transform business operations. Dedicated to quickly increasing profitability and reducing expenditures through general ledger entries and account reconciliations. Expert in processing payments to minimize outstanding debt, excess fees and interest. Knowledgeable in verifying information within accounting ledger against vendor information to maintain payment accuracy.

Skills
  • Month-end closing procedures
  • Research and due diligence
  • CPT HCPCS coding systems
  • Billing Systems and Software
  • Insurance Knowledge
  • Medical Coding
  • Spreadsheets
  • Accounting systems and controls
  • Budgeting proficiency
  • Accounting remittances
  • Cash Flow analysis
Work History
11/2020 to CurrentBilling Specialist (Externship)Avika Billing Solutions | Houston, TX
  • Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
  • Processed billings to patients and third party reimbursement claims, maintaining supporting documentation files and current patient addresses.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Performed targeted collections on past due accounts aged over 30 days.
  • Researched and resolved incorrect payments & EOB rejections.
  • Assigned ICD-9 to physicians diagnosis insuring the correct level of service and various other CPT codes.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Generated financial statements and reports detailing accounts receivable status
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Verified accuracy of accounts payable payments, resulting in 25 % reduction in payment errors and check reissues.
  • Verified vendor accounts by reconciling monthly statements and related transactions.
  • Generated accounts payable reports for management review to aid in financial and business decision making.
  • Paid vendors by monitoring discount opportunities and paid employees by receiving and verifying expense reports.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
07/2017 to 11/2020Patient Care SupervisorTML Enterprises | Ridgeland, MS
  • Provided leadership, orientation, training, coaching, and mentoring and to departmental clinicians, assisting with performance evaluations and disciplinary actions.
  • Optimized schedule and enhanced patient safety by maintaining clean, safe and well-organized examination rooms.
  • Conducted thorough reviews of surgical plans and patient charts to prepare accurate patient paperwork.
  • Measured and recorded color vision and acuity testing and performed lensometry and sit-lamp examinations to assist charge nurse with appointment load.
  • Administered anesthetic drops and positioned patients for successful laser treatment procedures.
  • Prepared over 65 patients per week for examinations and surgeries.
  • Maintained ophthalmic instruments or equipment.
  • Optimized schedule and enhanced patient safety by maintaining clean, safe and well-organized examination rooms.
  • Performed ophthalmic triage in office or by phone to assess severity of patients' conditions.
  • Educated patients on ophthalmic medical procedures, eye conditions and appropriate use of medications.
  • Used coordination and planning skills to achieve results according to schedule.
  • Developed team communications and information for meetings.
  • Maintained energy and enthusiasm in fast-paced environment.
  • Prepared a variety of different written communications, reports and documents to ensure smooth operations.
  • Identified issues, analyzed information and provided solutions to problems.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
  • Actively listened to customers, handled concerns quickly and escalated major issues to manager on duty.
01/2015 to 06/2017Patient Care TechnicianEast Texas Medical Center Tyler | Houston, TX
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Supported patient admissions, discharges and transfers to promote team efficiency.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Obtained biological specimens for ordered tests and prepared for laboratory transport.
  • Maximized patient satisfaction by helping individuals carry out personal tasks such as dressing and walking.
  • Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
  • Gathered dietary information, assisted with feeding and monitored intake to help patients achieve nutritional objectives and support wellness goals.
  • Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
  • Interacted effectively with patients, families, staff and other hospital department staff to deliver high level of customer service and teamwork.
  • Attended to patient and family's immediate needs and concerns by acknowledging and providing required attention.
  • Organized medical charts for patients by assembling new admission pages and adding appropriate pages to charts.
  • Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements.
03/2009 to 01/2015Patient Service RepresentativeEast Texas Medical Center Tyler | Tyler, TX
  • Assisted patients in filling out check-in and payment paperwork.
  • Educated patients on medicine and at-home healthcare tools.
  • Took copayments and compiled daily financial records.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Explained plans for treatment and payment options.
  • Generated monthly statements to check outstanding balances.
  • Reviewed daily care slips for doctors.
  • Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
  • Worked closely with doctors to maintain optimum levels of communication to effectively and efficiently complete projects.
  • Completed all paperwork, recognizing any discrepancies and addressing them in a timely fashion.
  • Resolved problems, improved operations and provided exceptional service.
  • Collaborated with colleagues to maintain and upkeep office and waiting area to provide clean and organized environment for patients.
  • Collected patient co-pay and issued receipt to confirm payment.
  • Verified patient availability during appointment scheduling process to reduce reschedules and cancellations.
  • Contacted insurance company to verify patient coverage before visit.
  • Administered billing functions to maintain profitability and meet compliance, quality and productivity standards.
  • Drove proactive patient outreach activities to schedule appointments and follow-up on care and health maintenance.
Education
06/2018Associate of Science | General StudiesTexas Southern University, Houston, TX
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Resume Overview

Companies Worked For:

  • Avika Billing Solutions
  • TML Enterprises
  • East Texas Medical Center Tyler

School Attended

  • Texas Southern University

Job Titles Held:

  • Billing Specialist (Externship)
  • Patient Care Supervisor
  • Patient Care Technician
  • Patient Service Representative

Degrees

  • 06/2018 Associate of Science | General Studies

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