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billing specialist ii commercial follow up analyst resume example with 8+ years of experience

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

Detail-oriented Billing Specialist II, with 10+ years of work experience who is a highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Skills
  • Strong understanding of HIPAA and privacy laws
  • Experience in Microsoft Office and Microsoft Excel - create / save documents and spreadsheets, formulas, Excel VLOOKUP & pivot tables
  • Experience in working with medical claims platforms
  • 9+ years of experience working in a production environment with metrics and QA standards
  • Demonstrated ability to listen skillfully
  • Customer Service Skills/Multi-line telephone skills
Education and Training
Southern New Hampshire University Manchester, NH, Expected in Present : Health Administration - GPA :
Warren Central High School Vicksburg, MS Expected in 2007 High School Diploma : - GPA :
Experience
Good Shepherd Hospice - Real Estate Agent
Saint James, NY, 03/2022 - Current
  • Maintained current and accurate CRM database of prospective customers.
  • Generated lists of properties compatible with buyers' needs and financial resources.
  • Facilitated real estate purchases by reviewing listings, accompanying clients to properties and communicating sale conditions.
  • Verified accuracy of documentation and fund disbursements for sales.
  • Called or emailed lapsed clients to inquire about continuing needs.
  • Networked with industry contacts to expand knowledge of real estate markets and best practices.
  • Liaised with real estate attorneys to assist with deal-related questions.
  • Oversaw and negotiated offers for real estate purchases on clients' behalf.
  • Conducted thorough needs analysis and pre-qualification with prospective clients to schedule showings.
  • Managed real estate transactions from initiation to closing.
  • Showed residential properties and explained features, value and benefits of available homes.
  • Promoted property sales through advertisements, open houses and participation in multiple listing services.
  • Planned and coordinated open house events to move properties.
Madison Parish Hospital - Billing Specialist II/Commercial Follow-up Analyst
City, STATE, 11/2015 - 05/2020
  • Solve complex problems and / or conduct moderately complex analyses
  • Provide explanations and information to others on difficult issues
  • Research, correct, and re-submit rejected and denied claims
  • Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
  • Identify solutions to non-standard requests and problems
  • Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies
  • Assisted and provided information to patients, clerical staff and insurance companies, as well as identifed and resolved patient/physician billing complaints
  • Responsible for the collection, posting, and management of account payments
  • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations
  • Investigated and resolved issues to maintain billing accuracy.
  • Researched and resolved billing inconsistencies and errors through individual and collaborative analysis.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Added current information to accounts, including demographic, personal and payment details.
  • Applied billing adjustments to resolve discrepancies in account receivable journals.
River Region Health System - Registration Representative/Medical Billing Clerk
City, STATE, 02/2014 - 03/2015
  • Answered questions about admissions, financial and hospital policies
  • Checked insurance benefits, received payments and provided receipts
  • Gathered, verified and processed patient paperwork
  • Gathered personal and insurance information from each patient
  • Boosted productivity by maintaining strong call control and quickly working through scripts to address diverse problems
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints
  • Documented conversations with customers to track requests, problems and solutions
  • Applied payments from customers to proper accounts, checking over all information to verify accuracy
  • Facilitated payment of invoices due by sending bill reminders and contacting clients
River Region Health System - Medical Scheduler
City, STATE, 12/2012 - 11/2014
  • Managed physician calendar, including scheduling patient appointments and procedures
  • Created and maintained accurate and confidential patient files
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services for multiple providers
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses
  • Maximized office efficiency by answering more than 100+ incoming calls per day to provide office information and transfer calls to desired personal
  • Managed medical supply inventory, insurance records, patient charts and company files using online tracking system
  • Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories
  • Updated patient financial information to ensure accuracy
Company Name - Emergency Room Clerk
City, State, 04/2011 - 12/2012
  • Compiled physical and digital paperwork to meet business and patient needs, including charts, reports and correspondence
  • Informed patients of financial responsibilities prior to rendering services
  • Communicated with all partners throughout the practice including physicians, nursing staff, technicians and medical assistants
  • Ensured that the phone was answered by the second ring and enthusiastically greeted all callers
  • Managed a multi-line phone system and greeted all patients
  • Observed strict HIPAA guidelines at all times according to company policy
  • Processed patient payments and scanned identification and insurance cards
  • Delivered high-quality administrative and customer service to sustain patient and work flows
  • Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files
  • Set up appointments for physician visits and procedures using calendar software

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Resume Overview

School Attended

  • Southern New Hampshire University
  • Warren Central High School

Job Titles Held:

  • Real Estate Agent
  • Billing Specialist II/Commercial Follow-up Analyst
  • Registration Representative/Medical Billing Clerk
  • Medical Scheduler
  • Emergency Room Clerk

Degrees

  • Present
  • High School Diploma

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