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
Experience
Real Estate Agent, 03/2022 - Current Good Shepherd Hospice – Saint James, NY,
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.
Billing Specialist II/Commercial Follow-up Analyst, 11/2015 - 05/2020 Madison Parish Hospital – City, STATE,
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.
Registration Representative/Medical Billing Clerk, 02/2014 - 03/2015 River Region Health System – City, STATE,
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
Medical Scheduler, 12/2012 - 11/2014 River Region Health System – City, STATE,
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
Emergency Room Clerk, 04/2011 - 12/2012 Company Name – City, State,
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
Education and Training
Present: Health Administration, Expected in - Southern New Hampshire University - Manchester, NH, GPA:
High School Diploma: , Expected in 2007 - Warren Central High School - Vicksburg, MS GPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
