- , , 100 Montgomery St. 10th Floor
- H: (555) 432-1000
- C:
- resumesample@example.com
- Date of Birth:
- India:
- :
- single:
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.
- 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
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- 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
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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
Present: Health Administration, Expected in
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Southern New Hampshire University - Manchester, NH,
GPA:
High School Diploma: , Expected in 2007
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Warren Central High School - Vicksburg, MS
GPA:
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