Billing Specialist II/Commercial Follow Up Analyst Resume Example Good Shepherd Hospice

BILLING SPECIALIST II/COMMERCIAL FOLLOW-UP ANALYST

Summary

Detail-oriented Healthcare Administration major currently attending Southern New Hampshire University, with 10+ years of work experience. Aiming to leverage a proven knowledge of customer communications, procedure standardization, and provider relations skills to successfully fill the Provider Customer Service role at your company. Frequently praised as hard-working by my peers, I can be relied upon to help your company achieve its goals.

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

Billing Specialist II/Commercial Follow-up Analyst
November 2015 to May 2020Good Shepherd Hospice － Saint James , NY

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 accountpayments
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations

Registration Representative/Medical Billing Clerk
February 2014 to March 2015Madison Parish Hospital － 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
December 2012 to November 2014River 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
April 2011 to December 2012River Region Health System － 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 AdministrationSouthern New Hampshire University － City

High School Diploma : 2007Warren Central High School － City, State

Resume Overview

School Attended

Southern New Hampshire University
Warren Central High School

Job Titles Held:

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

Degrees

Present : Health Administration
High School Diploma : 2007

Billing Specialist II/Commercial Follow-up Analyst Resume Example

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