Billing Supervisor Resume Example

• TransCare Ambulance - Brooklyn Precisely completed appropriate claims paperwork, documentation and system entry.
• Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
• Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
• Verified patients' eligibility and claims status with insurance agencies.
• Diligently filed and followed up on third party claims.
• Accurately selected the proper descriptive code when more than one anatomical location was indicated.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Resourcefully used various coding books, procedure manuals and on-line encoders.
• Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
• Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
• Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
• Accurately posted and sent out all medical claims.
• Submitted electronic/paper claims documentation for timely filing.
• Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
• Precisely evaluated and verified benefits and eligibility.
• Posted and adjusted payments from insurance companies.
• Responded to correspondence from insurance companies.
• Identified and resolved patient billing and payment issues.
• Maintained and updated collections tracking spreadsheet to help organize payment information.
• Confidently and adeptly handled claim denials and/or appeals.
• Evaluated patients' financial status and established appropriate payment plans.
• Reviewed and resolved claim issues and edit for clearing house resubmission.
• Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
• Printed and reviewed monthly patient aging report and solicited overdue payments.

Created monthly reports for records, closed terminated records and completed chart audits.Eliminated outdated records by sending the records to be scanned.Verified that information in the computer system was up-to-date and accurate.Assisted with payroll preparation and entered data into cumulative payroll document.Observed and documented patient status and reported patient complaints to the case manager.Read and recorded temperature, pulse and respiration.Completed and submitted clinical documentation in accordance with agency guidelines.Prepared patient rooms prior to their arrival.Collected urine and fecal samples.Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.Kept facility stocked with necessary supplies, equipment and instruments.