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client billing representative resume example with 14+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary

Talented Billing Representative familiar with billing standards, account assessments and collections procedures. Skilled in strengthening customer relationships, resolving issues and obtaining payments to bring accounts current. Friendly and knowledgeable professional with a diligent approach.

Skills
  • Account reviews
  • Quality assurance controls
  • Invoicing experience
  • Data entry expertise
  • Collections background
  • Medical billing and collections
  • Audit procedures
  • Billing dispute resolution
  • Accounts receivable expertise
  • Invoicing proficiency
  • Coding proficiency
  • Revenue forecasting
  • Generally Accepted Accounting Principles (GAAP)
  • Analytical
  • Computer skills
  • Excellent problem solver
  • Excellent research skills
  • Excellent phone etiquette
  • Superior time management
  • Account reconciliation
  • Self-motivated professional
  • ERP understanding
  • MS Office suite
  • 10-key proficiency
  • Working collaboratively
Experience
03/2019 to Current
Client Billing Representative Pitney Bowes Stamford, CT,
  • Completed quality assurance reviews of practices and billing histories.
  • Worked with outside parties to obtain payments and solve problems.
  • Tracked timely receipt of invoices, monitored and identified late invoices and contacted vendors to obtain tardy invoices.
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
  • Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
  • Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
  • Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
  • Evaluated accounts for payment compliance and contacted customers.
  • Assessed and resolved variances in accounts, databases and bills.
  • Reviewed existing billing processes and spearheaded ongoing simplification initiatives and operational strategies that improved company collections and customer satisfaction.
  • Calculated figures such as discounts, percentage allocations and credits.
11/2015 to 03/2019
Medical Biller Aledade Wake Forest, NC,
  • Researched and rectified account discrepancies.
  • Organized billing operations, calendars and claims, bringing in more than 50% of all payments.
  • Oversaw day-to-day operations of billing department, including medical coding, charge entry, claims and [Task] for [Number] pharmacies.
  • Submitted and processed over [Number] insurance claims per [Timeframe] to conduct medical code verifications and assessments.
  • Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
  • Audited medical records and diagnosis codes for accuracy and completion.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
  • Reconciled codes against services rendered.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Reviewed medical records to meet insurance company requirements.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Performed routine quality assurance audits to promote data integrity.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
  • Answered phone calls and responded to questions regarding [Type] concerns and issues.
  • Prepared and updated new [Type] system to handle billing needs, resulting in [Number]% improvement in accuracy.
  • Assessed medical codes on patient records for accuracy.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Submitted claims to insurance companies.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Filed and submitted insurance claims.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
  • Handled all surgical billing for [Number] providers in busy [Type] practice, maintaining [Number]% accuracy rate by performing [Task].
  • Checked claims coding for accuracy with ICD-10 standards.
  • Collected, posted and managed patient account payments.
  • Completed and submitted appeals.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
  • Reviewed received payments for accuracy and applied to intended patient accounts.
02/2010 to 10/2015
Medical Biller Aledade Wichita, KS,
  • Researched and rectified account discrepancies.
  • Handled [Type] billing, waivers and claims for private and commercial clients.
  • Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
  • Audited medical records and diagnosis codes for accuracy and completion.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
  • Reconciled codes against services rendered.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Reviewed medical records to meet insurance company requirements.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
  • Answered phone calls and responded to questions regarding [Type] concerns and issues.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Submitted claims to insurance companies.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
  • Effectively coordinated all communications between patients, billing personnel and insurance carriers.
  • Collected, posted and managed patient account payments.
  • Completed and submitted appeals.
  • Kept accounts current by utilizing [Type] reporting and analysis strategies.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Expertly assigned charges and payments for medical procedures.
  • Flagged return claims and dealt with insufficient payments.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
07/2006 to 07/2010
Medical Billing Specialist Kabafusion Asheville, NC,
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Posted and adjusted payments from insurance companies.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Performed full-cycle medical billing for fast-paced company, reducing errors [Number]% within [Timeframe].
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Meticulously tracked and resolved underpayments.
  • Applied payments, adjustments and denials into medical manager system.
  • Submitted refund requests for claims paid in error.
  • Posted charges, payments and adjustments.
  • Collaborated closely with other departments to resolve claims issues.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
Education and Training
Expected in 05/2018
Bachelor of Science: Business Administration
Regis University - Denver, CO
GPA:

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Resume Overview

School Attended

  • Regis University

Job Titles Held:

  • Client Billing Representative
  • Medical Biller
  • Medical Biller
  • Medical Billing Specialist

Degrees

  • Bachelor of Science

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