Livecareer-Resume
JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with a successful team.

Skills
  • Management leadership and supervision
  • Insurance Verification - 10+ years
  • Customer Service - 10+ years
  • Medical Claim Submission - 10+ years
  • Proficient in EMR Software - 10+ years
  • Data entry - 10+ years
  • Payment collection and processing - 10+ years
  • Eligibility and Benefit Analysis - 10+ years
  • Medical Billing Terminology - 10+ years
  • Knowledge of CPT Codes - 10+ years
  • Experience with an array of EMR and EHR Programs - 10+ years
    Working knowledge of HIPAA Guidelines - 10+ years
Experience
09/2017 to Current Clinic and Billing Assistant Manager Lowell General Hospital | North Billerica, MA,
  • Verify insurance eligibility and benefits for all patients - Obtain prior-authorization when necessary - Calculate, confirm, and collect patient balances on a daily basis - Create and maintain patient charts in EHR - Manage billing and new patient registration phone lines - Collect, post, and apply patient payments in EHR - Process, review, and send out patient billing statements monthly - Monitor and manage A/R for office providers - Payment posting of insurance payments via ERA remittance or EOBs - Process aging reports - Post insurance payments via ERA remittance or EOB's - Track claim status - Confirm payer information - Rebill denied claims.
  • Recognized by management for providing exceptional customer service.
  • Earned reputation for good attendance and hard work.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
06/2015 to 08/2017 Medical Receptionist University Of Chicago Medical Center | Calumet City, IL,
  • Checked-in patients - Took calls from patients and insurance companies - Collected and processed payments - Processed referrals for patients - Entered data into EMR Database.
  • Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date
  • Processed patient payments and scanned identification and insurance cards.
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Observed strict HIPAA guidelines at all times according to company policy.
02/2014 to 11/2014 Patient Access Specialist Arthur J Gallagher & Co. | Dallas, TX,
  • Interviewed patients to gather and interpret required demographic, insurance, financial, and clinical data - Screened physician orders and pre-registration data for changes and compliance with payer requirements for medical necessity and precertification - Reviewed and completed changes to third party eligibility and benefits verification.
  • Responded to patient concerns and inquiries professionally and efficiently.
  • Called insurance companies and verified patient coverage.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
04/1993 to 03/2012 Benefit Analyst Blue Cross And Blue Shield Of Illinois | City, STATE,
  • Analyzed group benefit plan designs to properly code benefits at the appropriate benefit levels - Provided claim resolution to issues discovered while testing - Researched claims denied for non-payment - Developed and implemented new business processes - Participated in technical design and testing processes and user documentation processes - Knowledge of HIPPA Privacy Regulations - Ensured company compliance with federal and state laws - Performed administrative tasks, such as maintaining records and handling policy renewals - Monitored insurance claims to ensure they are settled equitably for both the client and the insurer - Processed and recorded new insurance policies and claims - Identified, compiled, abstracted and coded patient data, using standard classification systems - Retrieved patient medical records for physicians, technicians, or other medical personnel - Reviewed records for completeness, accuracy and compliance with regulations - Protected the security of medical records to ensure that confidentiality is maintained - Entered data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer -Processed patient admission and discharge documents - Resolved or clarify codes and diagnosis with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings - Prepared invoices, reports, memos, letters, financial statements and other documents, using word processing, spreadsheet, database, or presentation software - Conducted research, compiled data and prepared papers for consideration and presentation by executives, committees and board of directors - Read and analyzed incoming memos, submissions and reports to determine their significance and plan their distribution - Performed general office duties, such as ordering supplies, maintaining records management database systems and performing basic bookkeeping work - Filed and retrieved corporate documents, records and reports - Coordinated and directed office services such as recorded departmental finances, budget preparation, personnel issues and housekeeping, to aid executives - Greeted visitors and callers, handled their inquiries and direct them to the appropriate persons according to their needs.
  • Processed transactions for payment Claim processor - Prepared insurance claim forms and related documents and review them for completeness.
Education and Training
Expected in 1989 High school | George Washington High School, Chicago, IL GPA:
References available upon request

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Resume Overview

School Attended

  • George Washington High School

Job Titles Held:

  • Clinic and Billing Assistant Manager
  • Medical Receptionist
  • Patient Access Specialist
  • Benefit Analyst

Degrees

  • High school

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