Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
Professional Secretary with over 10+ years of experience managing daily administrative support tasks and operations in Healthcare industry. Well-organized, quick learner committed to delivering high-quality results. Adaptable and versatile worker providing excellent customer service within dynamic environments.
Skills
Patient-focused quality service
Accounting principles knowledge
Hospital inpatient and outpatient records
Medicare and Medicaid process
Medical claims submission
Payment posting
Collections duties
A/P and A/R expertise
Keyboarding skills
Microsoft Office
Multi-line phone systems
Verbal and written communication
HIPAA guideline compliance
Organization
Inter-office communications
Cross-functional communication
Work History
06/2018 to Current
Collections Clerk Patient AccountingUniversity Of Pennsylvania Health System – Mercerville, NJ,
Performed targeted collections on past due accounts aged over [120] days.
Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Performed billing and coding procedures for inpatient and outpatient services.
Located errors and promptly refiled rejected claims.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Posted and adjusted payments from insurance companies.
Evaluated patients' financial status and established appropriate payment plans.
Precisely evaluated and verified benefits and eligibility.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Accurately posted and sent out all medical claims.
Precisely completed appropriate claims paperwork, documentation and system entry.
Prepared billing statements for patients and verified correct diagnostic coding.
Reviewed outgoing bills for eligibility and accurateness.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Transferred balances to correct payers.
Posted payments and collections on regular basis.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
Maintained current accounts through aged revenue reporting.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Efficiently collected payments and communicated with clients.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Assisted patients by determining financial assistance available and setting up payment plans.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Verified signatures and checked medical charts for accuracy and completion.
Verified proper ICD-10 coding on claims.
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Analyzed medical records to satisfy insurance company mandates.
Communicated with insurance providers to resolve any denied claims and resubmit.
Collected payments and applied to patient accounts.
Researched and followed up on denied insurance claims.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Set up and maintained new electronic billing system.
Filed and updated patient information and medical records.
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Completed client requests and advised supervisors of special needs.
01/2016 to 06/2018
Medical Biller Specialist and CodingAFT MEDICAL SERVICES – City, STATE,
Managed Health Records
Applied ICD-10 coding under supervision
Submitted Claims to Medicare, Medicaid, HMO's, and private health insurance providers
Experienced billing for Family Medicine, OBGYN, Dermatology, and general surgeons specialties Ensure claims are entered and submitted with 48 hours of receipt Accurately apply payments to patient accounts Post and reconcile insurance and patient payments
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts Insure accuracy of insurance claims
Verify correct ICD-10, and CPT codes for a variety of specialties Set up new patient accounts Assign ICD-10 to physicians diagnosis and insure correct level of service and various other CPT codes
Set-up practice management software for submission of electronic claims to clearinghouse
Work with clearinghouse to resolve file compatibility issues Retrieve Electronic Remittance Advice (ERA's) Send secondary claims upon processing of primary insurance Monthly processing of Patient statements
Answer and resolve patient billing inquires Follow up on Insurance and patient aging
Re-submit insurance claims as necessary Knowledgeable in timely filing restrictions for insurance payers Insure office practices are in compliance with HIPAA regulations
12/2008 to 12/2015
Medical Biller SpecialistMED-AMERICA BILLING SERVICES INC – City, STATE,
Identify and resolve patients' billing problems and discrepancies
Review accounts for possible assignment and made correlating recommendations to the billing supervisor
Efficiently receive and sort incoming medical bills and invoices by paying particular attention to the credibility of information
Examine medical debts and delinquent accounts status
Ensure that appropriate follow up duties are efficiently carried out
Oversee the billing procedure to ensure timely preparing of bills and invoices
Create and main an efficient reporting system to provide the management with information on billing procedures and outcomes
Effectively managed the status of outstanding payments
Ensured that any discrepancies were sorted immediately
Processed payments from insurance companies and preparing daily deposits
Verified completeness and accuracy of all billing records and claims before submission
Periodically updated accounts receivable databases with any missed payments or new account information
Created and maintain effective liaison with clients to provide them with information on their debts and deadlines
Oversaw the issuance and posting of bills and receipts by medical billing clerks
Education
Expected in
: HEALTH INFORMATION TECHNOLOGY PROGRAM Santa Barbara City College - Santa Barbara, GPA:
Expected in 2004
ASSOCIATE: Maric College - Salida, CA GPA:
Expected in 1999
HIGH SCHOOL DIPLOMA: Ceres High School - Ceres, CA GPA:
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