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dme biller collection resume example with 7+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Medical Billing Specialist - Collector - Administrative Assistant

Core Qualifications

Claims appeal procedures

Insurance processing

Medical billing

Knowledge of HMOs, Medicare and Medicaid

ICD-9 coding, CPT and HCPCS coding






Customer service-oriented

Durable Medical Equipment billing software, Brightree, Mestamed

Software: All Windows operating systems, Microsoft Word, WordPerfect and Excel.

Education
Army Reserve Readiness Training Centerks San Antonio , Texas Expected in 2008 Certificate : Unit Administration Basic Course GPA : Status
US Army Ft Lee, Virginia Expected in 2008 Certificate : Unit Supply Specialist GPA : Status
St Phillips Community College San Antonio, Texas Expected in 1995 GED : High School GPA : Status
Experience
Hospital Sisters Health System - CorporateDME Biller / Collection
Belleville, IL, 04/20122013

Trained admitting, billing and collection staff.

Performed full-cycle DME medical billing in a fast-paced office.

Contacted insurance providers to verify correct insurance information and get authorization for proper billing codes.

Updated patient accounts and information on a daily basis.

Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.

Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.

Acquired insurance authorizations for services being provided to patient.

Mercury Insurance GroupSoftware Trainer / Biller / Collector
NC, State, 11/201004/2012

Provided administrative support for three physicians

Troubleshot and resolved Brightree software issues.

Added user accounts, troubleshot issues with users and monitored trained business staff on Brightree Software.

Transitioned all accounts from Mestamed software to Brightree Software.

Managed medical supply inventory, insurance records, patient charts and company files using Brightree.

Arranged and assisted with intake process.

Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the payor.

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

Applied payments, adjustments and denials into Brightree.

United States ArmySupply Specialist
City, STATE, 07/200710/2010

Received, inspected inventory, load, unload, segregate, stored, issued, delivered and turn in of organization and installation supplies and equipment.

Operate unit level computer(UCL)

Maintained automated supply system for accounting of organizational and installation supplies and equipment.

Issued and received small arms.

Secured and controlled weapons and ammunition in security areas.

Scheduled and performed preventive and organizational maintenance on weapons.

Kinectic Concepts Inc. (KCI)Claims Specialist II
City, STATE, 03/200507/2007

Completed registration quickly and cordially for all new patients.

Acquired insurance authorizations for durable medical equipment that was being ordered by physician.

Confirmed patient information, collected copays and verified insurance.

Consistently informed patients of their financial responsibilities prior to services being rendered

Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.

Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.

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Resume Overview

School Attended

  • Army Reserve Readiness Training Centerks
  • US Army
  • St Phillips Community College

Job Titles Held:

  • DME Biller / Collection
  • Software Trainer / Biller / Collector
  • Supply Specialist
  • Claims Specialist II

Degrees

  • Certificate
  • Certificate
  • GED

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