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Dme Medical Billing Resume Example

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

Enthusiastic Medical Biller eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of DME Medical Billing and training in Medical Insurance aged payer report . Motivated to learn, grow and excel in the Medical Billing Field.

Skills
  • Medical billing code accuracy
  • Medical billing and coding
  • Medical billing
  • Medical billing knowledge
  • Medical insurance
  • Medical claims submission
  • Billing inquiries
  • Insurance billing
Work History
03/2013 to Current
DME Medical Billing Salvation Army Usa Battle Creek, MI,
  • Supported needs of DME Medical Billing this is a remote work from home job with skill and efficiency.
  • Posted and adjusted payments from insurance companies.
  • Located errors and promptly refiled rejected claims.
  • Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Translated and interpreted medical billing codes with strong accuracy to ensure swift payment from insurance agencies.
  • Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Transferred balances to correct payers.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Adhered to established standards to safeguard all patients' health information.
  • Used Brightree to input information into computerized patient record system.
  • Posted payments and collections on regular basis.
  • Researched and followed up on denied insurance claims.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Maintained current accounts through aged revenue reporting.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Reviewed patient diagnosis codes to ensure accuracy and completeness.
08/2012 to 03/2013
DME Medcial Biller MediQuick Inc City, STATE,
  • Completed clerical tasks such as filing, copying and distributing mail.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
  • Transferred balances to correct payers.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Posted payments and collections on regular basis.
  • Used Brightree to input information into computerized patient record system.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Maintained current accounts through aged revenue reporting.
  • Researched and followed up on denied insurance claims.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Ensured timely and accurate charge submissions utilizing Brightree.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Located errors and promptly refiled rejected claims.
07/2008 to 09/2012
Medical Biller Panhandle Medical Services Inc City, STATE,
  • Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
  • Liaised between patients, insurance companies and billing office.
  • Transferred balances to correct payers.
  • Posted payments and collections on regular basis.
  • Reviewed services rendered and completed to reconcile codes.
  • Maintained current accounts through aged revenue reporting.
  • Researched and followed up on denied insurance claims.
  • Used [Software] and [Software] to input information into computerized patient record system.
  • Collected payments and applied to patient accounts.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Verified proper ICD-9 coding on claims.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Reviewed patient diagnosis codes to ensure accuracy and completeness.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Education
Expected in 03/1993
GED:
Sheridan High School - Sheridan, AR
GPA:
Expected in 05/2008
Medical Insurance Billing And Coding Degree : Medical Insurance Billing And Coding
Remington College - Little Rock, AR,
GPA:

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Resume Strength

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  • Measurable Results
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • Sheridan High School
  • Remington College
Job Titles Held:
  • DME Medical Billing
  • DME Medcial Biller
  • Medical Biller
Degrees
  • GED
  • Medical Insurance Billing And Coding Degree

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