financial clearance specialist resume example with 11+ years of experience
Medical Billing Specialist with 6 years' experience. Experienced administrative professional well-versed in insurance commercial and Medicare knowledge, in claims denials and resubmission of claims and records management functions. Friendly and reliable team player with excellent judgment, strong critical thinking skills and good problem-solving abilities. Excellent customer service and conflict management skills. Enthusiastic and well-organized with solid background in insurance billing and authorizations, schedule management . Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Personable Supervisor with record of success leading team efforts, recognizing areas of improvement and building professional relationships. Effective at managing big-picture business goals. Detail-oriented and efficient with strengths in both project and time management. Dedicated Children Mercy professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best.
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- Provided primary customer support to internal and external customers.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer/patient needs and resolving concerns.
- Clarified customer/patient issues and determined root cause of problems to resolve product or service complaints.
- Developed and updated department goals and achievements throughout fiscal year.
- Trained junior staff on office procedures and regulatory requirements.
- Greeted every guest with personable approach and provided knowledgeable service.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Supported office staff and operational requirements with administrative tasks.
- Maintained current and accurate medical records for patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Helped patients complete necessary medical forms and documentation.
- Contributed to and helped lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
- Trained new employees on multiple medical billing programs and data entry software.
- Oversaw and managed 4 clinical and support staff in patient care activities while maintaining high level of staff morale and professionalism.
- Maintained all confidential personnel files, license and CPR compliance records.
- Continually maintained and improved company's reputation and positive image in markets served.
- Managed team of medical support personnel.
- Created and maintained computerized record management systems to record and process data and generate reports.
- Investigated, provided and submitted information to Quality Department about special incidents, events and complaints.
- Reviewed documentation for compliance with requirements and accuracy of information.
- Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
- Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
- Performed monthly inventory and maintained office and medical supply counts.
- Provided statistical and budget reports and greeted and provided general support to visitors.
- Performed general administrative duties
- Planned meetings and took detailed minutes.
- Worked closely with others to ensure timely invoicing and accounts receivables.
- Handled patient scheduling, check-in, check-out and processing.
- Collaborated in timely processing of billing and accounts receivables.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Maintained office inventory and ordered supplies in timely manner.
- Answered and directed telephone calls for Carter Home Healthcare.
- Monitored and directed incoming mail and prepared outgoing mail.
- Addressed questions and managed communications with patients and insurance agents.
- Managed filing systems for electronic and hard copy documents to keep organized records.
- Responded to questions and managed communications with patients and nurses.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
- Counted, measured, and compounded medications following standard procedures.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Collected co-payments or full payments from customers.
- Reviewed and verified customer information and insurance provider information.
- Regularly stocked shelves, rotated stock and checked for expired medications.
- Effectively prioritized tasks and organized workflow to increase efficiency.
- Coordinated pharmacy staff schedule and assisted with personnel monitoring and performance evaluations.
- Efficiently operated cash register and handled cash, checks, and charge transactions.
- Assisted other pharmacy staff with drug inventory, purchasing, and receiving.
- Completed new and updated patient profiles, including lists of patient medications.
- Communicated regularly with physicians, nurses, insurance companies and managed care organizations.
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Resume Overview
School Attended
- Emporia High School
Job Titles Held:
- Financial Clearance Specialist
- Medical Billing Specialist
- Administrative Coordinator
- Lead Pharmacy Technician
Degrees
- High School Diploma
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