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Front Desk Receptionist Resume Example

Resume Score: 80%

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FRONT DESK RECEPTIONIST
Professional Summary

Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.

Experienced Medical Biller and Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 10 plus years of experience and willingness to take on any challenge.

I am also skilled in Credentialing, helping physicians to become certified and to get up to date information when certification expires so that claims can be paid in a timely manner.

Skills
  • Telephone etiquette
  • Call Forwarding
  • Decision-Making Abilities
  • Verbal and written communication
  • Word processing
  • Time management
  • Problem-solving skills
  • Researching skills
  • Office administration
  • Sensitive Information Handling
  • Mail handling
  • Departmental support
  • Skilled in Epic, Huron, IDX, Outlook, Microsoft Word, FACS, and Stockmp
  • Performance improvement
  • Office organization
  • Problem-solving
Work History
Front Desk Receptionist, 02/2018 to 03/2020
Company Name – City, State
  • Liaised with housekeeping and maintenance staff to address requests and complaints made by guests.
  • Swiftly responded to room requests and other inquiries made via establishment website, email or phone.
  • Confirmed relevant guest information and payment methods to prevent fraud.
  • Updated customer accounts with add-on room charges, including minibar use and room service bills.
  • Politely welcomed arriving guests, providing room keys and information on amenities and policies.
  • Promptly answered multi-line phone system and greeted callers enthusiastically.
  • Oversaw fast-paced front desk operations at busy Hotel facility with as many as 80 nightly guests.
  • Used On Q, PMS to process reservations, check-ins and check-outs.
  • Sorted mail and other quick delivery of all messages to recipients.
  • Retrieved mail, packages and documents on behalf of guests, promptly verifying receipt and arranging for pickup or transmittal.
  • Arranged accommodations and travel plans for visitors and presented updated itineraries.
  • Received packages and mail at front desk and dispersed to correct employees.
  • Resolved customer issues quickly and notified Manager immediately when problems escalated.
Medicaid Billing Specialist, 05/2006 to 07/2018
Company Name – City, State
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Precisely evaluated and verified benefits and eligibility.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Managed collections claims for unpaid bills against estates of debtors.
  • Determined prior authorizations for medication and outpatient procedures.
  • Promptly sent out and posted all medical claims.
  • Pre-certified medical and radiology procedures, surgeries and echocardiograms.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Accurately posted and sent out all medical claims.
  • Accurately posted surgeries, hospital visits and payments for assigned carriers.
  • Posted and adjusted payments from insurance companies.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
  • Efficiently collected payments and communicated with clients.
  • Analyzed medical records to satisfy insurance company mandates.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Liaised between patients, insurance companies and billing office.
  • Managed billing calendar and scheduled claims for payments.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Followed up on legal claims
  • Posted payments and collections on regular basis.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Delivered timely and accurate charge submissions utilizing Epic.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Maintained current accounts through aged revenue reporting.
  • Verified proper ICD-9 coding on claims.
Medical Self Pay Biller/Onsite Liaison Team Lead, 09/2000 to 05/2006
Company Name – City, State
  • Evaluated employee skills and knowledge regularly, providing hands-on training and mentoring to individuals with lagging skills.
  • Established open and professional relationships with team members which helped resolve issues and conflicts quickly.
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Devised new methods to make workflows more efficient and brought suggestions to attention of Manager/Director.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Applied charges and updated patient records by using Epic and SSI.
  • Scheduled patients in Medical Manager System.
  • Completed client requests and advised supervisors of special needs.
  • Managed billing calendar and scheduled claims for payments.
  • Followed up on legal claims.
  • Verified proper ICD-9 coding on claims.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Researched and followed up on denied insurance claims.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Assisted patients by determining financial assistance available and setting up payment plans.
  • Transferred balances to correct payers.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Liaised between patients, insurance companies and billing office.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Posted charges, payments and write-ups for cardiovascular procedures.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Efficiently collected payments and communicated with clients.
  • Prepared accounts with past due balances of more than 90 days and transferred those cases to collection agency.
  • Posted payments and collections on regular basis.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Set up and maintained new electronic billing system.
  • Prepared detailed reports 1 week on updates to project specifications, progress, identified conflicts and team activities.
Education
None: Business Administration And ManagementMansfield Business College - City, State
  • Majored in Certified Nurse Assistant: I wasn't able to complete my degree due to school closing for fraud. I was only able to complete a yearbefore school closed.
Diploma: General Studies, 06/1987
Beaumont Cte High School - City, State
Additional Information

When I started my career at SSM Health I started as a Self-Pay Representative: Billed patient after insurance company paid if patient had a balance. If patient was straight selfpay I billed the patient. If the patient couldn't pay I recommended financial assistance and also gave charity after fiancial assistance was approved. I then took the position of Lead Biller and Trainer, and I was taken under my Supervior, Manager and Director wing. I attended all meetings with higher up management team. I was then offered a position in the claims follow up department after the selfpay department was outsourced. I did followup for a year in my the new department and was offered the lead role for the selfpay department with the outsource company AHC. I worked all selfpay onsite and lead the department of 10. I communicated with my bosses through email, conference calls and video chat. The contract wasn't renewed with SSM and I was rehired with SSM Health and I was transferred to the Government Team and became a Medicaid/Medicare Medical Biller for Hospital/Physician billing.

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Resume Overview

School Attended

  • Mansfield Business College
  • Beaumont Cte High School

Job Titles Held:

  • Front Desk Receptionist
  • Medicaid Billing Specialist
  • Medical Self Pay Biller/Onsite Liaison Team Lead

Degrees

  • None : Business Administration And Management
    Diploma : General Studies , 06/1987

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