insurance and billing specialist resume example with 11+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Skills
Good Work Ethic
Reliable & Trustworthy
Organizational Skills
Computer Skills
Planning & Organizing
Customer Service
People Skills
Microsoft Office
Friendly, Positive Attitude
Problem Resolution
Critical Thinking
Active Listening
Experience
Insurance and Billing Specialist, 01/2019 - Current CCHC New Bern Family Practice & Urgent Care – City, STATE,
Submitted claims to insurance companies.
Answered customer questions to maintain high satisfaction levels.
Checked claims coding for accuracy with ICD-10 standards.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Reconciled codes against services rendered.
Enforced compliance with organizational policies and federal requirements regarding confidentiality.
Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
Responded to coding questions from callers and other internal departments.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Quickly responded to staff and client inquiries regarding CPT codes.
Reviewed claims for coding accuracy.
Applied HIPAA privacy and security regulations while handling patient information.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Certified Abstract Specialist, 07/2017 - 01/2019 CarolinaEast Health Systems – City, STATE,
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Quickly responded to staff and client inquiries regarding CPT codes.
Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
Maintained positive working relationship with fellow staff and management.
Answered questions and fulfilled requests with friendly and knowledgeable service.
Compiled and coded patient data using standard classification systems.
Patient Services Rep & Referral Coordinator, 06/2011 - 07/2017 CCHC New Bern Family Practice & Urgent Care – City, STATE,
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