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Insurance Billing/Appointment Scheduler Resume Example

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INSURANCE BILLING/APPOINTMENT SCHEDULER
Summary

Meticulous Patient Account Representative with expertise in insurance procedures, medical terminology and hospital billing systems.

Systematic Patient Account Analyst with 23 years of experience in Medical Billing. Knowledgeable about modern billing software and medical coding. Committed to mathematical accuracy and patient education.

Dedicated Patient Account Representative bringing 23 years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.

Resourceful Patient Account Representative focused on patient care and customer service. Friendly and adaptable professional. Demonstrated abilities to resolve even the toughest challenges.

Detail-oriented Patient Account Analyst with 5 years of experience. Adept at close monitoring of account balances and knowledgeable about medical billing. Successful at collecting payments quickly and writing accurate reports.

Skills
  • Epic,Medic (Versions), ICD-10/CPT, Account Receivable, Microsoft, Misys, Register Patients, Staff
  • Support, Collections, Insurance Billing, Explanation of EOB's, Multi-switchboard
  • Accounting
  • Anesthesia Billing
  • Schedule appointments
  • Banking
  • Benefits
  • Billing
  • Charts
  • CPT Codes
  • Database
  • Forms
  • ICD-10
  • Office manager
  • Coding
  • Settlements
  • Surgery Scheduling
  • Conflict mediation
  • Team collaboration
  • Payment collection
  • Credit balancing
  • Problem solving
  • Excellent judgment
  • Managed care
  • Coding expertise
  • Insurance collaboration
  • Regulatory compliance
  • Efficiency
  • Physicians' orders
  • Account updating
  • Discrepancy reconciliation
  • Manual processing
  • Administrative support
  • Quality control
  • Customer relations
Experience
Insurance Billing/Appointment Scheduler / ProMed Healthcare - Portage, MI10/2000 - 01/2005
  • Daily reconciliation of patient payments and charges,Schedule appointments and answer phones,Work with the patients with billing issues,Rebilling of insurance carriers,Knowledge of HCFA claim forms 1500,Helping coworker when needed.
Insurance Specialist/Team Leader Team Leader / Kalamazoo Gastroenterology Hepatology - Kalamazoo, MI03/2005 - 01/2007HepatologyRebilling insurance carriers,Assist with charge entry and coding.Remicade
Account Receivable/Billing Specialist / The Doctor Group,DBA-Suburban Medical Center - Kalamazoo, MI01/2007 - 09/2010
  • Account Receivable and Payable,Status A/R and Outstanding Claim Report,Close of Day,month and year,Balance end of month reports,Transmit electronic claims,send patient statements,verify insurance coverage and benefits,Post insurance and personal payments,rebill insurance carrier with corrections of claims,post procedures and office visit,work collections accounts,set payment plans.
Patient Account Analyst / Bronson Practice Management - Kalamazoo, MI09/2010 - Current
  • Send electronic statements,Post payments,Personal and Insurance payments,Enter surgery charges,Check office charges,Close of days,Work A/R,Work outstanding claims,A/R clean up,Collections,Work with insurance companies on denial,rejections,Discuss patient accounts,Set up payment plan,anesthesia billing.
  • Created letters, invoices and other documents with diverse computer programs such as Epic.
  • Educated patients on payment and insurance options based on treatments.
  • Answered customer questions in friendly and knowledgeable manner to maintain high satisfaction levels.
  • Processed refunds, disbursements and payments.
  • Reviewed credit balancing reports and requested refunds or transfers.
  • Created letters, invoices and other documents with diverse computer programs such as Epic.
  • Resolved inquiries from patients, families and external payers.
  • Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
  • Compared statements against patient files.
  • Prepared and posted weekly payments to vendors and suppliers.
  • Reviewed accounts before submitting to patients or collection agencies.
  • Reviewed flagged items daily and resolved issues in accurate and efficient manner.
  • Generated detailed reports outlining billing, flagged items and other important data.
  • Organized and maintained office supplies for efficient team use.
  • Submitted electronic bills following facility and legal compliance standards.
  • Performed administrative tasks such as copying, scanning and mail sorting on daily basis.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Submitted fees and claims to insurance companies manually or digitally.
Education and Training
Kalamazoo Valley Community College, MI - Loy Norrix High SchoolSome College (No Degree): Accounting And Finance
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Resume Overview

Companies Worked For:

  • ProMed Healthcare
  • Kalamazoo Gastroenterology Hepatology
  • The Doctor Group,DBA-Suburban Medical Center
  • Bronson Practice Management

School Attended

  • Kalamazoo Valley Community College, MI

Job Titles Held:

  • Insurance Billing/Appointment Scheduler
  • Insurance Specialist/Team Leader Team Leader
  • Account Receivable/Billing Specialist
  • Patient Account Analyst

Degrees

  • Kalamazoo Valley Community College, MI - Loy Norrix High School Some College (No Degree) : Accounting And Finance

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