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Insurance follow-up Representative Resume Example

Resume Score: 65%

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INSURANCE FOLLOW-UP REPRESENTATIVE
Professional Summary

Highly efficient Medical Biller with experience in full cycle billing in internal medicine and neurology. Excellent multi-tasker and demonstrated team player with a positive attitude.

Skill Highlights
  • ICD-9 coding

  • Medical billing software

  • CPT and HCPCS coding

  • Knowledge of Medicare, Medicaid & Commercial insurance
  • Maintains strict confidentiality

  • Strong work ethic

  • Team player with positive attitude

  • HIPAA compliance
Professional Experience
Insurance follow-up Representative
April 2013 to Current
Account Temps - Portland, ME
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts.
  • Accurately entered procedure codes, diagnosis codes and patient information into billing software.Added modifiers as appropriate.
  • Confirmed patient information and verified insurance.
  • Completed appeals and filed and submitted claims.
  • Submitted refund requests for claims paid in error.
  • Accurately entered procedure codes, diagnosis codes and patient information into billing software.
  • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
  • Thoroughly reviewed remittance codes from EOBS.
Medical Billing Specialist
September 2011 to December 2012
H.M. Thomas Associates - Brunswick, ME
  • Accurately entered procedure codes, diagnosis codes and patient information into billing software.
  • Posted charges, payments and adjustments.
  • Completed appeals and filed and submitted claims.
  • Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
  • Performed quality control of the data entry system to verify that claims and payments were posted correctly.
  • Consistently ensured proper coding, sequencing of diagnoses and procedures.
  • Performed full-cycle medical billing in a fast-paced medical billing company.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received.
  • Thoroughly reviewed remittance codes from EOBS/AR's.
  • Applied payments, adjustments and denials into medical manager system.
  • Carefully prepared, reviewed and submitted patient statements.
Education and Training
CPC-A : Medical Billing & Coding, 2011Academy of Medical Professionals - Brunswick, ME, USA
  • Coursework in CPT & ICD 9 coding
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Account Temps
  • H.M. Thomas Associates

School Attended

  • Academy of Medical Professionals

Job Titles Held:

  • Insurance follow-up Representative
  • Medical Billing Specialist

Degrees

  • CPC-A : Medical Billing & Coding , 2011

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