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Lead Medical Biller Atlanta Office Resume Example

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JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Summary

Highly-professional and organized Medical Billing Specialist with the accumulation of experience and education, including a bachelors of art in management, medical insurance billing have helped build solid experience in managing and overseeing daily billing office operations in healthcare. Possess excellent communication, leadership, and multi-tasking skills along with the basic knowledge of accounting principles, medical terminology, laws, and ethics to ensure smooth running of medical practice.

Skills
  • Medical billing
  • Medical insurance management
  • Employee training and management
  • Data entry
  • Planning and coordination
  • Problem resolution
  • Insurance billing
  • Collections
  • Excellent communication skills
  • Organization
  • Customer service
  • Attentive to detail
  • Medical management software
  • MS Office
  • EHR
  • Works well under pressure
Experience
08/2018 to Current Lead Medical Biller Atlanta Office Summa Western Reserve Hospital | Wadsworth, OH,
  • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
  • Perform bookkeeping duties, such as credits or collections, preparing and sending financial statements or bills, and keeping financial records.
  • Review account information to confirm patient and insurance information is accurate and complete.
  • Analyze patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
  • Enter procedure codes, diagnosis codes and patient information into Nextgen software.
  • Collect, post and manage patient account payments.
  • Perform with precision by entering data accurately and researching to resolve questions.
  • File and submit insurance claims.
  • Answer desk phone and handle billing calls and questions.
  • Apply HIPAA Privacy and Security Regulations while handling patient information.
  • Utilize electronic charge capture systems to consolidate and streamline billing processes.
  • Investigate denials and collaborate with internal team members and third-party representatives to identify solutions.
07/2008 to 06/2018 Medical Billing Specialist Trident Dermatology | City, STATE,
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Financial decision making
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Completed appeals and filed and submitted claims.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Applied payments, adjustments and denials into medical manager system.
  • Daily balancing to ensure accurate posting
  • Entered procedure codes, diagnosis codes and patient information into Medical Manager and Clinix software.
10/2002 to 11/2007 Billing Specialist/Medical Receptionist Allergy Partners | City, STATE,
  • Interviewed patients to collect medical information and insurance details.
  • Prepared and sent financial statements to support bookkeeping functions.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in busy Allergy and Asthma office with 6 providers.
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
  • Processed patient payments and scanned identification and insurance cards.
  • Communicated with all partners throughout the practice including physicians, nursing staff, technicians and medical assistants.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date
  • Delivered high-quality administrative and customer service to sustain patient and work flows.
  • Insurance billing
  • Collections
  • Bank reconciliation
  • Responsible for daily balancing to ensure accurate posting of charges and payments.
  • Entered procedure codes, diagnosis codes and patient information into Medical Manager and Centricity software.
Education and Training
Expected in 05/2020 Bachelor of Arts | Management Webster University , Charleston SC , GPA:
Expected in 05/2002 Associate of Science | Office Systems Technology Spartanburg Community College, Spartanburg, SC, GPA:
Expected in | Business Administration University of South Carolina Upstate, Spartanburg, SC GPA:
Additional Information

References Available Upon Request

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Resume Strength

  • Formatting
  • Length
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • Webster University
  • Spartanburg Community College
  • University of South Carolina Upstate
Job Titles Held:
  • Lead Medical Biller Atlanta Office
  • Medical Billing Specialist
  • Billing Specialist/Medical Receptionist
Degrees
  • Bachelor of Arts
  • Associate of Science
  • Some College (No Degree)