Medicaid Billing Analyst Resume Example Company Name

MEDICAID BILLING ANALYST

Professional Summary

Multi-talented Medicaid Specialist consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity. Enthusiastic eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Medicaid Billing and training in 10-key, Medicaid billing system as well as the billing system of the Baton Rouge Baton Rouge General billing system, trained in ICDD9, CPT, HCPS levels I, II, III coding , strong knowledge of Siemens Patient Accounting, Charge Master, Service Master and document imaging systems, Eclypisis Document Imaging System and electronic bill date posting through DSS/Envoy.

Motivated to learn, grow and excel in any position. Ambitious to learn and with 30 years of hands-on experience verifying transaction information, obtaining payment authorizations and scheduling and preparing disbursements. First-rate expert at customer communication, data entry and organization. Diligent and meticulous professional commended for quickly and accurately learning new procedures.

Skills

Medicare and Medicaid eligibility
Billing cycle expertise
Billing hours understanding
Medicare and Medicaid knowledge
Billing inquiries
Medicare and Medicaid process
Insurance billing
Patient Billing
Billing and payment processing
Insurance billing procedures
Billing concerns
Billing oversight

Premis billing software
Billing and collection procedures expert
Clinical and billing documentation and reimbursement
Billing systems
Medical billing
Healthcare billing
CMS-1500 billing forms
Medicaid understanding
Medical billing experience
Invoicing and billing
Medicare/Medicaid

Work History

Medicaid Billing Analyst08/2007 to 09/2017
Company Name – City, State

Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Reviewing, preparing and ensuring accuracy of electronic/hardcopy of claims for Medicaid.
Research needed information from Inter-department to support the required billing infromation.
Completion of re-billing of claims from inter-department personnel.
Ensure accuracy and completeness of electronic/hardcopy of claims for State Agencies and Insurance Companies.
Knowledge of payer billing and regulations requirments.
Assists reimburament department to ensure that the maximum reimbursement is received fromthe Medicaid program.
Communicates with department within the hospital system to ensure that the infromation received at the time of admission is accurate.
Reports any unbilled claims to management to ensure that resolution from other departments is needed.
Reported areas of improvement to insure that billing was completed in the in the required deadline (every Wednesday), this is the deadline for Medicaid claims to billed to the FI for payment the following week.
Maintained and met weekly and monthly goals for billing deadlines for Medicaid.

Billing Specialist09/1996 to 07/2007
Company Name – City, State

Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Posted and adjusted payments from insurance companies.
Located errors and promptly refiled rejected claims.

All Payor Log Specialist05/1990 to 09/1996
Company Name – City, State

Increased customer satisfaction by resolving billing issues.
Maintained excellent attendance record, consistently arriving to work on time.
Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Cash Management Supervisor
Reviewed and reconciled managed care contract accounts.
Compare discounts to patient accounts and adjust contractual accordingly
Maintain and update monthly discount logs for managed care contract accounts with participation in annual reconciliation of all payor logs to remittance advice.
Review document and resolve refund checks
Responsible for reconciling Medicaid records of total charges billed and paid from computer reports.

Data Control Specialist11/1980 to 05/1990
Company Name – City, State

Maintained excellent attendance record, consistently arriving to work on time.
Reconciled all payment information posted bvy the cashier as will as deposits for transport to bank
Reconciles account balances and determines resolution of refund
Verified and reported collections on Bad Debt to Collection Agencies
Researched and reconcieled special projectsa fromthe Accounting Departments.
Created and organized outpatient files in alpha-numeric order.
Obtained patient financial records for audit

Education

High School Diploma05/1980Port Allen High School- City, State

Resume Overview

School Attended

Port Allen High School

Job Titles Held:

Medicaid Billing Analyst
Billing Specialist
All Payor Log Specialist
Data Control Specialist

Degrees

High School Diploma 05/1980

Medicaid Billing Analyst Resume Example

Resume Score: 80%

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