medical biller resume example with 10+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
:
Summary
Quality-focused Medical Biller offers strong track record over more than Ten years in settling and resolving complex patient billing accounts. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Skills
Claim review
Reimbursements
Account follow-up
Appeals/ Follow up
CPT code modifiers
ICD-10 coding
Information inputting
Knowledgeable in NextGen, EPIC, LYTEC, EMR
Experience
Medical Biller, 01/2017 to 11/2021 Salvation Army Usa – Madison, WI,
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.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Verified proper coding, sequencing of diagnoses and accuracy of procedures.
Thoroughly reviewed remittance codes from EOBS/AR's.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Maintained high accuracy rate on daily production of completed reviews.
Submitted and accurately processed insurance claims with related medical code verifications and assessments.
Reviewed medical records to meet insurance company requirements.
Documented and filed patient data and medical records.
Assessed medical codes on patient records for accuracy.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Payment Poster/Medical Biller, 04/2015 to 08/2016 Salvation Army Usa – Buffalo, NY,
Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
Posted payments and sent reviews and denials.
Downloaded, printed and batched electronic funds transfers and remits.
Received payments from insurance providers, handled Medicare packages and completed immediate processing.
Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
Reviewed refund requests and forwarded information to analyst.
Documented payment denials in appropriate billing system and updated account managers swiftly.
Supervised and oversaw large volumes of data with extreme accuracy each day.
Sent copies of invoices and statements to customers to facilitate payment of outstanding invoices.
Processed posting and reconciling payments and addressing aged receivables.
Researched customer billing issues and resolved problems to facilitate receipt of overdue monies and promote good customer relationships.
Entered, posted and scanned accounts receivable documents into accounting software.
Reconciled accounts receivable and prepared income summary reports and cash reports.
Calculated unpaid invoices to maintain updated receivables reports.
Prepared appropriate documentation for income summaries, cash reports and accounts receivable reconciliation.
Facilitated timely year-end audits by working closing with agency auditors to provide requested samples.
Medical Biller, 10/2011 to 02/2013 Care New England Health System – Providence, RI,
Applied HIPAA privacy and security regulations while handling patient information.
Completed and submitted appeals for denied claims.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Coordinated communications between patients, billing personnel and insurance carriers.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Organized information for past-due accounts and transferred to collection agency.
Handled billing, waivers and claims for private and commercial clients.
Medical Receptionist/Medical Assistant, 10/2007 to 09/2010 Kokopelli Obstetrics & Gynecology – City, STATE,
Handled diverse needs for clients in-person, by phone or through email.
Greeted customers, delivery persons and official representatives.
Coordinated appointment calendar and balanced schedules to promote optimal productivity.
Maintained office supply inventory and placed orders to meet demand.
Managed office cleaning and sanitizing to comply with infection control protocols.
Obtained and processed payments from clients for products and services.
Operated multi-line telephone system to handle high volume of daily calls to OB GYN office.
Organized meeting spaces for staff and prepared related materials.
Handled cash with high accuracy and reconciled accounts weekly to identify discrepancies.
Supported office staff with multifaceted administrative assistance and technical troubleshooting for software and equipment issues.
Scheduled and confirmed appointments.
Answered and directed incoming calls using multi-line telephone system.
Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
Maintained daily calendars, set appointments with clients and planned daily office events.
Processed payments and updated accounts to reflect balance changes.
Sorted incoming mail and directed to correct personnel each day.
Set up appointments for physician visits and procedures using calendar software.
Entered insurance, demographics and health history into patient database.
Called patients to confirm scheduled appointments and obtain additional details.
Checked patients in and out for appointments and collected co-payments.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Took messages from patients and promptly relayed to appropriate staff.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Straightened up waiting room to maintain neat and organized space.
Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Informed patients of financial responsibilities prior to rendering services.
Gathered, transcribed and typed medical information into charts.
Compiled physical and digital documents, charts and reports.
Trained new staff on office procedures, insurance processes and medical terminology.
Prepared and sent financial statements to support bookkeeping functions.
Education and Training
High School Diploma: , Expected in 05/1995 to Sunnyside High School - Tucson, Az GPA:
Certification: Medical Billing And Coding, Expected in 11/2011 to Brookline College - Phoenix - Phoenix, AZ GPA:
Accomplishments
Consistently maintained high management satisfaction ratings.
Recognized by employer for outstanding performance and team contributions.
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