Medical Biller Resume Example
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MEDICAL BILLER
Core Qualifications
| . Knowledge of Insurance guideline Medicare and state Medicaid. CCS, HMO and PPO . Knowledge of Medical Terminology. Knowledge of ICD -9 diagnosis, CPT codes and modifiers. . Knowledge of Medical Coding and Third-Party operating Procedures and Practices. . Knowledge of Medical Billing, Collection Practices, and Handling Insurance Claims for Medical Office. . Bilingual with a dedicated, motivated and, enthusiastic personality. . Well organized, detail oriented and good communication skills. |
Experience
Medical Biller
October 2012 to September 2013Qtc Management, Inc.. Assist and maintain employees in daily medical insurance billing matters. Manager provider accounts. . Accounts receivable. Accounts payable and complete accounting. Knowledge read and interprets EOB's. . As a medical insurance biller I review all procedure, diagnosis codes, and modifiers. . Enter all patient information, daily charges; and audit claims prior to submission. . Follow up on all unpaid claims, address denials, and monitor appeals. Post insurance and patient payments. . General and send patient statements. Create and submit provider's month end reports and practice analysis. . Experience in requirements with Medicare, Medi-cal, & HMO programs. Private insurance& Workers Compensation. . Coordinate with IPA'S to assure Hedis measures are up to date on HMO patient keeping state and federal standards . Attended and represented physical therapist at works compensation hearings at appeals board. . Send Claim Medicare by Emdeon and Medi-cal Clearinghouse (EDI).
October 2012 to September 2013Qtc Management, Inc.. Assist and maintain employees in daily medical insurance billing matters. Manager provider accounts. . Accounts receivable. Accounts payable and complete accounting. Knowledge read and interprets EOB's. . As a medical insurance biller I review all procedure, diagnosis codes, and modifiers. . Enter all patient information, daily charges; and audit claims prior to submission. . Follow up on all unpaid claims, address denials, and monitor appeals. Post insurance and patient payments. . General and send patient statements. Create and submit provider's month end reports and practice analysis. . Experience in requirements with Medicare, Medi-cal, & HMO programs. Private insurance& Workers Compensation. . Coordinate with IPA'S to assure Hedis measures are up to date on HMO patient keeping state and federal standards . Attended and represented physical therapist at works compensation hearings at appeals board. . Send Claim Medicare by Emdeon and Medi-cal Clearinghouse (EDI).
Medical Office Assistant
December 2008 to September 2011U.S. Physical Therapy(Enclosed Medical Billing and Make Referrals) . Answer phones, schedule appointments and check Patients in and out. . General knowledge of Managed Care Health Plans, and Medical Billing/Collection Practices. . Data entry, general office functions, Phone, Faxing, Scanning and Filing. . Collecting Co-pay, Pull and File charts, Filling, and other Office duties. . General knowledge of Medicare, Medicaid, HMO, PPO, and Insurance verification authorization and eligibility requirements for Health Insurance Carriers. Submit CHDP; HMO Referral online.
December 2008 to September 2011U.S. Physical Therapy(Enclosed Medical Billing and Make Referrals) . Answer phones, schedule appointments and check Patients in and out. . General knowledge of Managed Care Health Plans, and Medical Billing/Collection Practices. . Data entry, general office functions, Phone, Faxing, Scanning and Filing. . Collecting Co-pay, Pull and File charts, Filling, and other Office duties. . General knowledge of Medicare, Medicaid, HMO, PPO, and Insurance verification authorization and eligibility requirements for Health Insurance Carriers. Submit CHDP; HMO Referral online.
Medical Office Assistant
December 2008 to January 2008U.S. Physical Therapy(Enclosed Medical Billing and Make Referrals) . Answered phones, scheduled appointments and checked Patients In and out. . Data entry, knowledge of Scheduling, Registration, Medical Billing and Claims Payments. . Prepares and Processes all Managed Care Referral Paperwork and online . Collected Co-pay, Pulled and Filed charts, filling and other Office duties. . General office functions, Phone, Faxing, Scanning and Filing . General knowledge of Medical Terminology and Knowledge of HMO, PPO & W/CInsurance . General knowledge of Medicare, Medicaid and Insurance verification, authorization and eligibility requirements for Health Insurance Carriers. Submit CHDP; HMO Referral online.
December 2008 to January 2008U.S. Physical Therapy(Enclosed Medical Billing and Make Referrals) . Answered phones, scheduled appointments and checked Patients In and out. . Data entry, knowledge of Scheduling, Registration, Medical Billing and Claims Payments. . Prepares and Processes all Managed Care Referral Paperwork and online . Collected Co-pay, Pulled and Filed charts, filling and other Office duties. . General office functions, Phone, Faxing, Scanning and Filing . General knowledge of Medical Terminology and Knowledge of HMO, PPO & W/CInsurance . General knowledge of Medicare, Medicaid and Insurance verification, authorization and eligibility requirements for Health Insurance Carriers. Submit CHDP; HMO Referral online.
Medical Office Assistant
February 2003 to January 2004U.S. Physical Therapy(Enclosed Medical Billing and Make Referrals) . Answered phones, scheduled appointments and checked Patients In and out. . Data entry, knowledge of Scheduling, Registration, Medical Billing, and Claims Payments. . Collected co-pay, Pulled and Filed charts, Filling and other Office duties. . General office functions, Phone, Faxing, Scanning and Filing . Check Pos of machine for Medicare and Medicaid.
February 2003 to January 2004U.S. Physical Therapy(Enclosed Medical Billing and Make Referrals) . Answered phones, scheduled appointments and checked Patients In and out. . Data entry, knowledge of Scheduling, Registration, Medical Billing, and Claims Payments. . Collected co-pay, Pulled and Filed charts, Filling and other Office duties. . General office functions, Phone, Faxing, Scanning and Filing . Check Pos of machine for Medicare and Medicaid.
Education
Associate of science : Medical Office Information System, accountingMesa CollegeMesa College - June 1998, GPA 3.6 Associate of science in Medical Office Information System. Strong Attributes: Computer skills; Window Professional, Microsoft Office, Excel, Quick Books (accounting software). Proficient in Medisoft Advanced and EClinical Works software& Billing Software Systems (Medical Billing Office Ally)
CertificateAcademy of Dental Practice CareersAcademy of Dental Practice Careers - Nov 2011 Certificate: Dental Front Office Administration Training and Dentrix G4 and Eaglesoft Software
Certifications
CCS Medical Terminology Medical Billing Medical Office Assistant CHDP Medisoft Certificate: Dental Front Office Administration Training and Dentrix G4 and Eaglesoft Software
Skills
Billing, Medicare, Medical Billing, Medical Invoicing, Health Maintenance Organization, Hmo, Data Entry, Faxing, Filing, General Office, Medicaid, Medical Office Assistant, Office Assistant, Scanning, Managed Care, Answer Phones, Collection, File, Schedule Appointments, Claims, Payments, Accounting, Claims Payments, Scheduling, Accounts Payable, Accounts Receivable, Audit, Compensation, Credit, Edi, Hedis, Insurance Billing, Medical Insurance, Medical Insurance Billing, Workers Compensation, Point Of Sale, Pos, Auto Insurance, Coding, Cpt, Detail Oriented, Icd, Insurance Claims, Medical Coding, Dental, Office Administration, Training, Medical Terminology, Office Medical, Associate, Excel, Medisoft, Microsoft Office, Ms Office, Quick Books
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Resume Overview
School Attended
- Mesa College
- Academy of Dental Practice Careers
Job Titles Held:
- Medical Biller
- Medical Office Assistant
Degrees
- Associate of science : Medical Office Information System, accounting
Certificate
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