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Medical Biller Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

Results-oriented Medical Biller with excellent organization, communication and relationship-building skills. Organized professional known for always adhering to data confidentiality and HIPAA regulations. Motivated Medical Biller capable of performing all office duties with efficiency and undeniable detail. Ambitious student pursuing Health Information Management degree eager to contribute developed knowledge in Medical Billing or Coding role. Skilled in ICD-10,CPT, and HCPCS coding and medical claims processing and denials in healthcare settings. Adaptable and driven with strong work ethic and ability to thrive in team-based or individually motivated settings.

Skills
  • Information inputting
  • Data entry
  • Knowledgeable in Epic
  • 45 WPM
  • HIPAA guidelines
  • Front desk operations
  • Referral verification
  • Records management
  • Telephone etiquette
  • Records maintenance
  • Patient callbacks
  • Work ethic
  • Relationship building
  • Multitasking
  • Team building
  • ICD-10 coding
  • Account follow-up
  • Insurance claims
  • Medical coding understanding
  • Billing codes
  • Claim review
  • Submission of medical claims
  • CPT code modifiers
Experience
Medical Biller, 08/2017 to 08/2020
American Advanced Management, IncBakersfield, CA,
  • Reconciled codes against services rendered.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Reviewed all claims for accurateness and appropriateness.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Assign ICD-10 diagnostic codes on all medical records for proper billing and reimbursement.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Submitted claims to insurance companies.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Performed with precision by entering data accurately and researching to resolve questions.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Participated in educational opportunities, including workshops, seminars and training classes to gain a stronger education in industry updates and federal regulations.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Assessed medical codes on patient records for accuracy.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Filed and submitted insurance claims.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Expertly assigned charges and payments for medical procedures.
  • Reviewed medical records to meet insurance company requirements.
  • Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
  • Flagged return claims and dealt with insufficient payments.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
Medical Receptionist, 08/2017 to 03/2018
Atlantic General HospitalBerlin, MD,
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
  • Informed patients of financial responsibilities prior to rendering services.
  • Took messages from patients and promptly relayed to appropriate staff.
  • Delivered high-quality administrative and customer service to sustain patient and work flows.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Set up appointments for physician visits and procedures using calendar software.
  • Entered patient information, including insurance, demographic and health history into system to keep all records up-to-date.
  • Straightened up waiting room to maintain neat and organized space.
  • Processed patient payments and scanned identification and insurance cards.
  • Observed strict HIPAA guidelines at all times according to company policy.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Greeted callers with enthusiasm, answering all phone calls by second ring.
  • Communicated with all partners throughout practice, including physicians, nursing staff, technicians and medical assistants.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
Caregiver, 06/2016 to 06/2017
Sylvan CrossingsWaunakee, WI,
  • Helped clients with personal needs from exercise to bathing and personal grooming.
  • Assisted with meal planning to meet nutritional plans.
  • Improved patient outlook and daily living through compassionate care.
  • Facilitated best care by developing strong and trusting rapport with patient.
  • Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
  • Fostered relationship with client, providing companionship and counseling.
  • Assisted patients with daily personal hygiene such as bathing, dressing and grooming.
  • Drove clients to shop for groceries, attend doctor appointments and run errands.
  • Created safe and positive living situation for clients by communicating with the family and other staff about any concerns or challenges.
  • Engaged client in physical and mental activities to sustain quality of life.
  • Performed light housekeeping duties such as, making beds, sweeping floors and sanitizing surfaces.
  • Delivered high-quality, geriatric care to private client.
  • Transported patients to and from medical, dental and personal care appointments.
  • Administered necessary medications as directed by care plan.
  • Maintained clean and well-organized environment to promote client happiness and safety.
Resident Care Associate, 06/2015 to 01/2016
Affinity Living GroupSumter, SC,
  • Helped residents maintain neat, orderly and comfortable room by making beds and assisting with cleaning and organization.
  • Built relationships with patients through companionship and life enrichment activities to improve quality of life.
  • Served meals to residents according to individual meal plans, nutritional needs and personal preferences.
  • Reported on patient activities to charge person at end of shift to maintain continuity of care.
  • Assisted residents with activities of daily living, including bathing, dressing, grooming, toileting and eating.
  • Conducted games and other activities to engage clients and provide mental stimulation and entertainment.
  • Helped transition patient between bed, wheelchair and automobile to provide safe mobility support.
  • Dressed, groomed and fed patients with limited physical abilities to support basic needs.
  • Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.
  • Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
  • Managed and maintained patient rooms, shared-living areas and nursing stations.
  • Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
  • Facilitated activities of daily living, including personal hygiene management, feeding and ambulation.
  • Responded to patient alarms and needs-assessment requests to identify course of treatment.
  • Documented patient intake and dietary requirements, also assisting with feeding and monitoring.
  • Engaged with patient family and friends to provide courteous, efficient visit experience.
Education and Training
Bachelor of Science: Health Information Management, Expected in
William Carey University - Hattiesburg, MS
GPA:

I'm currently enrolled and pursuing my bachelor of science degree in Health Information Management.

Associate of Science: Health Information Technology, Expected in
Pearl River Community College - Poplarville, MS
GPA:
Associate of Science: Medical Billing And Coding, Expected in
Antonelli College - Hattiesburg - Hattiesburg, MS
GPA:
Certifications

Certified Professional Coder Apprentice (CPC-A)

Certified Community Health-Coding and Billing Specialist (CHBS)

Certified Rural & Community Health Evaluation & Management Auditing

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Resume Overview

School Attended
  • William Carey University
  • Pearl River Community College
  • Antonelli College - Hattiesburg
Job Titles Held:
  • Medical Biller
  • Medical Receptionist
  • Caregiver
  • Resident Care Associate
Degrees
  • Bachelor of Science
  • Associate of Science
  • Associate of Science