Medical Biller Resume Example
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MEDICAL BILLER
Summary
Results driven billing professional with over 2 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes, and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Quality-focused billing professional successful at settling patient and insurance accounts.
Multitasking Medical Biller with a career spent submitting claims quickly and efficiently to insurance companies. Bilingual individual with a can-do demeanor and a positive attitude. Ready to tackle new challenges in an office-based environment.
Skills
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Experience
American Advanced Management, Inc | Stockton , CAMedical Biller08/2018 - Current
- Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
- Collected, posted and managed patient account payments.
- Reviewed legal claims for accuracy and issues.
- Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
- Enforced compliance with organizational policies and federal requirements regarding confidentiality.
- Utilized electronic charge capture systems to consolidate and streamline billing processes.
- Performed insurance verification, pre-certification and pre-authorization.
- Added modifiers, coded narrative diagnosis and verified diagnoses.
- Kept accounts current by utilizing reporting and analysis strategies.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Researched and rectified account discrepancies.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Answered desk phone and handled phone calls and questions.
- Participated in educational opportunities, including workshops, seminars and training classes to gain a stronger education in industry updates and federal regulations.
- Filed and submitted insurance claims.
- Checked claims coding for accuracy with ICD-10 standards.
- Reviewed all claims for accurateness and appropriateness.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Effectively coordinated all communications between patients, billing personnel and insurance carriers.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
- Completed and submitted appeals.
- Assessed medical codes on patient records and prepared invoices to be submitted to insurance companies.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
Taco Bell | Myrtle Beach , SCBank of America Call Center Agent 04/2014 - 08/2018
- Boosted productivity by maintaining strong call control and quickly working through scripts to address diverse problems.
- Helped company maintain exceptional client service ratings on external audits.
- Prepared, completed and processed customer account forms and database changes such as credit line increase/ decrease, I have also maintained manager positions for checking/savings and trained new agents agents.
- Educated clients on how to navigate company systems and work within established frameworks to obtain desired services.
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Documented conversations with customers to track requests, problems and solutions.
- Worked with managers to develop service improvement initiatives.
- Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions and resolving issues quickly.
- Escalated customer satisfaction ratings by offering valuable insights to customers needs and expectations.
- Automated office operations, managed client correspondence and tracked records.
- Established ambitious goals for employees to promote achievement and surpass business targets.
- Addressed internal and customer-related issues each day and affected strategic resolutions.
- Remained calm and professional in stressful circumstances and when dealing with unhappy customers, effectively diffusing situations.
- Led team of 10 professionals meeting client needs.
Walmart | City , STATECashier01/2012 - 04/2014
- Troubleshot and resolved issues with cash registers, card scanners and printers.
- Drove sales and add-on purchases by promoting specific item options to customers.
- Inspected items for damage and reported issues to supervisor to return unsalable merchandise and obtain replacements for customers.
- Maintained high productivity by efficiently processing cash, credit, debit and voucher program payments for customers.
- Trained new team members in cash register operation, stock procedures and customer service.
- Helped customers find specific products, answering questions and offering advice.
- Properly verified customer identification for alcohol or tobacco purchases.
- Wiped down counters and conveyor belt to remove debris and maintain cleanliness.
- Worked closely with front-end staff to assist customers.
- Wrapped items and bagged purchases properly to prevent merchandise breakage.
- Processed returned items in accordance with store policy.
- Rectified discrepancies between accounting records and cash drawer by researching daily transactions to pinpoint issues.
- Welcomed customers, offering assistance to help find necessary store items.
- Processed customer payments quickly and returned exact change and receipts.
- Maximized customer satisfaction by providing assistance with purchases, locating items and signing up for rewards programs.
Education and Training
Manning High School | City, StateHigh School Diploma06/2011
Ashworth College | CitySome College (No Degree) in Medical Insurance Billing
- 3.9 GPA
- Completed coursework in Medical Terminology , Medical and Body Systems Terminology, Medical Coding, Medical Billing, Accounts Receivable and Injury Claims, CD-10-CM Coding Practice, CPT/HCPCS and ICD-10-PCS Coding Practice
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Resume Overview
School Attended
- Manning High School
- Ashworth College
Job Titles Held:
- Medical Biller
- Bank of America Call Center Agent
- Cashier
Degrees
- High School Diploma
Some College (No Degree) in Medical Insurance Billing
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