Medical Biller Resume Example Veterans Administration

MEDICAL BILLER

Professional Summary

Performance-focused [Job Title] offering broad-based experience in medical administration and patient care management. Talented at building and cultivating professional relationships, coordinating appointments and performing wide range of treatment procedures, including [Action] and [Action]. Well-defined communication, technical and analytical aptitudes. Results-driven Advanced Medical Support Assistant with [Number] years of experience in medical field. Skilled at assisting physicians with patient examination procedures, documenting patient information and providing patient education. In-depth knowledge of insurance company liaison procedures and medical terminology.

Skills

Medical record assessment
Exam room preparation
Medical billing and coding
Patient communication
Patient records maintenance
Patient scheduling

Data entry
Completing insurance forms
Insurance claims
Medical Records Management
Payment collection
Medical office administration

Work History

Medical BillerVeterans Administration – Chicago, IL

Reviewed [Number] medical records per [Timeframe] to select appropriate coding sequences.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Collected payments and applied to patient accounts.
Implemented new coding procedures that reduced mistakes by [Number]% and simplified processes.
Set up and maintained new electronic billing system.
Tutored [Number] new coders for compliance with [Type] and [Type] classification systems and coding guidelines.
Applied charges and updated patient records by using [Software] and [Software].
Analyzed medical records to satisfy insurance company mandates.
Researched and followed up on denied insurance claims.
Reviewed outgoing bills for eligibility and accurateness.
Gathered information from multiple sources to simplify billing and organize accounts.
Completed client requests and advised supervisors of special needs.
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Posted payments and collections on regular basis.
Reviewed patient diagnosis codes to ensure accuracy and completeness.
Translated and interpreted medical billing codes with strong accuracy to ensure swift payment from insurance agencies.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Managed billing calendar and scheduled claims for payments.
Filed and updated patient information and medical records.
Adhered to established standards to safeguard all patients' health information.
Ensured timely and accurate charge submissions utilizing [Software] and [Software].
Liaised between patients, insurance companies and billing office.
Enforced operational compliance with state and federal laws and JCAHO standards.
Efficiently collected payments and communicated with clients.
Analyzed complex Explanation of Benefits forms to ensure insurance carriers were charged correctly.
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
Assisted patients by determining financial assistance available and setting up payment plans.
Verified proper ICD-9 coding on claims.

Medical Support Assistant, 01/1980 to Current
VETERANS ADMINISTRATION – CHICAGO, IL

Assisted physician with diagnostic and therapeutic procedures by collecting laboratory specimens and changing wound dressings.
Determined nature and urgency of patient requests to refer patients to appropriate medical staff.
Built positive rapport with patients to make patients feel comfortable during uncomfortable procedures.

QUARTERMASTER, 04/1974 to 09/1977
United States Navy – Norfolk, VA

Managed bridge watch duties to look for different types of threats and adverse conditions.
Aided in navigation and operating ship controls.
Plotted and corrected charts and publications.
Updated logs, coordinated documents and wrote detailed reports.
Checked and replenished inventory to maintain optimal operations.
Performed routine maintenance tasks, including lowering, raising and cleaning ship's anchor.
Scanned seas while navigating ship to quickly spy obstacles, including [Type] and [Type] that could put vessel in danger.
Cleaned [Type] lifesaving equipment to keep it in active service and ready for emergency and crisis situations.
Communicated instructions for [Task] to [Job Title]s clearly and concisely to promote comprehension.
Repaired external structure of vessel to maintain proper working order and minimize downtime.
Organized and loaded ship storage and cargo using [Type] equipment and [Type] equipment.
Assisted in boatman overboard recovery using [Type] equipment, remaining calm and composed at all times.
Reviewed mission requirements and identified appropriate equipment to achieve goals.
Manned small boats and winches and performed minor repairs and maintenance work to keep vessels in service.
Trained [Number][Job Title]s in proper use of [Type] equipment, which improved crew efficiency and productivity.
Kept up-to-date on mission objectives by researching intelligence targets to understand significance in geopolitical context.
Advised [Job title] on development and execution of [Type] policies by offering insights into morale and needs of enlisted personnel.
Identified and resolved equipment shortages.
Directed logistical training procedures in accordance with military regulations.
Conducted monthly and annual inventories for inventory totaling $[Amount].
Led fire team during infantry dismounted battle drills and situational training exercises.
Served as custodian of [Type] classified documents and functioned as classified courier.
Prepared documents for destruction.
Chose [Number][Job title]s to take on [Job title] positions due to [Skill] and [Skill].
Received recognition by [Job Title] for [Task] and [Task], resulting in [Result].
Trained in use of tear gas, passive ordnance and explosives.
Performed as fire team member during situational training exercises and all infantry dismounted battle drills.
Aided superiors in planning, resourcing and execution of more than [Number] mounted and dismounted operations.
Executed comprehensive [Type] training programs by applying expertise in [Area of Expertise] and evaluating personnel-readiness.
Documented and processed classified materials for [Type] unit.
Maintained accurate inventory of all assigned equipment.
Communicated urgent orders and directions effectively to team of [Number] personnel.
Sorted and routed incoming correspondence and messages.

Education

Associate of Applied Science: Accounting, 01/1983
Loop City College - Chicago, IL

Accomplishments

Implementation - Assisted in implementation of new tracking system that resulted in improved patient care.

Affiliations

Member, [Professional Organization Name], [Year] to Current

Resume Overview

Companies Worked For:

Veterans Administration
VETERANS ADMINISTRATION
United States Navy

School Attended

Loop City College

Job Titles Held:

Medical Biller
Medical Support Assistant
QUARTERMASTER

Degrees

Associate of Applied Science : Accounting , 01/1983

Medical Biller Resume Example

Resume Score: 80%

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