LiveCareer
LiveCareer
  • Dashboard
  • Jobs
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Education
      • Administrative
      • Medical
      • Human Resources
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Nursing
      • Education
      • Medical
      • Human Resources
      • Customer Service
      • View All
    • Resume Services
    • Resume Formats
    • Resume Review
    • How to Write a Resume
    • CV Examples
    • CV Formats
    • CV Templates
    • Resume Objectives
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Education
      • Medical
      • Human Resources
      • Customer Service
      • Business Operations
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Jobs
    • Mobile App
    • Job Search
    • Job Apply Tool
    • Salary Calculator
    • Business Letters
    • Job Descriptions
  • Questions
  • Resources
  • About
  • Contact
  • 0Notifications
    • Notifications

      0 New
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Medical Biller
Please provide a type of job or location to search!
SEARCH

Medical Biller Resume Example

Resume Score: 80%

Love this resume?Build Your Own Now
RF
MEDICAL BILLER
Summary

Prepared to leverage 13 years of experience to take on a new professional challenge. Well-qualified professional, familiar with the medical revenue cycle and offering strong multi-tasking, detail oriented and teamwork abilities.

Skills
  • Medical front office reception
  • Verification of insurance eligibility
  • Verification of prior authorization and claim status
  • Appointment scheduling
  • Medical office & hospital billing
  • Collections
  • ICD-9, CPT, HCPCS coding
  • Health insurance contractual language (AHCCCS, Commercial, PPO, HMO, Medicare)
  • Explanation of benefits and basic fee schedule review
  • Preparation and submission of paper and electronic insurance CMS-1500 and UB 04 claim form
  • Preparation of Accounts Receivable report
  • Medical terminology
  • Microsoft Word, Excel, PowerPoint, Outlook
  • Medical office systems: Medisoft, Telecom, MDrythm, Meditech, Cerner, Epic, PACS Philips, Synapse, HMS, Artiva, Hyland, SSI, DDE
  • Bilingual- fluent in Spanish
  • Data entry of 40 wpm
  • Ten key by touch
Experience
Tucson Shared Services Center | Tucson, AZMedical Biller04/2017 - 09/2019
  • Handle all payers secondary billing for California hospitals
  • Handle part B only Medicare billing for California hospitals
  • Assist in secondary billing for Arizona, Nevada and New Mexico hospitals
  • Ensure UB-04 clean claims are submitted in a timely manner
  • Handle Rebill, Insbill and rejected pools
  • Work KFI File accounts
  • Mail clean UB-04 claims forms via paper
  • Clear Share of Cost amounts from Medi-Cal website
Tucson Shared Services Center | Tucson, AZReimbursement Specialist11/2015 - 04/2017
  • Process all payments and adjustments received in an accurate and timely manner
  • Post all payments received through the lockbox or mailroom and adjustments as identified by insurance explanation of benefits
  • Write up all payments on cash receipts log for payments that need to be uploaded
  • Write up all adjustments that need to be uploaded on an adjustment log and submit for approval
  • Balance posted payments before leaving each day
  • Submit required paperwork (journal, batch out, batch cover sheets) daily
  • Identify and resolve payment posting issues
  • Call payers to obtain information on unidentified payments
Coventry/ Aetna | Tucson, AZIntegrated Service Specialist03/2015 - 08/2015
  • Handle Workers Compensation orders for DME Items
  • Input ICD-9 codes in system
  • Verify orders for proper HCPCS codes
  • Follow up on order to ensure patient received items
  • Negotiate with providers to obtain lowest cost on the items when ordering for patients
University of Arizona Medical Center South Campus | Tucson, AZPatient Service Specialist02/2011 - 03/2015
  • Assist patients and medical staff in making appointments for radiology exams
  • Answer phone calls and transfer to appropriate individual(s)
  • Verify orders for proper exams according to protocol
  • Assist technologist with correction of image errors
  • Burn radiology images for requests of outside facilities
  • Register ER patients into system
  • Transport patients to and from the Emergency Room
Carondelet Health Network | Tucson, AZPatient Access Representative02/2009 - 02/2011
  • Register scheduled and walk-in patients
  • Check insurance eligibility and any co-pay or deductible responsible by patient
  • Prepare monetary bag for delivery to bank and prepare graph of daily totals
  • Pull and scrub orders for next day patients for radiology exams
Carondelet Health Network | Tucson, AZCash ID Representative02/2008 - 02/2009
  • Post all incoming money for radiology services to patients accounts
  • Prepare monetary bag with correct total for checks and cash received daily for delivery to bank
  • Call insurance companies to check status on claims
Advanced Open MRI | Tucson, AZFront Office Receptionist04/2007 - 01/2008
  • Verify insurance eligibility
  • Verify prior authorization for CT Scans and MRIs
  • Answer calls and obtain proper information for appointments
Tucson Clinica Medica Familiar | Tucson, AZMedical Billing Specialist06/2006 - 03/2007
  • Handle collections and denials
  • Perform daily billing and posting for all insurances
  • Prepare patient statements
  • Submit paper and electronic clean claims
  • Produce month end and Accounts Receivable reports using advanced Excel spreadsheet functions
Education and Training
Tucson College | Tucson, AZCertification in Medical Billing and Coding
  • Medical terminology - Covered the major body systems, such as the skeletal, reproductive, and endocrine systems, as well as the correct terms used when working with each
  • Office practices - Learned valuable skills required to keep an office running smoothly. Learned medical coding, accounting principles, how insurance claim cycles work, receptionist duties, and
    documentation skills
  • Regulatory and legal requirements - Learned about HIPAA laws, as well as various legal issues commonly faced by medical practices
PPEP Tec - Celestino Fernandez Learning Center | Tucson, AZHigh School Diploma
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Tucson Shared Services Center
  • Coventry/ Aetna
  • University of Arizona Medical Center South Campus
  • Carondelet Health Network
  • Advanced Open MRI
  • Tucson Clinica Medica Familiar

School Attended

  • Tucson College
  • PPEP Tec - Celestino Fernandez Learning Center

Job Titles Held:

  • Medical Biller
  • Reimbursement Specialist
  • Integrated Service Specialist
  • Patient Service Specialist
  • Patient Access Representative
  • Cash ID Representative
  • Front Office Receptionist
  • Medical Billing Specialist

Degrees

  • Certification in Medical Billing and Coding
    High School Diploma

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Medical-Biller-resume-sample

Medical Biller

Rev MD

Bartlett, Illinois

Medical-Biller-resume-sample

Medical Biller

Abbassi and Agrama PC

Totowa, New Jersey

Medical-Biller-resume-sample

Medical Biller

Dalton, Georgia

About
  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
Help & Support
  • Work Here
  • Contact Us
  • FAQs
Languages
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
Customer Service
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2021, Bold Limited. All rights reserved.