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Medical Biller Resume Example

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MEDICAL BILLER
Skills
  • 50 WPM
  • Customer service
  • Medical coding understanding
  • Knowledgeable in Medisoft, Microsoft Word
  • Database systems
  • Reimbursements
  • Insurance collections
  • Submission of medical claims
  • Account follow-up
  • [Type] claims expertise
  • Recordkeeping
  • Billing codes
  • Claim review
  • Insurance claims
  • Data entry
  • MS Office
  • Problem resolution
  • Organization
  • Front desk operations
  • HIPAA guidelines
  • Referral verification
  • Patient callbacks
  • Records management
  • Telephone etiquette
Education and Training
05/2001
High School Diploma
Union City Community High SchoolCity, State
Summary

Coordinated Medicare Collector with an extensive understanding of medical terminology and medical billing. Successful at payment posting quickly and following up with clients. Adept at accounts receivable management and maintaining confidentiality.

Organized professional known for always adhering to data confidentiality and HIPAA regulations. Smart Medical Biller capable of performing all office duties with efficiency and undeniable detail.

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.

Experience
Medical BillerExagen Inc. | Carlsbad , CA10/2018 - Current
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Filed and submitted insurance claims.
  • Reviewed all claims for accurateness and appropriateness.
  • Flagged return claims and dealt with insufficient payments.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Verified final claim submissions by comparing account charges with documentation.
  • Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
  • Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
  • Handled Medicare billing, waivers and claims for private and commercial clients.
  • Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Reconciled codes against services rendered.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Performed with precision by entering data accurately and researching to resolve questions.
  • Collected, posted and managed patient account payments.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Answered desk phone and handled phone calls and questions.
  • Assessed medical codes on patient records and prepared invoices to be submitted to insurance companies.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
Medical SecretaryPropath | Plano , TX10/2018 - Current

Handled office inventory for person medical facility, including placing orders worth up to.

  • Compiled physical and digital paperwork to meet business and patient needs, including charts, reports and correspondence.
  • Managed all administrative needs of medical practice.
  • Updated patient financial information to ensure accuracy.
  • Secured, organized and updated and financial documentation.
  • Managed medical supply inventory, insurance records, patient charts and company files using online tracking system.
  • Supervised and trained admitting, billing and collection staff.
  • Managed physician calendar, including scheduling patient appointments and procedures.
  • Interviewed patients to collect medical information and insurance details.
  • Managed front office activities, including customer service, patient appointment management, billing and collections, and office administration.
  • Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
  • Updated group medical records and technical library to support smooth office operations.
  • Addressed, documented, and responded to incoming and outgoing calls and correspondence.
  • Created and maintained accurate and confidential patient files.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in busy office with providers.
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
  • Called patients to schedule appointments, consistently double-checking information and availability.
  • Answered average daily phone calls to schedule appointments and address patient inquiries.
  • Maximized office efficiency by answering more than incoming calls per day to provide office information and transfer calls to desired personal.
  • Gathered information to file appeals for Medicare denials and minimized inaccuracies by maintaining accurate records of approvals.
  • Digitized over medical records and organized files in .
  • Transcribed over daily meetings and appointments using and organized documents for streamlined office functionality.
  • Worked with doctors to prepare correct equipment and supplies for over daily appointments.
Home Health AideYale-New Haven Health | Uncasville , CT12/2008 - 10/2018
  • Ran errands for clients and transported to appointments to maintain wellness and support daily living needs.
  • Facilitated games and other activities to engage clients and provide mental stimulation or entertainment.
  • Organized and administered medications on clear schedules to help alleviate symptoms and optimize quality of life.
  • Developed strong and trusting rapport with each patient to facilitate best possible care and assistance.
  • Dressed, groomed and fed patients with limited physical abilities to efficiently handle basic needs.
  • Assisted patients by answering questions and offering help with health system coordination, patient rights and privacy of personal information.
  • Observed patient vital signs and medication reactions, reporting any health concerns or behavioral changes.
  • Assisted disabled individuals to foster independence while still closely monitoring safety at all times.
  • Monitored medications for patients with various conditions, including [Type] and [Type] and kept watchful eye for side effects.
  • Assisted patients with transitioning between beds, wheelchairs and automobiles, providing consistent and safe mobility support.
  • Maintained clean and well-organized environment to promote client happiness and safety.
  • Planned optimal meals based on established nutritional plans, including shopping for ingredients and cooking dishes.
  • Helped clients stay happy and healthy by providing mental and emotional support.
  • Mopped floors, vacuumed, washed dishes and performed array of other household chores to assist clients.
  • Pleasantly greeted patients and families and displayed enthusiastic, compassionate attitude, effectively establishing long-term professional relationships.
  • Followed physician orders when providing care and monitoring client well-being, safety and comfort.
  • Supported effective care for managed home care patients by observing health status and monitoring conditions.
  • Completed data entries in charts and logbooks to document client progress.
  • Recorded vitals and communicated with physicians to provide health updates.
  • Assisted elderly clients with personal hygiene and other daily activities, including bathing, dressing and incontinence care.
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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.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

81Good
Resume Strength
  • Completeness
  • Formatting
  • Length

Resume Overview

School Attended

  • Union City Community High School

Job Titles Held:

  • Medical Biller
  • Medical Secretary
  • Home Health Aide

Degrees

  • High School Diploma

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