Medical Biller Resume Example
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. Accurate Biller capable of performing all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Offering 1 1/2 years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. Managing associates for over 15 years and understanding their needs while maintaining integrity and confidentiality. Promoted to positions of increased responsibility involving managing inventory control, customer relations, and leadership skills. Dependable and organized team player with the ability to communicate effectively and efficiently. Training Coordinator in the HR department for 3 years with progressive experience managing employee records, benefits, compliance, hiring, and orientations. Skilled at building relationships with employees across all levels of an organization.
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- Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
- Participated in educational opportunities, including workshops, seminars and training classes to gain a stronger education in industry updates and federal regulations.
- Checked claims coding for accuracy with ICD-10 standards.
- Added modifiers, coded narrative diagnosis and verified diagnoses.
- Submitted claims to insurance companies.
- Expertly assigned charges and payments for medical procedures.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Performed with precision by entering data accurately and researching to resolve questions.
- Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
- Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
- Performed insurance verification, pre-certification and pre-authorization.
- Effectively coordinated all communications between patients, billing personnel and insurance carriers.
- Answered desk phone and handled phone calls and questions.
- Handled Infusion and Hyperbaric billing, waivers and claims for patients.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Organized and led a one-day staff orientation and training to promote collaboration.
- Compiled training handbook and related course materials.
- Resolved employment-related disputes through proactive communication.
- Handled understaffing, disputes, terminations of employees and administering disciplinary procedures.
- Copied, logged and scanned supporting documentation for the Store Manager or Market office.
- Coordinated hiring process, look for applications, and set up interviews for the, Analyzed departmental documents for appropriate distribution and filing.
- Planned events and coordinated them with the managers.
- Assisted customers with food selection, inquiries and order customization requests.
- Utilized exceptional communication to connect with customers, assess needs, and present solutions.
- Monitored compliance risks while adhering to safety protocols.
- Prepped items for later use to save staff time during busy hours.
- Pleasantly and courteously interacted with customers.
- Handled currency and credit transactions quickly and accurately.
- Prepared fountain drinks and ice cream items.
- Strictly followed all cash, security, inventory and labor policies and procedures.
Ocala, FL Billing and Coding Undergraduate
- 3.91 GPA
- Dean's List Honoree 1st and 2nd semester in 2019
- Completed course HIT-111-0 Basic Medical Terminology
- Completed course HIT-105-7 Fund Human Anat & Physio w/Lab
- Completed course HIT-120-1 Intro Hlth Services & info Sys
- Completed course HIT-141-0 Hlth Info Processes w/Lab
- Completed course BIOS-267-0 Pathopharmocology
- Completed course HIT-203-4 Coding I: ICD-10
- Completed course HIT-205-0 Coding II: ICD-10
- Completed course HIT-211-0 Curnt Procd Termn Coding w/Lab
- Completed course HIT-230-9 Hlth Insr & Reimbursement
Speak and write in fluent English and Spanish
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Resume Overview
School Attended
- DeVry University
- Forest High School
Job Titles Held:
- Medical Biller
- Training Coordinator
- CUSTOMER SERVICE ASSOCIATE
Degrees
- Some College (No Degree) : Medical Billing And Coding
High School Diploma
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