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medical biller accounts receivable resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
  • Billing and Collection Procedures
  • Clerical Support
  • Medical Terminology
  • Teamwork and Collaboration
  • Account Posting
  • Problem Investigation
  • Claims Processing
  • Multitasking and Organization
Experience
Medical Biller, Accounts Receivable, 04/2019 - 04/2023
Minnehaha County Sioux Falls, SD,
  • Completed and submitted appeals for denied claims.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Submitted appeals using provider portals and phone communication.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Reviewed claims for coding accuracy.
  • Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
  • Input details into accounts and tracked payments.
  • Handled billing, waivers and claims for private and commercial clients.
  • Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
  • Leveraged EMR software to post payments received for medical services.
  • Remained calm, stayed professional and provided exceptional service on calls, even when interacting with difficult individuals.
  • Processed payments over phone and set up recurring drafts.
  • Reviewed overdue accounts to schedule contact dates for follow-up phone calls.
  • Reviewed accounts to determine payment plan compliance.
  • Met demands of busy collections group by performing high volume of daily calls.
Office Manager, 02/1984 - 06/2016
Five Star Quality Care, Inc. Atlanta, GA,
  • Managed office inventory and placed new supply orders.
  • Monitored payments due from clients and promptly contacted clients with past due payments.
  • Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
  • Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
  • Managed, scheduled and coordinated office functions and activities for employees.
  • Coded and entered daily invoices with in-house accounting software.
  • Answered customer questions to maintain high satisfaction levels.
  • Submitted claims to insurance companies.
  • Managed all payments processing, invoicing and collections tasks.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Collected, posted and managed patient account payments.
  • Processed invoice payments and recorded information in account database.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Executed account updates and noted account information in company data systems.
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Maintained accounting ledgers by verifying and posting account transactions.
  • Developed strong professional rapport with vendors and clients.
  • Gathered information to produce accounts payable reports for review.
  • Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
  • Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
  • Reconciled codes against services rendered.
  • Reconciled financial accounts using [Software program] software.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
  • Weighed envelopes containing statements to determine correct postage and affix postage.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems
Receptionist, 03/1991 - 02/1994
Dr Christopher James DDS City, STATE,
  • Scheduled and confirmed appointments.
  • Answered and directed incoming calls using multi-line telephone system.
  • Served visitors by greeting, welcoming and directing to appropriate personnel.
  • Updated and recorded customer or client information to maintain accounts.
  • Processed payments and updated accounts to reflect balance changes.
Education and Training
High School Diploma: , Expected in 06/1983
-
South Kitsap - Port Orchard,
GPA:
Status -

Attended: Olympic College part time

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Resume Overview

School Attended

  • South Kitsap

Job Titles Held:

  • Medical Biller, Accounts Receivable
  • Office Manager
  • Receptionist

Degrees

  • High School Diploma

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