Medical Biller Accounts Receivable resume example with 12 years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

Organized Medical Biller boasts 7+ years career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.

  • Precision and Accuracy
  • Proactive and Self-Motivated
  • Financial Calculation and Analysis
  • Bill Payment and Recordkeeping
Medical Biller, Accounts Receivable, 04/2019 to 08/2021
NursecoreColorado Springs, CO,
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Completed and submitted appeals for denied claims.
  • Reviewed all claims for accurateness and appropriateness.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Organized information for past-due accounts and transferred to collection agency.
  • Handled billing, waivers and claims for private and commercial clients.
  • Used software system to manage provider schedules and keep calendar organized practice.
  • Kept accounts current with facility-approved reporting and analysis strategies.
  • Submitted and accurately processed insurance claims with related medical code verifications and assessments.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Handled billing for full complement of practice providers.
  • Prepared and updated new system to handle billing needs with improved accuracy, reliability and overall performance.
  • Used computer system to record weekly statements, including expenditures and balances.
Medical Billing and Collections Specialist, 08/2017 to 04/2019
Presbyterian Healthcare ServicesEspanola, NM,
  • Answered phone calls, responding to basic questions regarding appointments and clinic operations and directing calls within clinic as appropriate.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Completed and submitted appeals for denied claims.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted and adjusted payments from insurance companies.
  • Verified proper coding, sequencing of diagnoses and procedures.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Reviewed all claims for accurateness and appropriateness.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
Optum , 09/2014 to 01/2016
AloricaCity, STATE,
  • Resolved inquiries to consistently meet performance benchmarks.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
  • Documented conversations with customers to track requests, problems and solutions.
  • Assessed customer account information to determine current issues and potential solutions.
  • Answered, screened and processed high volume of calls daily with call management system and web-based communications.
  • Trained new employees on processes to promote productivity team-wide.
  • Handled escalated customer service concerns to preserve revenue streams from key customers.
  • Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
  • Reviewed files, records and other obtained documents to respond to customer requests.
  • Strengthened team performance and productivity by training and inspiring team members.
  • Consulted with customers regarding needs and addressed concerns.
Pharmacy Technician, 07/2002 to 03/2009
Rite-Aid PharmacyCity, STATE,
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Created new customer profiles and updated changes such as demographics, allergies and new medications in pharmacy computer systems.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Interpreted and processed medication orders under supervision of pharmacist.
  • Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises.
  • Verified patients' identities at pickup to prevent sale of wrong medications.
  • Maintained clean and organized pharmacy shelving and work areas.
Education and Training
: Education, Expected in
Clarion University of Pennsylvania - Clarion, PA
: Education, Expected in
Pennsylvania State University - Sharon, PA,
: Business And Managerial Economics, Expected in
Kent State University - Warren, OH,

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Resume Overview

School Attended

  • Clarion University of Pennsylvania
  • Pennsylvania State University
  • Kent State University

Job Titles Held:

  • Medical Biller, Accounts Receivable
  • Medical Billing and Collections Specialist
  • Optum
  • Pharmacy Technician


  • Some College (No Degree)
  • Some College (No Degree)
  • Some College (No Degree)

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