Livecareer-Resume

Medical Biller Accounts Receivable Resume Example

Love this resume?

By clicking Build Your Own Now, you agree to our Terms of Use and Privacy Policy

JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

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.

Skills
  • Precision and Accuracy
  • Proactive and Self-Motivated
  • Financial Calculation and Analysis
  • Bill Payment and Recordkeeping
Experience
04/2019 to 08/2021 Medical Biller, Accounts Receivable Nursecore | Colorado 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.
08/2017 to 04/2019 Medical Billing and Collections Specialist Presbyterian Healthcare Services | Espanola, 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.
09/2014 to 01/2016 Optum Alorica | City, 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.
07/2002 to 03/2009 Pharmacy Technician Rite-Aid Pharmacy | City, 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
Expected in | Education Clarion University of Pennsylvania, Clarion, PA GPA:
Expected in | Education Pennsylvania State University, Sharon, PA, GPA:
Expected in | Business And Managerial Economics Kent State University, Warren, OH, GPA:
REFERENCES

Brandy Cotton

Office Manager/Biller

Allied Pain Relief Clinic

330-707-5068

Penny Bennett

Business Owner/ Friend

330-883-2676

By clicking Build Your Own Now, you agree to our Terms of Use and Privacy Policy

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.

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:

93Good

Resume Strength

  • Formatting
  • Length
  • Measurable Results
  • Personalization
  • Strong Summary
  • Target Job
  • Typos
  • Word Choice

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