Medical Biller Accounts Receivable resume example with 12 years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
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
Medical Biller, Accounts Receivable, 04/2019 to 08/2021 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.
Medical Billing and Collections Specialist, 08/2017 to 04/2019 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.
Optum , 09/2014 to 01/2016 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.
Pharmacy Technician, 07/2002 to 03/2009 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
: Education, Expected in Clarion University of Pennsylvania - Clarion, PA GPA:
: Education, Expected in Pennsylvania State University - Sharon, PA, GPA:
: Business And Managerial Economics, Expected in Kent State University - Warren, OH, GPA:
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