Medical Biller Accounts Receivable resume example with 4 years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
Professional Summary
  • Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
  • Driven Medical Biller motivated to perform beyond expectations.
  • Competent medical billing professional manages busy medical office and delivers excellent customer service to patients.
  • Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
  • Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
  • Meticulous accounting professional with extensive experience analyzing information and identifying areas of improvement. Dedicated to improving profitability, reducing accounting errors and streamlining accounting processes. Expert in processing payments promptly to minimize outstanding debt and avoid excess charges.
  • Medical Billing
  • Medical Records Management
  • Patient Account Analysis
  • Medical Coding Knowledge
  • Payment Posting
  • Billing Systems
  • Medical Records Review
  • Billing Inquiries
  • Collection Calls
  • Medical claims submission
  • Medical terminology expert
  • Medicare and Medicaid process
  • Management accounting
  • Customer service support
Work History
Medical Biller, Accounts Receivable, 10/2020 to Current
Jp RecoveryRocky River, OH,
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Collected payments and applied to patient accounts.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Posted payments and collections on regular basis.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Conducted technical and analytical reviews of tax returns to check for accuracy and qualified deductions.
  • Initiated comprehensive account assessments to check viability, stability and profitability of business operations.
  • Compiled general ledger entries on short schedule with 100% accuracy.
  • Collaborated with accounting manager to comply with governing bodies and limit regulatory risks.
Associate Administrator Clinical Coordinator, 01/2020 to 10/2020
United Healthcare / Optum TechnologyCity, STATE,
  • Manage administrative intake of members
  • Work with hospitals, clinics, facilities, and clinical team to manage requests for services from members and/or providers
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles
  • Assist clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers
  • Generated reports to suggest corrective actions and process improvements.
  • Adapted to workflow changes and implemented continuous process improvements to overcome obstacles.
  • Screened and transferred incoming calls, took down messages and transmitted information and documents to internal personnel.
  • Maintained personnel records and updated internal databases to support document management.
  • Exceeded goals through effective task prioritization and great work ethic
  • Learned new skills and applied to daily tasks to improve efficiency and productivity
  • Created plans and communicated deadlines to complete projects on time
Patient Account Representative, 06/2018 to 03/2020
Credit Management CompanyCity, STATE,
  • Arranged for payments to be made by debtors via telephone, sending statements to debtors, insurance companies, and attorneys in accordance with established policies and procedures
  • Collect and follow up on all accounts assigned prior to, during, or after admission and discharge
  • Communicated financial policies to all patients
  • Process refund requests for insurance overpayments and patient overpayments and confirm claim underpayments/overpayments by analyzing insurance explanation of payments and insurance contracts
  • Managed claim denials by contacting clinical department, patient, payor or fiscal intermediary by phone, email or appropriate website
  • First place bank customers call for immediate answers to questions regarding their checking and savings accounts, loan applications and credit cards
  • Medical billing and coding Experience
  • Utilized computer programs to create invoices, letters and other documents.
  • Prepared reports detailing billing actions, flags and other key information.
  • Contacted patients after insurance was calculated to obtain payments.
  • Monitored flags and resolved urgent items with accuracy and efficiency.
License in Nursing: , Expected in
Aide Academy - Lancaster, TX
High School Diploma: , Expected in
New Beginnings Christian Academy - Dallas, TX

Certified Nurse Aide


Health and Electronic Records

Medical Terminology

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Resume Overview

School Attended

  • Aide Academy
  • New Beginnings Christian Academy

Job Titles Held:

  • Medical Biller, Accounts Receivable
  • Associate Administrator Clinical Coordinator
  • Patient Account Representative


  • License in Nursing
  • High School Diploma

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