Detail-oriented professional with a focus on deadlines and the assurance that all medical billing is handled efficiently and without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Competent Medical Billing professional with ability to manage a busy medical office and provide excellent customer service to all patients.
Skills
Medical Billing
Patient Account Analysis
Payment Posting
Insurance Knowledge
Spreadsheets
Billing Systems
Billing Inquiries
Collection Calls
Proficiency in Access and Cubs
Work History
Medical Biller, 03/2012 - 04/2015 Vibra Healthcare Inc. – Lafayette, IN,
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Communicated with insurance providers to resolve any denied claims and resubmit.
Located errors and promptly refiled rejected claims.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Researched and followed up on denied insurance claims.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Precisely completed appropriate claims paperwork, documentation and system entry.
Precisely evaluated and verified benefits and eligibility.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Filed and updated patient information and medical records.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Promptly sent out and posted all medical claims.
Verified proper ICD-9 coding on claims.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Reviewed outgoing bills for eligibility and accurateness.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Reviewed patient records, identified medical codes and created invoices for billing purposes.
Adhered to established standards to safeguard all patients' health information.
Bill Collector, 11/2011 - 12/2012 Blitt & Gaines P.C. – Naperville, IL,
Delivered exceptional customer service on all calls while maintaining calm and professional demeanor in challenging circumstances.
Worked in call center environment handling manual and automatically dialed outbound calls.
Achieved performance goals on consistent basis.
Maintained high volume of calls to meet demands of busy group.
Used skip tracing and other techniques to locate debtors.
Used scripted conversation prompts to convey current account information and obtain payments.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
Maintained excellent attendance record, consistently arriving to work on time.
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