Medical Biller Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
  • Billing codes
  • ICD-10 coding
  • Account follow-up
  • [Type] claims expertise
  • CPT code modifiers
  • Submission of medical claims
  • [Software] use
  • Knowledgeable in [Software]
  • Insurance collections
  • Training and development
  • Medical coding understanding
  • Claim review
  • Insurance claims
  • Adobe Creative Suite (Photoshop, Illustrator, Dreamweaver)
  • Digital graphics
  • Microsoft Office expertise
  • Website design
  • Graphic and Media Design
  • CSS
  • Logo creation
  • Advertising familiarity
  • Production standards
  • Photography background
  • Project coordination
  • Project management
  • Adobe Creative Suite
Medical Biller, 03/2018 to Current
Vibra Healthcare Inc.Greenwood, SC,
  • Reviewed medical records to meet insurance company requirements.
  • Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Effectively coordinated all communications between patients, billing personnel and insurance carriers.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Reviewed all claims for accurateness and appropriateness.
  • Documented and filed patient data and medical records.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
  • Researched and rectified account discrepancies.
  • Filed and submitted insurance claims.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Verified final claim submissions by comparing account charges with documentation.
  • Completed and submitted appeals.
Registrar, 06/2016 to 03/2018
Mclaren Health CareMarysville, MI,
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Collected, evaluated and stored documents securely in permanent records.
  • Greeted visitors and ascertained purpose of visit, issuing any needed credentials and directing to appropriate staff or department.
  • Contacted insurance carriers to verify coverage, copays and deductible information for patients.
  • Registered patients for outpatient procedures and emergency services.
  • Advised patients of monies required to be paid prior to services.
  • Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
  • Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
  • Explained forms and documents to patients, guardians and family members, distributing copies as needed and confirming comprehension.
  • Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
  • Verified patient information, including demographics, income and [Type] for input into [Software] system.
  • Scanned [Type] documents, including insurance cards to include in patient charts.
  • Maintained HIPAA compliance and integrity of hospital policies and procedures.
  • Asked various questions from clients to obtain the information necessary for paperwork.
  • Politely and personably welcomed incoming clients and offered seats prior to beginning registration process.
  • Welcomed patients to facility and assisted with registration sign-in process.
  • Responded to incoming department phone calls and directed callers to appropriate team members based on need.
Hostess, 08/2010 to 06/2016
Excela HealthGreensburg, PA,
  • Answered phone inquiries to schedule and confirm reservations, record takeout orders and respond to service questions.
  • Stayed abreast of server availability and table turnover to make quick decisions about seating locations.
  • Performed walked throughs during service to monitor guest satisfaction and advise serving and bussing staff of specific guest needs.
  • Set up and decorated menu marketing boards with current meal and drink specials.
  • Notified server after seating parties in section to facilitate prompt service.
  • Delivered outstanding service and support from initial interaction to final departure, maintaining loyal clientele.
  • Collaborated with front of house staff to move tables and adjust seating to accommodate customers.
  • Answered telephone to provide dining information and take party reservations.
  • Greeted guests and gathered information to seat groups or place on waitlist.
  • Answered front of house phone to inform customers of wait times, take reservations and record to-go orders.
  • Supported serving staff, food runners and bussers to keep dining room presentable and ready for guests.
  • Managed guest expectations by relaying information regarding hours, wait times and specials.
  • Supported management by resolving customer service and food-related issues to maintain guest satisfaction.
  • Monitored dining area to assess server capacity and estimate wait times.
  • Accommodated guests with children and special needs to promote comfortable dining experience.
  • Helped restaurant staff set up small and large events to coordinate smooth execution.
  • Communicated with kitchen staff about cook times to foster customer satisfaction.
  • Scheduled reservations and notified servers and managers of large groups to prepare seating in advance.
  • Maintained knowledge of menu items, garnishes, ingredients and preparation methods to assist guests with menu selection.
  • Answered customers' questions about hours, seating, current wait time and other information.
  • Cleaned and restocked counter areas, replenished cash drawer and checked server supplies to facilitate operations.
  • Answered questions about food and order statuses for waiting customers.
  • Escorted guests to seating area, furnished menus and highlighted daily specials to promote positive experience.
Yearbook Staff Member, 08/2008 to 05/2012
Snyder High SchoolCity, STATE,
Education and Training
Associate of Applied Science: Communication Design, Expected in 05/2013
Western Texas College - Snyder, TX
High School Diploma: , Expected in 05/2012
Snyder High School - Snyder, TX

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Resume Strength

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Resume Overview

School Attended
  • Western Texas College
  • Snyder High School
Job Titles Held:
  • Medical Biller
  • Registrar
  • Hostess
  • Yearbook Staff Member
  • Associate of Applied Science
  • High School Diploma