medical biller resume example with 12 years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Professional Summary
Competent Medical Biller providing 30 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Excellent interpersonal, management and communication skills with both patients and physicians.
Skills
Medical Billing
CPT Coding
Medical Records Management
Patient Account Analysis
Medical Coding Knowledge
Payment Posting
Insurance Knowledge
Account Reconciliation
Billing Systems
Collection Calls
Medical terminology
Medical claims submission
Proficiency in payer path, allscripts, IDX, infostat, Medical Manager SMS/PHS,Mysis, Comp systems/EHR, Waiting Room Solutions, Availity & Trizetto
Medicare and Medicaid process
Accounts receivable management
Medical history documentation
Medical billing and collections
Medical facility familiarity
Updating medical charts
Medical history obtainment
Medical coding and billing
Front desk communications
Medical coding understanding
Managing medical practices
Medical records and documentation
Electronic Medical Record (EMR) software
Medical terminology expertise
Medical record security
Broad medical terminology knowledge
Medical terminology understanding
Medical coding
Front desk operations
Ability to read medical reports
Understanding of medical terminology
Understands medical procedures
Excellent Customer Service Skills
Excellent Computer Skills
Written And Verbal Communication
Work History
Medical Biller, 10/2018 - Current Vibra Healthcare Inc. – Lubbock, TX,
Researched and followed up on denied insurance claims.
Prepared billing statements for patients and verified correct diagnostic coding.
Transferred balances to correct payers.
Efficiently collected payments and communicated with clients.
Liaised between patients, insurance companies and billing office.
Posted payments and collections on regular basis.
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Communicated with insurance providers to resolve any denied claims and resubmit.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Medical Office Assistant, 07/2015 - 09/2018 Erickson Living – Richmond, VA,
Contacted patients regarding unpaid and underpaid accounts to resolve issues.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Maintained patient databases and updated information in alignment with HIPAA protocols.
Scheduled appointments for doctor visits and procedures using desktop calendar software.
Adhered to strict HIPAA guidelines at all times to protect patient privacy.
Scheduled, rescheduled and handled cancelled appointments for patients.
Gathered forms, copied insurance cards and completed registration for to collect patient information for billing and insurance filing.
Facilitated patient flow by notifying provider of patients' arrival, being aware of delays and communicating with patients and clinical staff.
Collected deductibles and copays to post money to patient accounts.
Managed receptionist desk by greeting patient and redirection to appropriate areas of the clinic
Knowledge of Federally Qualified HealthCare Centers (FQHC) guidelines and policies and procedures.
Knowledge of Federal Sliding Scale and Indigent qualified programs
Medical Billing Coordinator, 04/2009 - 07/2015 New York Institute Of Technology – Old Westbury, NY,
Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Submitted electronic and paper claims to insurance companies including Medicare, Medicaid and Commercial Insurances to collect medical payments.
Assisted patients by determining financial assistance available and setting up payment plans.
Adhered to established standards to safeguard all patients' health information.
Prepared billing statements for patients and verified correct diagnostic coding.
Communicated with insurance providers to resolve any denied claims and resubmit.
Prepared accounts with past due balances of more than 120 days and transferred those cases to collection agency.
Posted surgical and office charges for three doctors in orthopedics clinic.
Liaised between patients, insurance companies and billing office.
Scheduled patients in Medical Manager System.
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
Verified proper ICD-10 coding on claims.
Researched and followed up on denied insurance claims.
Maintained current accounts through aged revenue reporting.
Education
Associate of Arts: Business Administration, Expected in - St Leo University - Savannah, GA, GPA: Status -
High School Diploma: , Expected in - R.B. Stall High School - Charleston, SC, GPA: Status -
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.