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medical billing and coding specialist resume example with 16+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

An accomplished, driven and dedicated administrative professional having long-standing and diverse experience throughout multiple industries and capacities. Highly experienced in reconciling accounts with a high degree of accuracy. Offering a solid foundation in software applications, database management, and data entry. A fast learner with outstanding organizational and multi-tasking skills. Detail oriented with strong ability to work independently. Excellent communicator with outstanding time-management and patient needs assessment skills. Exercise effective judgment, decision-making, and problem solving abilities. Dedicated to maintaining strict patient confidentiality and quality care.

Highlights
  • Proficient in Microsoft/IBM-based PC's
  • Windows 7/10/XP
  • MS Office Suite (Word, Excel, Outlook, Power Point)
  • Internet Savvy
  • CPT-4
  • ICD-9
  • HCPCS II
  • 10-Key
  • Typing - 30 WPM
  • EOB
  • Anatomy and Physiology
  • Medical Terminology
  • HIPPA Compliance
  • Insurance Verification
Accomplishments

Employee of the Month 5 times within 1 year

Promoted to Customer Service Manager after 3 months of employment and Lead Customer Service Manager 2 years after

Nominated to represent my company at their national shareholders meeting after 1 year of service.

Promoted to Case Manager after 6 months of service.


Experience
Medical Billing and Coding Specialist, 10/2008 to Current
Nisqually Indian TribeOlympia, WA,

Reviewing physicians’ notes and charts for accuracy

Obtaining any necessary clarification of information on the notes and charts

Ensuring that all medical records have been signed by the appropriate parties

Assigning appropriate medical codes to all diagnoses or services

Entering and organizing the codes into management software

Translate codes into insurance companies’ preferred coding system

Prepare the appropriate claims documents required by each insurer

Submit, organize and track all insurance claims filed by the health care provider

Follow-up until payment is received, and manage collections activities when necessary


Medical Case Manager, 07/2007 to 08/2008
Bluecross Blueshield Of Tennessee, Inc.Chattanooga, TN,

•To carefully understand the needs of the client and/or patient

Managed a caseload of clients and maintained case files.

Productively acted as a liaison with attending physicians, other medical providers

Audited insurance claims for accuracy prior to submission

Ensured proper and timely follow up

Took ownership of client and patient issues and effectively resolved problems

Lead Customer Service Manager, 10/2003 to 09/2006
WalmartCity, STATE,

Supervised a staff of up to 120 associates

Creates schedules and processed vacation requests of said associates

Evaluated the daily operations, develop forecast and strategic planning to ensure quality customer service

Engaged in consistent communication with upper management regarding operations

Monitored and mentored associates and team leaders, providing all with

necessary training and development to achieve personal and organizational goals


Education
Associate of Arts: Health Care Administration, Expected in 2013 to University of Phoenix - Phoenix, AZ
GPA:

Continuing education in Health Care Administration

Coursework in Human Resource Management and Business Administration

Certificate : Medical Billing and Coding, Expected in 2007 to Banner Institute - Chicago, IL
GPA:

Academic Achievement Award

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Resume Overview

School Attended

  • University of Phoenix
  • Banner Institute

Job Titles Held:

  • Medical Billing and Coding Specialist
  • Medical Case Manager
  • Lead Customer Service Manager

Degrees

  • Associate of Arts
  • Certificate

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