Medical Billing And Collections Specialist resume example with 8+ years of experience

(555) 432-1000,
, , 100 Montgomery St. 10th Floor
Health Care Professional Summary

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.

I am an enthusiastic health care professional, eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Medical Billing & Coding and Accounts Receivable with experience using many different clearing houses, EMR's and insurance companies. Motivated to learn, grow and excel in Medical Accounting and Health Care. [Job Title] with over10 years of successful experience in Health Care, never allowing myself to become stagnate. I continue to learn and know I can bring so much experience and knowledge to any team.

Recognized consistently for performance excellence and contributions to success in growing and expanding a sterile processing department of a Trauma 1 Hospital.

Strengths in working under pressure and time management backed by training in Medical Billing and accounting in an office seeing and treating up to 110 patients per day.

  • Staff Management
  • Budgeting proficiency
  • General accounting
  • Management accounting
  • Payment processing
  • Accounting systems and controls
  • Financial Management
  • Tax reporting
  • Cash Flow analysis
  • Accounting remittances
  • Detail-oriented
  • Multitasking abilities
  • Self-motivated professional
  • Strategic Planning
  • Organization and Time management
HArrisburg Area Community College York, PA, Expected in Associate of Science : General Studies - Undergraduate - GPA :

Here, I had studied Algebra, Reading and Witting classes, Psycology101, Statistics, Chem and Chem Lab. Biology and Bio Lab, Public Speaking, and lots of group activities. Mainly ones I would find hanging in the library. When I was not at work or school, I was meeting new people through this amazing college Id enrolled myself in.

2013-2015 - No Graduation, pending 8 credits.

Ocean County Vocational-Technical School Toms River, NJ Expected in 06/2016 Associate of Science : Practical Nursing - GPA :

In the late final semester, I disenrolled from the program. 1-2 months before graduation due to serious financial hardship & my one and only son on the way, I had just about completed my extern rotations when I felt I had no option but to try again another year to due extremely limited financial options. I know I can &I know I will.

I still maintain all of my close friendships and connection at the school for future enrollment. I also still maintain all they had taught us and everything they ingrained into our minds.

Star Technical Institute Brick Township NJ, Expected in 08/2008 : Surgical Technology, Sterile Processing - GPA :
  • Dean's List 2nd semester, 2008
  • Continuing education in Sterile Processing via IAHCSMM Coursework in Anatomy and Physiology, Medical Terminology and Operating Room daily operations.
  • Graduated in Top 95% of Class.
Central Regional School District Bayville, NJ, Expected in 06/2006 High School Diploma : - GPA :
Work History
Nursecore - Medical Billing and Collections Specialist
Albany, NY, 01/2018 - Current
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided, medical necessity standards, and up to date coding standards were met.
  • Resourcefully used (and created) various coding books, procedure manuals and on-line encoders to ensure proper coding on each claim before uploading.
  • Trained and mentored new team members on accounts payable systems and policies to build cohesive groups and promote operational performance.
  • Assessed processes and procedures, complying with OSHA and HIPAA regulations. Assisted with regulatory issues such as compliance by creating and printing bi-annual quizzes and articles for ongoing staff education. Developed policies and procedures for effective practice management.
  • Disbursed all incoming and outgoing petty cash by recording entries and verifying documentation.
  • Generated financial statements and reports detailing accounts receivable status, keeping up to date records of all insurance calls and payment expectations, as to not be denied due to "timely filing"
  • Improved inter-office relationships through consistent hard work and dedication to each staff members own needs & own responsibility to communicate issues and solutions. Taught staff how to make decisions based on the "all for one" theory.
  • Participated & coordinated continuous collections improvement by generating suggestions, creating simple to read "at a glance" reports/ lists in each room to minimize scribing mistakes and lessen the amount of rejections & redeterminations needed to keep our collections at an exceptional standard.
  • Maintained energy and enthusiasm in fast-paced environment. :)
  • Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures and financial reporting.
  • Handled job duties for staff members which were unavailable or out of office.
  • Addressed and remedied all patient or team member issues from questions regarding patient accounts, insurance policies to personal issues and the best way to address such issues with Doctor..
  • Communicated closely with patients, ensuring medical information was kept private, as well as assuring them they had representation in out office when it came to their insurance companies. I always took responsibility for my own mistakes and made sure the patient never felt the repercussions. I hope I made each of my patients feel as though they were financially safe and supported. I fought for many of our patients so they wouldn't feel neglected not only by their insurance but also by their physicians staff, I hope I made a difference there!
  • Consulted with Dr. Lakhani on a weekly basis at the Surgical Center to discuss coding updates or consistent errors that needed rectified. Assisted in business decisions relating to staff duties, delegation of responsibilities for new hires and assigning each a qualified "partner" to train with. Upon request, I researched and advised of any company that may have helped raise our productivity and collections rates.

Here I worked 35-36 hours in the office. Then worked at home via 1 of 3 Laptops for @ home billers. This is when I had the time to sit and clean claims and rectify any coding errors through-out the previous week.

Mihlon Chiropractic - Administrative Office Manager, Billing and Coding
City, STATE, 11/2016 - 02/2018
  • Executed billing tasks and recorded information in company databases.
  • Established and developed highly efficient and dependable administrative team by delivJessicag ongoing coaching and motivation and fostJessicag career advancement.
  • Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
  • Oversaw office inventory activities, including ordJessicag and requisitions, stocking and shipment receiving.
  • Assisted office head in planning and execution of office renovation, including coordinating movement of office furniture, files and employees during construction.
  • Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
  • Developed rapport with clients and vendors to cultivate loyalty and satisfaction.
Well Span, York Hospital - EKG Monitor Technician, Nursing Staff
City, STATE, 02/2012 - 01/2016
  • Adjusted pacemakers, AICD and loop monitors with commitment to efficiency, data quality and overall comfort of patients.
  • Reviewed post-operative orders and continuously monitored patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
  • Monitored patients' heart rhythms and functions through cardiac monitoring strips.
  • Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
Well Span York Hospital - Lead Sterile Processing Technician 3
City, STATE, 02/2012 - 01/2016
  • Ordered and restocked supplies for decontamination and surgical areas.
  • Prepared instruments for sterilization and performed decontamination procedures.
  • Recorded biologicals and test results.
  • Worked flexible hours - Night shift 5 nights a week, 11pm- 7am including holidays when needed.
  • Prepared instruments for terminal sterilization and reset surgical suites for next procedure.

After I had been promoted from a tech 1 to a tech 3 in my first 90 days, I was promoted to lead of cardio-vascular surgeries and sets. I was also given the opportunity to stand in for many emergent night shift operations.

  • Gathered and set up equipment, tools and supplies and arrange instruments according to surgeons' preferences or instruction.
  • Created safe operating environments for invasive and non-invasive procedures.
  • Anticipated surgeons needs and handed instruments and supplies to surgeons during procedures when needed.
  • Used sutures, staples, clips and other tools to close wounds.
  • Collected, prepared, and disposed of medical specimens.
  • Controlled bleeding during procedures by applying hemostatic clamps, suture ligatures, and electrocautery equipment.
  • Operated, adjusted, and monitored diagnostic equipment and other machines used during procedures.
  • Created unobstructive operative fields by using retractors, sponges, and suction and irrigating equipment.

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Resume Overview

School Attended

  • HArrisburg Area Community College
  • Ocean County Vocational-Technical School
  • Star Technical Institute
  • Central Regional School District

Job Titles Held:

  • Medical Billing and Collections Specialist
  • Administrative Office Manager, Billing and Coding
  • EKG Monitor Technician, Nursing Staff
  • Lead Sterile Processing Technician 3


  • Associate of Science
  • Associate of Science
  • High School Diploma

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