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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

I do have a ton of experience with medical billing and collections; however, I also have experience in great customer service and working within a medical office setting. I have worked in every department throughout the years, i.e. Billing/Collections, Insurance Verification, and Medical Records Department. I am looking for a part-time, remote position for additional income. I do have a full time position currently.

Skills
  • Microsoft Office proficiency
  • Accounts payable
  • Data entry
  • Medicare, Medicaid, Commercial and Workers Compensation exp.
  • Insurance claims
  • Insurance collections
  • Great Customer Service
  • Medical software applications
  • Knowledge of medical terminology
  • Knowledge of HIPAA regulations
Experience
Medical Billing and Collections Specialist, 01/2020 - Current
Nursecore Clermont, FL,
  • Processed refund requests and reconciled deposit and patient collections.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Attended provider meetings and workshops when appropriate.
  • Answered phone calls, responding to basic questions regarding appointments and clinic operations and directing calls within clinic as appropriate.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Filed and submitted insurance claims.
  • Posted charges, payments and adjustments.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed and submitted appeals for denied claims.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed appeals and filed and submitted claims.
  • Identified discrepancies and carrier issues regarding billing and reimbursements.
Medical Billing and Collections Specialist, 02/2019 - 01/2020
Nursecore Corpus Christi, TX,
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted charges, payments and adjustments.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Posted and adjusted payments from insurance companies.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Applied payments, adjustments and denials into medical manager system.
  • Submitted refund requests for claims paid in error.
  • Collaborated closely with other departments to resolve claims issues.
  • Entered procedure codes, diagnosis codes and patient information into EMR.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed and submitted appeals for denied claims.
Medical Billing and Collections Specialist, 03/2018 - 02/2019
Nursecore Cottonwood, AZ,
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted charges, payments and adjustments.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Posted and adjusted payments from insurance companies.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Applied payments, adjustments and denials into medical manager system.
  • Submitted refund requests for claims paid in error.
  • Collaborated closely with other departments to resolve claims issues.
  • Entered procedure codes, diagnosis codes and patient information into EMR.
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Attended provider meetings and workshops when appropriate.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Filed and submitted insurance claims.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed and submitted appeals for denied claims.
  • Determined customer eligibility for benefit programs and services.
Medical Billing and Collections Specialist, 08/2014 - 03/2018
Nursecore Covington, GA,
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted charges, payments and adjustments.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Posted and adjusted payments from insurance companies.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Applied payments, adjustments and denials into medical manager system.
  • Submitted refund requests for claims paid in error.
  • Collaborated closely with other departments to resolve claims issues.
  • Entered procedure codes, diagnosis codes and patient information into EMR.
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Attended provider meetings and workshops when appropriate.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Filed and submitted insurance claims.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed and submitted appeals for denied claims.
  • Determined customer eligibility for benefit programs and services.
Education and Training
High School Diploma: , Expected in 05/2003
-
Texas High School - Texarkana, TX,
GPA:
Certifications
Medical Terminology May 2006 to Present

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School Attended

  • Texas High School

Job Titles Held:

  • Medical Billing and Collections Specialist
  • Medical Billing and Collections Specialist
  • Medical Billing and Collections Specialist
  • Medical Billing and Collections Specialist

Degrees

  • High School Diploma

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