Medical Billing And Collections Specialist Resume Example Company Name

MEDICAL BILLING AND COLLECTIONS SPECIALIST

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

Education and Training

High School DiplomaTexas High SchoolCity05/2003

Certifications

Medical Terminology May 2006 to Present

Experience

Company NameMedical Billing and Collections Specialist | City, State01/2020 to Current

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.

Company NameMedical Billing and Collections Specialist | City, State03/2019 to 01/2020

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.

Company NameMedical Billing and Collections Specialist | City, State03/2018 to 02/2019

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.

Company NameMedical Billing and Collections Specialist | City, State08/2014 to 03/2018

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.

Personal Information

Additional Information , I am a very outgoing and positive individual with a great personality. I have great rapport with people and honestly enjoy making others smile. I have an impeccable work ethic and strive to do the very best at any task or challenge presented to me. I know that I would be an excellent addition to your office staff.

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Medical Billing and Collections Specialist Resume Example

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