LiveCareer-Resume

medical billing and collections specialist resume example with 8+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
  • Investigative research
  • Adjustment posting
  • Audit procedures
  • Payment management
  • Credit and collections
  • Billing dispute resolution
  • Customer service
  • Administrative support
  • Insurance billing
  • Problem resolution
  • Communications
  • Relationship development
  • Process improvement
  • Planning and coordination
  • Submission of medical claims
  • Insurance collections
  • Knowledgeable in ECW
  • Claim review
  • ICD-10 coding
  • Account follow-up
  • Audit procedures
  • Billing and invoicing
  • Microsoft
  • Data entry documentation
  • Account balancing reconciliation
  • Sensitive material handling
  • Workers' compensation knowledge
  • Back office operations
  • Accounting skills
  • Excel spreadsheets
  • Insurance eligibility verification
  • Dedicated team player
  • Multitasking and prioritization
  • Negotiation
Experience
Medical Billing and Collections Specialist, 03/2017 - Current
Air Methods Waterloo, IA,
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
  • Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
  • Routinely contacted account holders with balances over 90 days past due to resolve delinquencies.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Accepted and processed customer payments and applied toward account balances.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Gathered information to file appeals for denials and minimized inaccuracies by maintaining accurate records of approvals.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Collaborated closely with other departments to resolve claims issues.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Applied payments, adjustments and denials into medical manager system.
  • Submitted refund requests for claims paid in error.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Completed appeals and filed and submitted claims.
  • Posted and adjusted payments from insurance companies.
  • Precisely completed appropriate paperwork and system entry regarding claims.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Posted charges, payments and adjustments.
  • Entered procedure codes, diagnosis codes and patient information into ECW.
Office Administrative Assistant, 05/2015 - 02/2020
The Shopping Center Group Atlanta, GA,
  • Sorted and distributed business correspondence to correct department or staff member, reducing dropped communications and enabling faster responses to key requests.
  • Prepared packages for shipment by generating invoices and setting up courier deliveries.
  • Answered phones to direct callers, schedule appointments and provide general office information.
  • Guided administrative and professional staff through computer and software problems.
  • Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
  • Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays.
  • Scheduled appointments for patients via phone and in person.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Called in prescription refills for patients.
  • Registered patients and scheduled appointments.
  • Collected information, verified insurance and collected co-payments for average of 30 patients each day.
  • Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Assisted with referrals and prepared medical records for patients.
  • Communicated with clients and families in professional and respectful manner, effectively building lasting relationships.
Warehouse Clerk, 12/2012 - 04/2015
Hy-Vee Waukon, IA,
  • Monitored work areas for cleanliness and functionality and removed obstacles to promote safe work environment.
  • Maintained accurate order and shipment forms and inventory documentation to facilitate timely material flow.
  • Prepared inventory for shipment by attaching tags and labels and executing shipment documents to facilitate delivery to proper customers.
  • Examined packages and goods for damage and notified vendors of specific issues requiring replacement.
  • Directed warehouse team in stocking merchandise, pulling orders and setting up loads.
  • Checked customer orders, labeling and documentation prior to shipment to avoid delays.
Education and Training
High School Diploma: , Expected in 07/2012
-
Santa Ana High School - Santa Ana, CA
GPA:
Status -

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Resume Overview

School Attended

  • Santa Ana High School

Job Titles Held:

  • Medical Billing and Collections Specialist
  • Office Administrative Assistant
  • Warehouse Clerk

Degrees

  • High School Diploma

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