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Medical Billing and Collections Specialist Resume Example

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MEDICAL BILLING AND COLLECTIONS SPECIALIST
Summary

Driven Medical Biller with over 25 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes, and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success. Hardworking and reliable Medical Office tasks with strong ability in billing.. Highly organized, proactive and punctual with team-oriented mentality.

Skills
  • Bill payment
  • General ledger entries
  • Payroll liabilities
  • Check processing
  • Year-end reporting
  • Petty cash disbursement
Experience
December 2017 to Current
Company NameCity, StateMedical Billing and Collections Specialist
  • Collected, posted and managed patient account payments.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Reconciled codes against services rendered.
  • Submitted claims to insurance companies.
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
January 2002 to January 2010
Company NameCity, StateOffice Manager
  • Trained 7 employees on best practices and protocol while managing teams to maintain optimal productivity.
  • Supervised office with 7 employees, consistently cultivating productive and positive work atmosphere.
  • Reviewed medical records to meet insurance company requirements.
  • Assessed medical codes on patient records for accuracy.
  • Expertly assigned charges and payments for medical procedures.
  • Researched and rectified account discrepancies.
  • Documented and filed patient data and medical records.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Completed and submitted appeals.
  • Filed and submitted insurance claims.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Supported Management with smooth and efficient clerical support.
  • Mitigated regulatory risks by guaranteeing program requirements adhered to Hippa compliance standards.
  • Managed office budget to handle all needs, including inventory, postage and vendor services.
  • Reduced financial discrepancies by accurately managing accounting documentation in Medical Manager software while maintaining case costs and billing processes.
January 2000 to October 2002
Company NameCity, StateMedical Receptionist
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Processed patient payments and scanned identification and insurance cards.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Entered patient information, including insurance, demographic and health history into system to keep all records up-to-date.
  • Greeted callers with enthusiasm, answering all phone calls by second ring.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
  • Informed patients of financial responsibilities prior to rendering services.
  • Took messages from patients and promptly relayed to appropriate staff.
  • Observed strict HIPAA guidelines at all times according to company policy.
March 1992 to June 1997
Company NameCity, StateMedical Receptionist
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Processed patient payments and scanned identification and insurance cards.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Entered patient information, including insurance, demographic and health history into system to keep all records up-to-date.
  • Communicated with all partners throughout practice, including physicians, nursing staff, technicians and medical assistants.
  • Greeted callers with enthusiasm, answering all phone calls by second ring.
  • Straightened up waiting room to maintain neat and organized space.
  • Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
  • Informed patients of financial responsibilities prior to rendering services.
  • Observed strict HIPAA guidelines at all times according to company policy.
  • Set up appointments for physician visits and procedures using calendar software.
June 1997 to November 2002
Company NameCity, StateOffice Manager and Billing Specialist
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
  • Scheduled patients in Medical Manager system and updated pertinent details related to insurance, payment histories and personal or confidential information.
  • Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
  • Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
  • Scheduled patients in medical manager system and updated pertinent details related to insurance, payment histories and personal or confidential information.
  • Managed daily operations within theoffice by supporting continuous delivery of excellent services and care.
  • Supervised the office with 12 employees, consistently cultivating productive and positive work atmosphere.
  • Directed team of 12 employees with administrative professionals to meet team needs in fast-paced environment.
  • Interviewed, onboarded, developed and oversaw daily activities of 7 clerical and administrative office personnel.
  • Performed billing, collection and reporting functions for office generating over $1,000,000 annually.
  • Reduced financial discrepancies by accurately managing accounting documentation in Medical Manager software while maintaining case costs and billing processes.
  • Collaborated closely with The Doctors to effectively smooth and improve office operations.
  • Managed daily operations within office by supporting continuous delivery of excellent services and care.
  • Managed daily operations within the office by supporting continuous delivery of excellent services and care.
  • Supervised office with 12 employees, consistently cultivating productive and positive work atmosphere.dinated office act ivities and operations to secure efficiency and compliance with company policies.
  • Directed team of 4 administrative professionals to meet team needs in fast-paced environment.
  • Managed inventory and purchase of supplies for office operations and Equipment maintenance.
  • Supervised the office with 12 employees, consistently cultivating a productive and positive work atmosphere.
  • Managed daily operations within the ffice by supporting continuous delivery of excellent services and care.
  • Supervised the office with 23 employees, consistently cultivating a productive and positive work atmosphere.
  • Interviewed, onboarded, developed and oversaw daily activities of clerical and administrative office personnel.
  • Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.
  • Handled scheduling and managed timely and effective allocation of resources and calendars.
  • Increased office organization by developing filing system and customer database protocols.
  • Monitored office inventory to maintain adequate supply levels and order products.
  • Strengthened community outreach by coordinating fundraisers, including managing marketing, vendor relations and volunteer supervision processes.
  • Solicited vendor quotes to determine optimal material purchase pricing.
  • Developed and actualized plans to streamline patient flows, increase office and patient care efficiency and generate new revenues.
  • Managed daily operations within [Type] office by supporting continuous delivery of excellent services and care.
  • Streamlined operational efficiencies by providing timely computer diagnosis and repair.
  • Drafted manuals and resources for identifying access to services.
  • Managed $[Amount] office budget to handle all needs, including inventory, postage and vendor services.
  • Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
  • Planned for major business changes, including system conversions and office moves.
  • Liaised with court personnel, city magistrates, police departments and bank administrators to promote successful office operations.
  • Quoted and prepared proposals for business services such as [Type] and [Type].
  • Proactively identified and solved complex problems that impact management and business direction
  • Optimized traceability, developing organization systems for court documents and exhibits.
  • Updated employee paperwork and records.
  • Instituted and built dynamic team of astute and successful administrative professionals which supported all corporate growth and productivity objectives.
  • Directed team of [Number] administrative professionals to meet team needs in fast-paced environment.
  • Developed and administered department budgets.
  • Improved operational efficiencies, managing work requests, new orders, pricing and changes while coordinating logistics to verify delivery dates.
  • Collaborated closely with [Job title] to effectively smooth and improve office operations.
  • Greeted visitors promptly and directed to correct locations.
  • Streamlined back office services for clients to promote proper functionality and positive user experience.
  • Reduced financial discrepancies by accurately managing accounting documentation in [Brand] software while maintaining case costs and billing processes.
  • Completed quarterly employee performance evaluations to identify deficiencies and recommend improvement strategies.
  • Coordinated logistics for corporate events.
  • Authored countywide manual for families and children that identified community resources.
  • Enhanced trial proceedings by organizing evidence and scheduling witnesses to optimize case preparation for successful outcomes.
  • Trained [Number] employees on best practices and protocol while managing teams to maintain optimal productivity.
  • Mitigated regulatory risks by to keep program requirements in line with Administrative Office of Court's compliance standards.
  • Cultivated community relations and worked with teams to optimize programs.
  • Handled supply purchases and inventory management for office operations and equipment maintenance.
  • Managed office inventory and placed new supply orders.
  • Interviewed, onboarded, developed and oversaw daily activities of [Number] clerical and administrative office personnel.
  • Conducted [Timeframe] performance evaluations of office staff to monitor progress and productivity and recommend promotions, corrective or disciplinary actions.
  • Aided senior leadership during executive decision-making process, meeting with clients to research cases, collect data, prepare settlement packages and interpret information for daily report generation.
  • Entered invoice data into company database and updated details, including customer contacts and delivery dates to keep information current.
  • Aided senior leadership during executive decision-making process, meeting with clients to research case, collect data, prepare settlement packages and interpret information for daily report generation.
  • Oversaw office inventory and timely reordering of supplies.
  • Prioritized project components and organized scopes.
  • Conferred with business leaders to evaluate needs and strategize operational improvements to boost productivity.
  • Elevated customer satisfaction ratings by resolving client and case issues efficiently.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Wrote professional business correspondence to maintain strong line of communications.
  • Recruited, trained and developed dynamic administrative team, supporting all corporate growth and productivity objectives.
  • Elevated customer satisfaction ratings by resolving client and case issues effectively.
  • Managed office inventory by maintaining documentation of stock.
  • Organized patient files and streamlined operations to improve efficiency.
  • Managed inventory and purchase of supplies for office operations and [Equipment] maintenance.
  • Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
  • Created training program for new office employees, decreasing training time [Number]%.
  • Spearheaded special projects through effective emergency resolutions.
  • Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
  • Reduced financial discrepancies by accurately managing accounting documentation in QuickBooks while maintaining case costs and billing processes.
  • Managed [Number] drug program participants and [Number] delinquents to ensure project protocol adherence.
  • Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
  • Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
  • Improved productivity initiatives, managing accounts, coordinating itinerary and scheduling client/leadership appointments.
  • Coordinated travel arrangements, including booking hotel rooms, car rentals and airfare for staff traveling to domestic and international locations.
  • Mitigated regulatory risks by guaranteeing program requirements adhered to [Program]'s compliance standards.
  • Oversaw aspects of data management for CRM programs and proprietary database to include [Timeframe] updates and backup, report generation and troubleshooting or repair service requisition.
  • Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
  • Planned and executed successful corporate meetings, lunches and special events for groups of up to [Number].
  • Enhanced customer satisfaction ratings by resolving account issues efficiently.
  • Supervised [Number] legal assistants and offered assistance in [Task] to promote optimal productivity.
  • Supervised [Type] office with [Number] employees, consistently cultivating productive and positive work atmosphere.
  • Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
  • Automated office operations, managing client correspondence, record tracking and data communications in database and case management software.
  • Supported [Job title]s and [Job title]s with smooth and efficient clerical support.
  • Supported office needs including taking messages, scanning documents and routing business correspondence.
  • Coordinated development of [Number] programs from conception through successful execution, including youth mentoring.
  • Coordinated office activities and operations to secure efficiency and compliance with company policies.
  • Generated financial reports for management review.
  • Culled knowledge of federal and state-level mandates to assess compliance across areas of operation\.
  • Oversaw digital patient charting, including data entry and administrative duties regarding insurance, billing and accounts receivable.
  • Automated office operations to manage client correspondence, record tracking and data communications.
  • Developed long-term budgets covering office supplies and equipment maintenance to meet organizational demand.
  • Performed billing, collection and reporting functions for [Type] office generating over $[Number] annually.
Education and Training
Tulsa Community College
City, StateBusiness AdministrationSome College (No Degree)GalbanCignoStamileCignGalban
  • Dean's List Honoree 1998
  • Honor Roll 1998]
  • Major in Pysycology
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Resume Overview

School Attended

  • Tulsa Community College

Job Titles Held:

  • Medical Billing and Collections Specialist
  • Office Manager
  • Medical Receptionist
  • Office Manager and Billing Specialist

Degrees

  • Business Administration Some College (No Degree)

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