LiveCareer-Resume

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

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Organized and adaptive Pharmacy Billing, Debt Collector and Accounts Receivable Lead. Knowledgeable, analytical and personable with excellent problem solving skills. Meticulous worker identifies discrepancies and issues related to billing and reimbursements and implements corrective actions and adjustments. Independently handles client requests, billing needs and administrative functions. Reviews contracts and other documents to issue accurate invoices. Expert in accurately posting payments via bank statements, lock box and credit cards to keep accounts current.

Excited to bring talent, leadership and in-depth knowledge of accounts receivable leadership to growing organization.

Skills
  • Categorizing and Classification
  • Discrepancy Resolution
  • Coding Proficiency
  • Claims Processing
  • Sage 50
  • Billing and Invoicing
  • Frameworks ECM / LTC
  • Microsoft Office
  • Deadline Adherence
  • Spreadsheet Tracking
  • Work Planning and Prioritization
  • Adjustment Posting
  • Investigative Research
  • Proactive and Self-Motivated
  • Accounts Receivable Expertise
Experience
Medical Billing and Collections Specialist, 07/2021 - Current
Nursecore Oklahoma City, OK,
  • Received and recorded cash, checks and transfers.
  • Monitored customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
  • Developed collection methods to achieve or exceed company financial goals.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Submitted claims to insurance companies and researched and resolved denials and rejections.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Identified, corrected and reported data entry errors.
  • Activated contracts and set up installment billing plan to generate on-time payments.
  • Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
  • Verified patient insurance coverage, created financial plans for collections and communicated between patient and responsible party.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Processed new customer forms to set up accounts in system.
  • Managed accounts receivable functions, handled payment receipts posting, updated cash flow reports and researched chargebacks and write-offs.
  • Processed and sent invoices, adjustments and credit memos to customers.
Med D Biller , 08/2020 - 07/2021
Veterans Health Administration Du Bois, PA,
  • Acted as a resource to the facilities in obtaining information, completing necessary documentation, and following up on outstanding claims
  • Completed Insurance and Medicaid formularies and processes, including the prior authorization processes.
  • Makes outgoing calls to Facilities, Plans, and Physician’s offices as needed to obtain approvals
  • Worked with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues.
  • Achieved productivity goals with regard to calls/claims per hour, as determined by the Director and Clinical Hub Manager
  • Developed a strong understanding of the insurance verification, adjudication, back-end billing process and became a subject matter expert on the insurance queues and billing workflow
Lead Pharmacy Technician, 01/2018 - 08/2020
Walgreens Fort Oglethorpe, GA,
  • Received and stored incoming supplies and informed supervisors of stock needs and shortages.
  • Ordered, labeled and counted stock of medications and entered inventory data into computer.
  • Maintained proper storage and security conditions for drugs.
  • Mixed pharmaceutical preparations according to written prescriptions.
  • Prepacked bulk medicines, filled bottles with prescribed medications and typed and affixed labels.
  • Assigned tasks to employees and monitored productivity, performance and task completion.
  • Liaised with pharmacist to measure and prepare medication doses and packaging and label prescriptions.
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Updated procedures necessary for compounding, mixing, packaging and labeling medications.
Pharmacy Technician, 08/2014 - 01/2018
Texas Health Huguley Hospital City, STATE,
  • Cleaned and maintained equipment or work areas according to prescribed methods.
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Transferred medication from vials to sterile, disposable syringes using aseptic techniques.
  • Inspected medication storage locations to monitor drug expiration dates and supply adequate inventory.
  • Received and stored incoming supplies and informed supervisors of stock needs and shortages.
  • Prepared medications based on physician orders.
  • Stocked, labeled and delivered medications to patients and caregivers.
Education and Training
High School Diploma: , Expected in 06/2014
-
Burleson Centennial High School - Burleson, TX
GPA:
Status -
: , Expected in
-
Tarrant County College District - Fort Worth, TX
GPA:
Status -

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Resume Overview

School Attended

  • Burleson Centennial High School
  • Tarrant County College District

Job Titles Held:

  • Medical Billing and Collections Specialist
  • Med D Biller
  • Lead Pharmacy Technician
  • Pharmacy Technician

Degrees

  • High School Diploma
  • Some College (No Degree)

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