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medical billing and collections specialist front office manager resume example with 20+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Hardworking Medical Debt Collector with 26 years of extensive experience handling patient charges and payment entries. Familiar with processing online appeals, refund requests and billing audit information. Uses strong customer service skills to communicate with patients and third-party carriers. Knowledgeable with microsoft office/Excel and Microsoft Access. Medical program eMDs proficient. Able to train and foresee any medical office position to work efficiently and diligently to provide 100% customer satisfaction.

Personable Front Desk Medical Receptionist skilled at facilitating patient appointments. Delivers top-notch service and support and works well under pressure. Expert in diffusing conflicts and solving patient or staff problems.

Skills
  • Discrepancy reconciliation
  • Medical terminology
  • Proficiency in Microsoft office/Excel/Microsoft Access and eMDs
  • Performance improvement techniques
  • Insurance policies
  • Team-oriented
  • Billing practices
  • Call center background
  • Medical Billing and collections
  • Payment acceptance
  • Customer Service oriented
  • Knowledgeable in diffusing unpleasant situations with unsatisfied customers and staff members
  • Records management
  • Multi-line telephone skills
  • Meticulous and organized
  • Multitasking and prioritization
  • Correspondence management
  • Data entry
  • Computer skills
Experience
Medical Billing and Collections Specialist/Front Office Manager, 08/1997 to Current
DispatchhealthHenrico, VA,
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
  • Took billing calls, questions and concerns from patients and third party carriers.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Sent incomplete or incorrect claims to doctors for proper adjudication,
  • Entered patient charges and payments into electronic health records.
  • 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.
  • Posted charges, payments and adjustments.
  • Filed and submitted insurance claims.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed and submitted appeals for denied claims.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted and adjusted payments from insurance companies.
  • Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
  • Verified proper coding, sequencing of diagnoses and procedures.
  • Tracked and recorded status of delinquent accounts and sent follow-up letters to request payment.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Submitted refund requests for claims paid in error.
  • 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.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Flagged return claims and dealt with insufficient payments.
  • Maintained up-to-date understanding of insurance payment practices.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Organized information for past-due accounts and transferred to collection agency.
  • Prepared and updated new system to handle billing needs with improved accuracy, reliability and overall performance.
Medical Billing Specialist, 09/2007 to 12/2007
DispatchhealthLima, OH,
  • Remained calm, stayed professional and provided exceptional service on all calls, even when interacting with difficult individuals.
  • Processed payments over phone and set up recurring drafts.
  • Notified customers of delinquent accounts with attempt to collect outstanding amounts.
  • Received payment and posted to appropriate customer accounts.
  • Reviewed accounts to determine payment plan compliance.
  • Met demands of busy collections group by performing high volume of daily calls.
  • Located and monitored overdue accounts using billing system to begin collections process.
Medical Billing Specialist, 07/2006 to 12/2006
Dovel TechnologiesMclean, VA,
  • Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Posted charges, payments and adjustments.
  • Filed and submitted insurance claims.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Prepared and submitted claims to insurance companies electronically and manually.
  • Completed and submitted appeals for denied claims.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted and adjusted payments from insurance companies.
  • Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments.
  • Verified proper coding, sequencing of diagnoses and procedures.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
Receptionist, 05/1995 to 07/1996
Jesse Moss Jr., MDCity, STATE,
  • Scheduled and confirmed appointments.
  • Answered and directed incoming calls using multi-line telephone system.
  • Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
  • Processed payments and updated accounts to reflect balance changes.
  • Prepared packages for shipment by generating packing slips and setting up courier deliveries.
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Managed customer complaints and rectified issues to complete satisfaction.
  • Prepared daily shift close reports and balanced cash register to accurately reflect all transactions.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.
Education and Training
High School Diploma: , Expected in 05/1986 to Rio Grande City High School - Rio Grande City, TX
GPA:
Languages
Spanish:
Full Professional
Negotiated:

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Resume Overview

School Attended

  • Rio Grande City High School

Job Titles Held:

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

Degrees

  • High School Diploma

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