close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Medical Billing and Follow-Up Specialist
Please provide a type of job or location to search!
SEARCH

Medical Billing and Follow-Up Specialist Resume Example

Love this resume?Build Your Own Now
MEDICAL BILLING AND FOLLOW-UP SPECIALIST
Professional Summary

Certified Medical Billing Specialist with 8 years experience in a fast-paced, multiple client medical billing company. Researched and denied claims and submitted appeals. Familiar with health billing and collections.
Skills
  • Medical terminology expert
  • ICD-10 (International Classification of Disease Systems)
  • Billing and collection procedures expert
  • Hospital inpatient and outpatient records
  • Understands insurance benefits
  • Office support (phones, faxing, filing)
  • HCPCS Coding Guidelines
  • Familiar with commercial and private insurance carriers
  • Insurance and collections procedures
  • DRG and PC grouping
  • Composed and professional demeanor
  • Excellent problem solver
  • Close attention to detail
Work History
Medical Billing and Follow-Up Specialist, 05/2011 to 07/2014
Pgim Global Short Duration High Yield Fund, Inc. – Myrtle Beach , SC
  • Medical claim billing and Follow-up with experience billing Medicare, Medicaid and Commercial Insurance.
  • Answering client inquiries and solving client problems.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Diligently filed and followed up on third party claims.
  • Researched questions and concerns from providers and provided detailed responses.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Maintained strict patient and physician confidentiality.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
  • Accurately posted and sent out all medical claims.
  • Submitted electronic/paper claims documentation for timely filing.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Precisely evaluated and verified benefits and eligibility.
  • Responded to correspondence from insurance companies.
  • Posted and adjusted payments from insurance companies.
  • Confidently and adeptly handled claim denials and/or appeals.
Electrician/Field Technician, 01/2009
New Electric – City , STATE
  • Installation of residential and commercial wiring systems, customer service, troubleshooting and repair.
  • This included high voltage wiring, Telephone, CATV and Security Systems.
  • Up-to-date knowledge of current electrical codes was required.
Customer Service Representative, 01/2008 to 01/2009
Circle K Corp – City , STATE
  • Cashier duties including but not limited toshift cash reporting and accuracy.
  • Receiving, stocking of inventory and theft reporting.
Electrician/Field Technician, 01/1998 to 01/2007
RB Electric/RDB Construction – City , STATE
  • Installation of residential and commercial wiring systems, customer service, troubleshooting and repair.
  • This included high voltage wiring Telephone, CATV and Security Systems.
  • Up-to-date knowledge of current electrical codes was required.
WIN System Administrator, 01/1998 to 01/1998
Jennifer Loomis & Assoc./OSI Inc – City , STATE
  • Building and maintaining medical billing system modifications as needed by the staff and management.
  • This included solving and correcting problems as they arise, writing reports based on user needs, creating and implementing improvements and helping users with specific questions or needs.
  • Training included 24 classroom hours as a System Administrator, using the FACS computer system.
  • M Technology, MS DOS, Windows95/98 and network knowledge are essential job functions.
  • Advanced working knowledge of Word, Word Perfect and Excel was also required.
Medical Biller/Team Leader, 01/1994 to 01/1998
Jennifer Loomis & Assoc./OSI Inc – City , STATE
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Diligently filed and followed up on third party claims.
  • Determined prior authorizations for medication and outpatient procedures.
  • Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
  • Accurately posted and sent out all medical claims.
  • Submitted electronic/paper claims documentation for timely filing.
  • Responded to correspondence from insurance companies.
  • Posted and adjusted payments from insurance companies.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Prepared billing correspondence and maintained database to organize billing information.
Education
High School Diploma: 1988
Pembroke Academy - City
Special emphasis was placed on accelerated Math and Science courses.
ABA General Banking Diploma: 1 1991
New Hampshire Technical Institute - City, State
Macro and Micro Economics, The Federal Reserve System, Bank Lending and Overall banking operations.: Electrical Engineering, 1 1993
DeVry Institute of Technology - City, State
Electrical Engineering Advanced Mathematics, Circuit Logic, Circuit Troubleshooting and Repair and Structured Computer Programming. I hold a FCC Technician NC class amateur radio operator license, N1NVR (expires 12/2022). I also build, repair and upgrade computers in my spare time
Skills
banking, billing, Cashier, CPT, client, customer service, customer service, Economics, ICD-9, Insurance, inventory, Logic, Math, Mathematics, medical billing, medical terminology, medical terminology, Excel, Windows95, 98, Word, MS DOS, network, Computer Programming, coding, radio, Receiving, reporting, Structured, System Administrator, Technician, Telephone, Troubleshooting, upgrade, wiring, Word Perfect
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

90Good
Resume Strength
  • Completeness
  • Formatting
  • Word choice
  • Measurable results
  • Typos

Resume Overview

School Attended

  • Pembroke Academy
  • New Hampshire Technical Institute
  • DeVry Institute of Technology

Job Titles Held:

  • Medical Billing and Follow-Up Specialist
  • Electrician/Field Technician
  • Customer Service Representative
  • WIN System Administrator
  • Medical Biller/Team Leader

Degrees

  • High School Diploma : 1988
    ABA General Banking Diploma : 1 1991
    Macro and Micro Economics, The Federal Reserve System, Bank Lending and Overall banking operations. : Electrical Engineering , 1 1993

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Medical-Billing/Insurance-Follow-Up-Specialist-resume-sample

Medical Billing/Insurance Follow-Up Specialist

Allina Health Systems

Owatonna , MN

*Front-Office-Manager,-Medical-Billing-Specialist,-AR-Insurance-Follow-Up-Rep-resume-sample

*Front Office Manager, Medical Billing Specialist, AR Insurance Follow-Up Rep

The Cliffs Resort

Pismo Beach , CA

Medical-Billing/-Insurance-Follow-up-resume-sample

Medical Billing/ Insurance Follow up

Filtration Group

Colonial Heights , VA

  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
  • Work Here
  • Contact Us
  • FAQs
  • Accessibility
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2022, Bold Limited. All rights reserved.