, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 3 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Expected in 09/2020 Certification: Medical Assisting
TIdewater Medial Training - Hampton, VA,
GPA:
Expected in 03/2017 Certification : Medical Administrative Assistant
New Horizons Regional Institute - Hampton, VA,
GPA:
Expected in 05/2012 High School Diploma:
Auburn High School - Rockford, IL,
GPA:
- Chart Auditing
- Medical Transcription
- Multitasking and Organization
- Clerical Support
- Billing and Collection Procedures
- Verbal and Written Communication
- HIPAA Compliance Certification
- Medical Terminology
- Information Confidentiality
- Commercial and Private Insurance
|
- Claims Processing
- Billing and Invoicing
- Signature Verification
- Itemized Statement Preparation
- Billing Data Verification
- Customer Contact
- Relationship Building
- Statement Distribution
- Adding, Calculating and Billing Machines
|
01/2022 to Current Medical Billing Assistant Independent Living Services – Conway, AR,
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Leveraged EMR software to post payments received for medical services.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered customer questions to maintain high satisfaction levels.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Submitted claims to insurance companies.
- Organized information for past-due accounts and transferred to collection agency.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Managed all payments processing, invoicing and collections tasks.
- Checked claims coding for accuracy with ICD-10 standards.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Performed insurance verification, pre-certification and pre-authorization.
- Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Processed invoice payments and recorded information in account database.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
09/2018 to 05/2019 Patient Access Representative Northern Arizona Healthcare – Sedona, AZ,
- Verified demographics and insurance information to register patients in computer system.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Documented patient counters in hospital system and initiated follow-up actions.
- Optimized provider time and treatment room utilization with appropriate appointment scheduling.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Communicated financial obligations to patients and collected fees at time of service.
- Organized timely and accurate referrals to help patients obtain health care services and access available resources.
- Applied HIPAA privacy and security regulations while handling patient information.
- Explained various admission forms and policies, acquiring signatures for consent.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Obtained informed consent and payment documentation from patients and filed in system.
01/2023 to 07/2023 Patient Service Representative Health Quest – New Windsor, NY,
- Explained policies, procedures and services to patients.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Registered patients by verifying records to update computer system and patient charts.
- Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
- Answered patient questions and fielded complaints to resolve issues.
- Supported hospital and clinic operations using customer service skills and detailed system knowledge.
- Coordinated with patients and healthcare professionals to meet patient needs.
- Obtained informed consent and payment documentation from patients and filed in system.
- Counselled patients on potential financial liabilities and payment requirements.
- Utilized technology and specialized software to maximize productivity.
- Instructed patients on policies and required actions for different types of appointments and procedures.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Provided helpful assistance by anticipating and responding to needs of patients and family members.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
- Ran credit card batches and balanced deposits on daily basis.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
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:
- Measurable Results
- Personalization
- Strong Summary
- Target Job
- Word Choice