Livecareer-Resume
Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary

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.

Education and Training
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:
Skills
  • 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
Experience
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.

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Resume Overview

School Attended

  • TIdewater Medial Training
  • New Horizons Regional Institute
  • Auburn High School

Job Titles Held:

  • Medical Billing Assistant
  • Patient Access Representative
  • Patient Service Representative

Degrees

  • Certification
  • Certification
  • High School Diploma

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