medical billing collections specialist resume example with 20+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
:
Summary
Organized Medical Biller boasts 6plus-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Skills
Operations support
Knowledgeable in Epic and microsoft office
Submission Medical claims
Insurance Collection
Training and development
Decision Making
Conflict Resolution
Troubleshooting and problem solving
Itemized Statement Preparation
Billing and Invoicing
Billing Data Verification
Verbal and Written Communication
Bank Statement Reconciliation
Team Collaboration
10-Key Data Entry
Experience
Medical Billing & Collections Specialist, 02/2015 to Current City Of Alamo Heights – Alamo Heights, TX,
Review and analyze assigned account balances and initiate appropriate follow-up action with insurance companies to expedite payment process.
Research insurance accounts pending third party reimbursement and initiating an insurance re-bill request.
Review third party remittance voucher denials, determine response needed from selected payers for denials, disallowed or non-covered charges and acts in accordance with the denial code action form, providing the necessary support documents for all account adjustments.
Coordinate appeals process, including gathering information required by payor, preparing appeal and petitioning payer for reconsideration of reimbursement.
Investigate billing discrepancies and implement effective solutions to resolve concerns and prevent future problems.
Work closely with team members to deliver project requirements, develop solutions and meet deadlines.
Apply HIPPA Privacy and Security Regulations while handling patient information.
Answer all patient or insurance telephone inquires pertaining to assigned accounts.
Police Dispatcher, 11/2009 to 12/2014 Providence Health & Services – Levelland, TX,
Handled emergency phone calls calmly and obtained pertinent information with composed approach.
Prioritized responses to public emergency and non-emergent calls to promptly dispatch police, while tracking data in real-time
Responded to emergency calls routed by automatic distribution system.
Dispatched calls to relevant police, as well as communicated with other agencies.
Used radio, telephone and computer system to update first responders with new information.
Took caller information, read associated computer information and documented vital details in call tracking and assignment system.
Researched vehicle, wanted and missing persons information.
Tracked call logs and shift data to enter into computer system.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Operated law enforcement communication equipment and NCIC database to facilitate information to department.
Medical Assistant, 10/2004 to 11/2009 Columbia Foot Health Clinic – City, STATE,
Assessed, documented and monitored vital signs for patients within outpatient setting.
Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
Cleaned and maintained medical equipment following procedures and standards.
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
Contacted pharmacies to submit and refill patients' prescriptions.
Responded to patient callbacks and phone-in prescription refill requests.
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Conducted insurance verification and pre-certification and pre-authorization functions.
Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
Organized charts, documents and supplies to maintain team productivity.
Legalman/Aviation Supply Clerk, 08/1987 to 03/1994 United States Navy, USN – City, STATE, Claire
Helped with Investigations and drafted charges for non-judicial punishment proceedings and court-martials.
Monitored and prepared all documentation for international legal hold cases.
Interacted with both US and Spanish personal and departments throughout base.
Coordinated procurement of aviation parts.
Traced missing material and shipments through vendor and customer communications.
Unpacked and examined incoming shipments to confirm consistency with records and routed materials to appropriate department.
Supervised delivery of aviation parts for base and squadrons.
Handled civilian payroll as well as other secretarial duties for supply department division officer.
Education and Training
Associate of Science: Medical, Expected in 06/2004 to Yakima Valley Community College - Yakima, WA GPA:
Associate of Arts: Business Administration, Expected in 06/2004 to Yakima Valley Community College - Yakima, WA GPA:
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