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medical billing collections specialist 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

Organized Medical Biller with 6 plus -years 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
02/2015 to Current
Medical Billing & Collections Specialist 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.
11/2009 to 12/2014
Police Dispatcher Common Spirit Templeton, CA,
  • 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.
10/2004 to 11/2009
Medical Assistant 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.
08/1987 to 03/1994
Legalman/Aviation Supply Clerk 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
Expected in 06/2004 to to
Associate of Science: Medical
Yakima Valley Community College - Yakima, WA
GPA:
Expected in 06/2004 to to
Associate of Arts: Business Administration
Yakima Valley Community College - Yakima, WA
GPA:

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Resume Overview

School Attended

  • Yakima Valley Community College
  • Yakima Valley Community College

Job Titles Held:

  • Medical Billing & Collections Specialist
  • Police Dispatcher
  • Medical Assistant
  • Legalman/Aviation Supply Clerk

Degrees

  • Associate of Science
  • Associate of Arts

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