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medical billing manager 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

Seasoned Billing Manager familiar with medical billing requirements. Offering an organized and quality-oriented mindset along with 16 years of experience in administrative, customer service and leadership positions. Eager to leverage abilities and experience in dynamic new position. Proactive and hardworking collaborator focused on quality and efficiency.

Skills
  • Problem Anticipation and Resolution
  • Team Building Leadership
  • Customer Service
  • Willing to Learn
  • Time Management
  • Prioritizing and Planning
Experience
Medical Billing Manager, 12/01/07 to Current
Community Health SystemWarren, MI,
  • Developed improved standard operating procedures to increase billing accuracy and cash flow for a 20 provider multi specialty practice that accepts PPO, UCSB USHIP, HMO, workers compensation, Medi-Cal, and personal injury liens.
  • Built high-performance team by collaborating with new members on procedures, administrative, and collections tasks.
  • Help customers bring accounts into good standing by implementing payment plans. Send patients to collections after provider has reviewed and agreed.
  • Set up and maintain Athena electronic billing system. Advise when providers and staff have questions regarding billing or Athena. Resolve billing issues by applying knowledge and completing in-depth research.
  • Help staff conduct insurance verification and pre-authorization when they run into issues.
  • Review appointments at all offices for authorization, ineligible insurance, incorrect insurance picked. Ask staff to obtain auth prior to appointment if it is not there. Update to correct insurance plan if package has expired or is not correct package. Add notes to appointment on what is needed if front desk reception help is needed.
  • Work the buckets where claims go when there are issues with getting payment. Observe claims for patterns. Correct claims as needed including updating modifiers, updating CPT codes, attaching additional documentation, follow payor remittance advice forms, call Athena customer service as needed when issues arise and EMR guidance needed.
  • Office charge entry and MD and PA surgery charges as well as hospital visit/trauma charges. Includes trying to obtain information, hospital consults/op reports on patients who have not been to the practice yet. Help code surgery procedures when provider/surgery scheduler has questions.
  • Monitor and work tasks as need for pay for meaningful use (MIPS) to avoid a negative reimbursement from Medicare.
  • Add CPT’s to fee schedule- enter any new CPT’s that providers are doing for the first time to practice fee schedule so it can be billed out.
  • Work with all facets of Athena EMR system for provider charting, schedules, chart documents, incoming faxes, order authorizations, medical records, clinical inboxes, EMR interfaces for labs/radiology.
XR Technician, 06/02/99 to Current
Ensign GroupSanta Rosa, CA,
  • Positioned patients properly for scans and procedures, calmly giving instructions on when to stay still to optimize scans.
  • Helped patients feel comfortable with procedures by explaining steps and answering questions.
  • Verified type of radiology procedure prior to exams using HIPAA guidelines for two identifiers.
  • Adhered to strict HIPAA guidelines to maintain patient and medical record confidentiality.
  • Completed general administrative tasks to support radiology department.
  • Performed diagnostic imaging procedures by operating x-ray equipment.
  • Greeted patients with warm smile and promoted individual comfort throughout procedures and scans while being as discrete as possible.
  • Reset examination rooms between appointments by cleaning surfaces and restocking supplies.
Medical Biller, 02/01/13 to Current
HcaDublin, VA,
  • Developed improved standard operating procedures to increase billing accuracy and cash flow for a 3 provider orthopedic practice that focuses on pediatric orthopedics.
  • Help customers bring accounts into good standing by implementing payment plans. Send patients to collections after provider has reviewed and agreed.
  • Maintain Athena electronic billing system. Advise when providers and staff have questions regarding billing or Athena. Resolve billing issues by applying knowledge and completing in-depth research.
  • Help staff with insurance issues when they require assistance.
  • Work the buckets where claims go when there are issues with getting payment. Observe claims for patterns. Correct claims as needed including updating modifiers, updating CPT codes, attaching additional documentation, follow payor remittance advice forms, call Athena customer service as needed when issues arise and EMR guidance needed.
  • Monitor and work tasks as need for pay for meaningful use (MIPS) to avoid a negative reimbursement from Medicare.
  • Add CPT’s to fee schedule- enter any new CPT’s that providers are doing for the first time to practice fee schedule so it can be billed out.
  • Work with facets of Athena EMR system for provider charting, and incoming faxes.
PBX Switchboard Operator, 02/01/89 to 06/01/99
Sansum ClinicCity, STATE,
  • Answered calls with friendly and polite approach to engage callers and deliver exceptional customer service.
  • Handled incoming and outgoing calls according to standard operating procedures.
  • Took messages from callers and accurately relayed details to intended staff.
  • Operated telephone switchboard to provide information, take messages and forward calls.
  • Completed connections between callers, departments and professionals.
  • Alerted staff of emergency information and general announcements using PA system.
  • Utilized paging technology within organization to connect quickly with key people.
  • Paged employees over PA system to ensure prompt connection with callers.
Education and Training
Associate of Science: Radiologic Technology, Expected in 06/1999 to Santa Barbara City College - Santa Barbara, CA
GPA:
High School Diploma: , Expected in 06/1987 to San Marcos High School - Santa Barbara,
GPA:

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Resume Overview

School Attended

  • Santa Barbara City College
  • San Marcos High School

Job Titles Held:

  • Medical Billing Manager
  • XR Technician
  • Medical Biller
  • PBX Switchboard Operator

Degrees

  • Associate of Science
  • High School Diploma

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