LiveCareer-Resume

medical billing specialist resume example with 8+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Meticulous professional with 10+ years’ experience providing steadfast administrative support, customer service. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Confident communicator who is poised in interactions with individuals at all levels. Working knowledge of MS Office, including Excel, Word and PowerPoint, as well as My Evolv ,Availity ,Optum, PEAR, Relay. Outlook. Efficient billing professional with 4 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Skills
  • Administrative / Clerical Support
  • Customer Service
  • Report Development
  • Process Improvement
  • Problem Analysis / Resolution
  • Confidential Record Keeping
  • Word Processing / Data Entry
  • Call Center Environment
  • Telephone Etiquette
  • Bill Payment
  • Billing
Work History
01/2020 to Current Medical Billing Specialist Healthpro Heritage | Fayetteville, NC,
  • Ensuring claims/billing are produced according to payor and regulatory requirements to assure remittance at first pass
  • Process primary and secondary Medicaid Insurance claims.
  • Division of Prevention and Behavioral Health Services (PBH) insurance.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Communicated effectively and extensively with other departments to resolve claims issues.
08/2018 to 12/2018 Medical Billing Specialist Healthpro Heritage | Indianapolis, IN,
  • Collected payments and applied to patient accounts.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Communicated with insurance providers to resolve denied claims and resubmitted
  • Prepared billing correspondence and maintained database to organize billing information
  • Communicated effectively and extensively with other departments to resolve claims issues
  • Posted and adjusted payments from insurance companies
  • Filed and updated patient information and medical records
  • Liaised between patients, insurance companies, and billing office
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
  • Collected payments and applied to patient accounts
01/2017 to 01/2018 Associate Customer Service Audience X | City, STATE,
  • Knowledge of healthcare claims process including ICD-9 CPT and HCPC codes as well as UB -04 – 1500 claims
  • Basic understanding of medical billing and claims process including medical terminology, managed care and government sponsored insurance plains and payor and contract reviews.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Handled billing and payment issues following guidelines, resolving disputes properly
  • Offered advice and assistance to customers, paying attention to special needs or wants
  • Informed customers about special promotions and provided detailed information for various products
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
01/2013 to 01/2017 Account Manager Navient | City, State,
  • Follow specific instructions to make contact with borrowers, inform them of account delinquencies, and advise them of repayment options
  • Determine proper delinquency of loan by utilizing last payment dates, monthly payment amounts, interest rates and payments received
  • Effectively negotiate with customers to secure commitment to pay
  • Deliver excellence in customer service and problem resolution
  • Performed effectively in self-directed work environment, managing day-to-day operations and decisions
  • Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor
  • Recommended brand products to customers to encourage repeat purchases and foster customer loyalty
Education
Expected in 06/1980 to to Diploma | Cosmetology/ General Studies Edward W. Bok Tech High School, 8th Mifflin Street Philla Pa. 19148, GPA:
Expected in to to Health Administrative Care Courses | Ashford University, San Diego, CA GPA:
Expected in 2010 to to Behavioral Science | University of Phoenix, Tempe, AZ GPA:

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Resume Overview

School Attended

  • Edward W. Bok Tech High School
  • Ashford University
  • University of Phoenix

Job Titles Held:

  • Medical Billing Specialist
  • Medical Billing Specialist
  • Associate Customer Service
  • Account Manager

Degrees

  • Diploma
  • Health Administrative Care Courses
  • Behavioral Science

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