SEARCH

Medical Billing Specialist Resume Example

Resume Score: 80%

Love this resume?Build Your Own Now
Skills
  • Medical Billing
  • Billing
  • Bill Payment
  • Insurance Knowledge
Education and Training
Some College (No Degree): Medical Billing And CodingSeacoast Career SchoolsCity, State
MEDICAL BILLING SPECIALIST
Summary

Quality-focused Medical Biller offers strong track record over more than 16 years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute.

Experience
Company Name - Medical Billing SpecialistCity, State8/11/14 - 3/19/21
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Company Name - Medical Billing SpecialistCity, State04/2013 - 08/2014
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
  • Posted and adjusted payments from insurance companies.
  • Precisely completed appropriate paperwork and system entry regarding claims.
  • Entered procedure codes, diagnosis codes and patient information into software at the time.
  • Submitted refund requests for claims paid in error.
  • Posted charges, payments and adjustments.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Applied payments, adjustments and denials into medical manager system.
  • Collaborated closely with other departments to resolve claims issues.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Completed appeals and filed and submitted claims.
Company Name - Medical Billing SpecialistCity, State10/2007 - 04/2013
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
  • Posted and adjusted payments from insurance companies.
  • Entered procedure codes, diagnosis codes and patient information into Nextgen software.
  • Submitted refund requests for claims paid in error.
  • Posted charges, payments and write-ups for cardiovascular procedures.
  • Posted charges, payments and adjustments.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Applied payments, adjustments and denials into medical manager system.
  • Collaborated closely with other departments to resolve claims issues.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Completed appeals and filed and submitted claims.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Company Name - Medical Billing SpecialistCity, State07/2005 - 10/2007
  • Maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third-party billing requirements.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
  • Posted and adjusted payments from insurance companies.
  • Precisely completed appropriate paperwork and system entry regarding claims.
  • Entered procedure codes, diagnosis codes and patient information into software at the time.
  • Submitted refund requests for claims paid in error.
  • Posted charges, payments and write-ups for cardiovascular procedures.
  • Posted charges, payments and adjustments.
  • Completed appeals and filed and submitted claims.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Accurately coded diagnostics and prepared billing statements for patients.
Additional Information

Proficent in Medicare billing

Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

School Attended

  • Seacoast Career Schools

Job Titles Held:

  • Medical Billing Specialist

Degrees

  • Some College (No Degree) : Medical Billing And Coding

Similar Resumes

View All
Medical-Billing-Specialist-resume-sample

Medical Billing Specialist

Rockledge, Florida