Medical Billing Specialist Resume Example
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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
Philips - Medical Billing SpecialistTampa , FL8/11/14 - 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.
Philips - Medical Billing SpecialistRaleigh , NC04/2013 - 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.
Philips - Medical Billing SpecialistSaint Louis , MO10/2007 - 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.
Philips - Medical Billing SpecialistCincinnati , OH07/2005 - 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
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Resume Overview
School Attended
- Seacoast Career Schools
Job Titles Held:
- Medical Billing Specialist
Degrees
- Some College (No Degree) : Medical Billing And Coding
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