Medical Billing Specialist resume example with 15+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
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.
Skills
Medical Billing
Billing
Bill Payment
Insurance Knowledge
Education and Training
Seacoast Career SchoolsSanford, MEExpected in ā ā:Medical Billing And Coding - GPA:
Experience
Philips - Medical Billing Specialist Tampa, FL, 8/11/14 - 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 Specialist Raleigh, NC, 04/2013 - 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 Specialist Saint Louis, MO, 10/2007 - 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 Specialist Cincinnati, OH, 07/2005 - 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.
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