medical billing specialist resume example with 20+ years of experience

(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
Professional Summary
Medical billing and coding specialist with 3 1/2 years providing administrative and patient support in a medical office setting. Advanced knowledge of private insurance processes and codes. Medical Billing Specialist - Collector - Administrative Assistant
  • Billing and collection procedures expert
  • Records management professional
  • Inpatient records coding proficiency
  • Understands anesthesia coding
  • Familiar with commercial and private insurance carriers
  • Patient chart auditing ability
  • Insurance and collections procedures
    • Close attention to detail
    • Adept multi-tasker
    • Excellent verbal communication
  • Patient referrals expert
  • HCPCS Coding Guidelines
  • Understands insurance benefits
  • Composed and professional demeanor
    • Patient referrals expert
    • Resourceful and reliable worker
    • Excellent problem solver
  • Office support (phones, faxing, filing)
Sanford Brown Institute New York, NY Expected in 12 2014 Medical Billing and Coding Certificate Program : Medical Billing - GPA :
    An intensive 900-hour course comprised of theoretical and practical applications in essential medical billing and coding skills which includes: Administrative Skills-Health Insurance Claims Processing, Medical office procedures and Medisoft Proficient with Medical terminology Medical Course-Anatomy and Physiology Coding Skills- CPT-4, ICD-9-CM, HCPCS
  • Coursework in Healthcare Administration
Work History
People Incorporated - Medical Billing Specialist
Coon Rapids, MN, 11/2010 - 04/2014

  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Professionally and courteously verified appointment times with patients.
  • Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
  • Verified patients’ eligibility and claims status with insurance agencies.
  • Diligently filed and followed up on third party claims.
  • Researched questions and concerns from providers and provided detailed responses.
  • Accurately selected the proper descriptive code when more than one anatomical location was indicated.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Maintained strict patient and physician confidentiality.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Accurately posted and sent out all medical claims.
  • Submitted electronic/paper claims documentation for timely filing.
  • Precisely evaluated and verified benefits and eligibility.
  • Responded to correspondence from insurance companies.
  • Posted and adjusted payments from insurance companies.
  • Identified and resolved patient billing and payment issues.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Submitted electronic/paper claims documentation for timely filing.
  • Reviewed and resolved claim issues captured in TES/CLAIMS edits and the clearing house.
Ladas & Parry LLP - Supervisor/Administrative Assistant
City, STATE, 06/1985 - 01/2009

  • Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
  • Oversaw daily office operations for staff of 6 employees.
  • Composed and drafted all outgoing correspondence and reports for managers.
  • Oversaw inventory and office supply purchases.
  • Complied annual recommendations for end of fiscal year budgets.
  • Processed accounts receivable and accounts payable.
  • Managed hundreds of accounts receivable accounts working directly with the Financial Management Office.
  • Performed accounts receivable duties including invoicing, researching charge backs, discrepancies and reconciliations.
  • Reduced overhead by taking on more responsibility with creative and administrative projects.
  • Planned and executed all aspects of office headquarter move.
accounting, Administrative Skills, administrative, back-up, benefits, Billing, billing system, CMS, CPT, clients, customer service, Senior Management, financial, ICD-9, Insurance, legal, Medical Billing, Medical terminology, Medisoft, MS Excel, Office, MS Word, negotiations, Network, Coding, tax, telephone

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Resume Overview

School Attended

  • Sanford Brown Institute

Job Titles Held:

  • Medical Billing Specialist
  • Supervisor/Administrative Assistant


  • Medical Billing and Coding Certificate Program

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