LiveCareer-Resume

medical billing specialist resume example with 17+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Highly efficient Medical Biller with experience in anesthesia for 15 years. Excellent multi-tasker and demonstrated team player with positive attitude. Skills in customer service and billing systems.

Skills
  • Data Entry
  • Customer Data Confidentiality
  • Call Documentation
  • Responding to Difficult Customers
  • Understanding Customer Needs
  • Customer Service
  • Multitasking and Prioritization
  • Data Entry and Maintenance
  • De-escalation Techniques
  • Order and Refund Processing
  • Credit Card Payment Processing
  • Front Desk Operations
  • HIPAA Guidelines
  • Referral Verification
  • Data Entry Software
  • Medical Recordkeeping
  • Problem-Solving
  • Critical Thinking
  • Cleaning and Sterilizing
  • Appointment Scheduling
  • Supply Ordering
  • Administrative Support
  • Patient Callbacks
  • Telephone Etiquette
  • Records Maintenance
  • HIPAA Compliance
  • Insurance Authorizations
  • Patient Billing
  • Cash Handling
  • Payment Scheduling and Collection
  • Claim Forms
  • Billing and Invoicing
  • Statement Distribution
  • Account Posting
  • 10-Key Data Entry
  • Microsoft Office
  • Data Analysis
  • Error Verification
  • Data Reporting
  • Data Input
  • Data Auditing
  • Data Review
  • Data Compilation
  • Alphanumeric Entry
Experience
Medical Billing Specialist, 08/2018 - Current
Baptist Healthcare System, Inc. Paducah, KY,
  • 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.
  • Posted charges, payments and adjustments.
  • Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses, identifying over errors within.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Posted and adjusted payments from insurance companies.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Submitted refund requests for claims paid in error.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Accurately coded diagnostics and prepared billing statements for patients.
  • Maintained confidentiality on all patient record data.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
  • Performed data import, scanning or manual keying processes to verify invoice accuracy.
  • Investigated and resolved issues to maintain billing accuracy.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.
  • Reviewed and submitted workers' compensation claims.
  • Calculated discounts, percentage allocations and credits.
Collection Specialist, 07/2007 - 08/2018
Cord Moving And Storage Washington, DC,
  • Secured payments by following up with customers which disregarded promise to pay.
  • Interviewed customers to determine reasons for delinquency, source of income and next pay date to build solutions for financial issues.
  • Met demands of busy collections group by performing high volume of daily calls.
  • Received and submitted payments and applied amounts to customer balances.
  • Fielded incoming phone calls from customers and directed to corresponding department or individual for assistance.
  • Utilized talents and expertise to locate customers with aged accounts.
  • Established solid record of maintaining consistent performance and quality levels.
  • Collected money in aged credit card debt within.
  • Met and exceeded requirements for calls by percent.
  • Remained calm, stayed professional and provided exceptional service on calls, even when interacting with difficult individuals.
  • Processed payments over phone and set up recurring drafts.
  • Reviewed accounts to determine payment plan compliance.
  • Prioritized accounts based on total amount owed and credit bureau reports.
  • Managed charge-off credit card accounts.
  • Conveyed current account information and obtained payments by using pre-scripted statements.
Medical Records Specialist, 09/2005 - 04/2007
Iron Mountain Farmingdale, NY,
  • Pulled patient records and transferred information to appropriate parties.
  • Provided respectful assistance to patients, staff members and insurance company representatives.
  • Maintained electronic medical records for all clients
  • Verified record copies before handing each over to check for and remove unnecessary details.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Obtained information by contacting appropriate personnel or patients.
  • Managed software use and training.
  • Scanned incoming documentation.
  • Kept department clean, organized and professional.
  • Observed confidentiality and safeguarded all patient-related information.
  • Purged outdated files.
  • Pulled patient charts for upcoming appointments.
  • Followed-up with insurance companies and individuals to resolve discrepancies.
Medical Secretary, 04/2004 - 09/2005
St. Catherine Of Siena City, State,
  • Answered phone calls to provide assistance, information and medical personnel access.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Supervised order fulfillment and inventory management services to ease operations and support administrative and healthcare staff.
  • Addressed, documented and responded to incoming correspondences to address client queries.
  • Updated group medical records and technical library to promote smooth office operations.
  • Oversaw collection of admission, billing and processing documents to meet organizational expectations.
  • Prepared and sent financial statements to support bookkeeping functions.
  • Executed clerical tasks and assisted with unit duties to keep departments running smoothly.
  • Managed unit call reception and routed calls to correct department.
  • Monitored unit supply levels and notified management of ordering needs.
  • Provided patient information to facilitate timely admissions and discharges.
  • Maintained strong and trusting rapport with patients and all healthcare staff to build relationships.
  • Retrieved physicians' paperwork, including lab test requests.
Education and Training
: Medical Secretary, Expected in 10/2004
-
Pima Medical Institute - Mesa, AZ
GPA:
Status -
High School Diploma: , Expected in 05/1993
-
Mesa High School - Mesa, AZ
GPA:
Status -

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Resume Overview

School Attended

  • Pima Medical Institute
  • Mesa High School

Job Titles Held:

  • Medical Billing Specialist
  • Collection Specialist
  • Medical Records Specialist
  • Medical Secretary

Degrees

  • High School Diploma

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