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medical billing specialist resume example with 12 years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

I have excellent customer service skills, over 10 years worth. Expierence in billing coding. Management skills, cashier experience. I'm a fast learner, proficient, fast paced. Willing to learn and open to new experiences.

Skills
  • Generally Accepted Accounting Principles (GAAP)
  • Files and records management
  • Quality-oriented team player
  • [Type] software applications proficiency
Experience
12/2021 to Current
Medical Billing Specialist People Incorporated Somerset, MA,
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Posted charges, payments and adjustments.
  • Posted and adjusted payments from insurance companies.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Applied payments, adjustments and denials into medical manager system.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • 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.
  • Collaborated closely with other departments to resolve claims issues.
  • Remained up-to-date details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses, identifying over [Number] errors within [Timeframe].
  • Posted charges, payments and write-ups for cardiovascular procedures.
10/2017 to 10/2021
Customer Service Representative International Bancshares Corp Austin, TX,
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Educated customers on special pricing opportunities and company offerings.
  • Documented conversations with customers to track requests, problems and solutions.
  • Assisted customers in making payments on accounts and setting up payment plans.
  • Fielded customer complaints and queries, fast-tracking them for problem resolution.
  • Upheld strict quality control policies and procedures during customer interactions.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Reviewed customer account information to determine current issues and potential solutions.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Consulted with customers to determine best methods to resolve service and billing issues.
  • Built client rapport while accurately processing repair documentation and troubleshooting technical discrepancies through completion.
  • Confirmed delivery of orders and troubleshot missed delivery dates, shortages and overages.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Made outbound calls to obtain account information.
  • Remained constantly aware of customer activity to ensure safe and secure shopping environment.
  • Secured client retention by driving service and product benefits, features and recommendations around clients' needs.
  • Assessed customer needs and upsold products and services to maximize sales.
  • Answered [Number]+ inbound calls per day and directed to individuals or departments.
  • Reviewed account and service histories to identify trends and issues.
  • Set up and activated customer accounts.
  • Recommended improvements to products and services to mitigate complaints.
  • Answered customer questions and addressed concerns, resulting in [Number]% reduction in complaint calls.
  • Relayed productive customer feedback to marketing teams.
  • Trained new employees on procedures and policies to maximize team performance.
  • Worked with supervisor to develop customer service improvement initiatives.
  • Reduced process gaps while training new hires on products, software, operational best practices and store protocols.
  • Executed on-time and under-budget project management on complex issues while updating customers on technician availability.
  • Exceeded company productivity standards on consistent basis.
  • Strengthened traceability by developing organization systems for client contracts, records, reports and agendas.
  • Supported operational improvements and resolution of problems to deliver top-notch customer service.
  • Created and implemented process improvements to reduce workloads and bolster callback efficiency.
  • Upheld privacy and security requirements established by [Type] regulatory agencies.
10/2009 to 09/2017
Assistant Produce Manager Albertsons Company Inc. Holbrook, AZ,
  • Received produce deliveries and unloaded produce.
  • Assisted customers with produce questions and special orders.
  • Coordinated efficient restocking of grocery merchandise to meet customer needs and promote consistent sales.
  • Maintained comprehensive compliance with workplace and food safety standards to protect staff and customers.
  • Drove consistent grocery sales with effective merchandising and promotions implementation.
  • Trained and coached new team members.
  • Replenished, rotated and culled displays several times daily.
  • Participated in quarterly inventory counts and conducted inventories.
  • Planned attractive displays, replenishing purchased items to maintain eye-catching appearance.
  • Trimmed, washed and bundled produce.
  • Lead by example and took responsibility for all actions drive culture of performance excellence.
  • Provided clear, attractive and consistent signage.
  • Maximized profit by coordinating efficient team workflows, minimizing waste and controlling shrinkage.
  • Maintained department equipment and advised general manager of equipment repair needs.
  • Priced produce to achieve margin and sales goals while maintaining competitive pricing profile.
  • Facilitated effective communication between customers and associates to encourage positive, team-based atmosphere.
  • Collaborated with staff to maximize customer satisfaction, streamline procedures and improve bottom-line profitability.
  • Conducted performance evaluations and recommended pay increases within department's budget.
  • Monitored supplier operations to verify quality, delivery schedule and conformance to contract specifications.
  • Assessed, optimized and elevated operations to target current and expected demands.
Education and Training
Expected in 05/2010 to to
High School Diploma:
Winfrey High School - Irving, TX
GPA:

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Resume Overview

School Attended

  • Winfrey High School

Job Titles Held:

  • Medical Billing Specialist
  • Customer Service Representative
  • Assistant Produce Manager

Degrees

  • High School Diploma

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