Medical Billing Specialist Resume Example
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MEDICAL BILLING SPECIALIST
Professional Summary
Competent patient business representative providing 3 years of experience in handling wide variety of medical billing tasks, including; billing primary, secondary and tertiary insurances. Adding and removing condition codes to medical claims and handling insurance denials in a timely maner. Determined and hardworking individual with excellent communication skills and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Confidence in being detail-oriented, focused, dedicated and skillful in billing Inpatient, Outpatient, Therapy & Miscellaneous hospital claims.
Work History
Oklahoma Mental Health Council - Medical Billing SpecialistLawton , OK01/2020 - Current
- Responsible for billing facility claims to correct insurance within timely filing guidelines, correct any errors on claims before submitting, and add coding modifiers when needed.
- Maintain insurance work que's work insurance correspondence, EOB's and denials in timely fashion.
- Contact insurance to review, appeal and or check on status of claims if unable to locate in provider portals.
- Speak with patients to advise if information is needed for their claim or to assist in updating their Coordination of Benefits.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Posted and adjusted payments from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Prepared billing correspondence and maintained database to organize billing information.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Communicated effectively and extensively with other departments to resolve claims issues.
Barracuda Networks - Customer Services RepresentativeTrenton , NJ03/2018 - 01/2020
- Educated and assisted patients with inquiries on billing of their insurance, processing of their claims and balances after insurance.
- Worked with patients in resolving coding and or billing errors for their claims.
- Maintained WQ's in timely manner, worked patient and insurance correspondence, updated and billed primary, secondary and tertiary insurances for patient.
- Worked spreadsheets provided by lead/supervisor in timely fashion.
- Recorded actions taken, issues resolved and document information to effectively manage customer accounts.
- Responded to customer requests for billing, payments and insurance information.
- Investigated and resolved patient inquiries and complaints quickly.
- Handled over 100 calls per shift signing assisting patients.
Rod Martin's Complete Basement Systems - General ManagerLivonia , MI03/2017 - 03/2018
- General Manager of Naples, FL, Sanibel Island, FL, and Estero, FL locations.
- Reduced corporate risk by managing shrink processes and controlling inventory levels.
- Managed budget implementations, employee reviews, training, and schedules.
- Designed modern employee training program which boosted productivity knowledge and sales.
- Set, enforced and optimized internal policies to maintain efficiency and responsiveness to demands.
- Held weekly meetings with sales associates to identify techniques to overcome sales obstacles.
Kroger - Assistant Store ManagerOak Lawn , IL05/2013 - 03/2015
- Achieved recognition from senior management for contribution to store success, including managing sales, employees and operations to foster optimal performance.
- Verified inventory counts remained within monthly tolerance levels and compiled financial data in compliance with budget.
- Created organization systems for inventory control, merchandising, financial reports and schedules, dramatically increasing operational efficiency.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of products.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
Website, Portfolio, Profiles
- https://www.linkedin.com/in/danielle-james-4317b1158/
Skills
- ICD-10, CPT/HCPCS knowledge
- Medical terminology
- MS Office
- Able to work Remotely
- Medical Records Management
- Insurance Knowledge
- HIPAA Compliance
- Invoice Processing
- Patient Care
Education
03/2020Fort Myers Technical CollegeCity, StateCertified Professional Coding: Medical Billing & Coding
12/2016Cape Coral Technical CollegeCity, StateCertified Nursing Assistant: Nursing Assistance
05/2014Cypress Lake High SchoolCity, StateHigh School Diploma
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Resume Overview
School Attended
- Fort Myers Technical College
- Cape Coral Technical College
- Cypress Lake High School
Job Titles Held:
- Medical Billing Specialist
- Customer Services Representative
- General Manager
- Assistant Store Manager
Degrees
- Certified Professional Coding : Medical Billing & Coding
Certified Nursing Assistant : Nursing Assistance
High School Diploma
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