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Medical Billing Specialist Resume Example

Resume Score: 65%

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MEDICAL BILLING SPECIALIST
Professional Profile

Customer Service-oriented Billing Specialist, with experience in patient billing, to include finding foundations to assist with payments, insurance filing and follow up for governmental, commercial, private and workers compensation carriers. Reliable multi-tasker with years of experience in management and training abilities.

Skill Highlights


Professional Value Offered
Problem Solving
Adaptability
Collaboration
Strong Work Ethic
Time Management
Handling Pressure
Meets above standards on goals in a Work-From-Home setting
​
Experience
06/2014 to 11/2016
Medical Billing SpecialistAbeo Management - Irving, TX Provided administrative support for eleven anesthesia groups located in five states. Resolved and clarified issues with patient billing and assisted with filing insurance claims. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information, and filed compliance forms, when needed.  Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.  Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Confirmed patient information, collected copays and verified insurance. Completed appeals and filed and submitted claims. Posted charges, payments and adjustments. Applied payments, adjustments and denials into medical manager system. Submitted refund requests for claims paid in error and approved patient refunds in our medical billing systems.  Carefully prepared, reviewed and submitted patient statements for patients and attorneys. Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans. Performed full-cycle medical billing in a fast-paced medical billing company, including approving accounts for external collection agencies.
06/2003 to 06/2014
Medical Billing/Team Lead and Work-From Home EmployeeMedOasis Inc - Asheville , NC
Provided administrative support for anesthesia groups, in multiple states. Resolved and clarified issues with patient billing and assisted with filing insurance claims. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information, and filed compliance forms, when needed.  Assisted in appropriately finding errors on claims/denials and assured they were rebilled without errors.  diagnoses. Confirmed patient information, collected copays and verified primary, secondary and private insurance. Completed appeals and filed and submitted claims. Posted charges, payments and adjustments. Applied payments, adjustments and denials into medical manager system. Submitted refund requests for claims paid in error and approved patient refunds in our medical billing systems.  Carefully prepared, reviewed and submitted patient statements for patients and attorneys. Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans. Performed full-cycle medical billing in a fast-paced medical billing company, including approving accounts for external collection agencies.
Team Lead/Supervisor for two years in Patient Follow up, Refunds, and Payment Posting Departments,  prior to establishing a Work-From-Home Basis with MedOasis.
Remained as a remote biller after MedOasis was sold to Abeo Management in  2014.
Education
Completed Business Administration with one semester to complete Information Systems ConcentrationWinston-Salem State University - Winston-Salem, NC, United States

Internship with The NC Insurance Commission Western Regional Office, for Commissioner Jim Long, while attending college.

Affiliations
Collections Training
HIPAA compliance Training Certificate
Listed in Whos Who Among Business Leaders
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Abeo Management
  • MedOasis Inc

School Attended

  • Winston-Salem State University

Job Titles Held:

  • Medical Billing Specialist
  • Medical Billing/Team Lead and Work-From Home Employee

Degrees

  • Completed Business Administration with one semester to complete Information Systems Concentration

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