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Medical Billing Specialist Resume Example

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MEDICAL BILLING SPECIALIST
Experience
Medical Billing Specialist, 06/2019 to 10/2019
Company Name – City, State
  • Billing activities, Eligibility verification, and weekly reports, etc.
  • Perform billing for RI and MA programs, commercial insurance and Medicaid.
  • Verify client eligibility daily, maintain and update associated reports.
  • Review and request authorizations for continued services and update associated reports.
  • Review clinical staff billing and notes and enter into computer software.
  • Add clinical staff hours to billing and payroll sheets.
  • Maintain clinical staff productivity reports for Billing Director.
  • Answer phones as needed.
Licensed Pharmacy Technician I, 03/2019 to 06/2019
Company Name – City, State
  • Prepare prescription for the pharmacist in an orderly fashion.
  • Receive and verifying the prescriptions.
  • Pricing and filling of prescriptions.
  • Assisting with insurance claims processing.
  • Stocking and pricing of medications in inventory.
  • Maintain pharmacy safety by adhering to policies and regulations.
11/2016 to 03/2019
Company Name – City, State
  • Greet and assist customers when entering the store.
  • Outreached and engaged with public communities to educate senior centers, medical offices, and health/fitness facilities about programs and vaccines Rite Aid Pharmacy has to offer.
  • Collaborated with Pharmacy Manager, Store Manager, and co-workers to better our customer service.
  • Engage with Pharmacy manager on a daily basis to offer recommendations in terms of vitamins, over the counter supplements, and immunizations customers based on their needs.
  • Implement a monthly wellness event to provide customers with samples and knowledge to improve the health and wellness of individuals.
  • Strengthen communication skills with daily face to face interactions.
  • Developed an understanding of a variety of medications and possible side effects in relation to an individual's health conditions.
  • Expanded my knowledge of current immunizations recommended by the Center for Disease Control and prevention to improve individual's health and wellness.
  • Gained medical terminology within assisting pharmacy with filling prescriptions.
Sales Associate, 06/2008 to 11/2016
Company Name – State
  • Collaborated with co-workers and management to better assist customer's needs.
  • Strengthen "face to face" communications skills though daily verbal interactions with clientele.
  • Implemented scenario's to better present product to clientele and increase sales.
  • Stocked inventory to shelves both on floor and backroom on a daily basis.
Work History
Medical Billing Specialist, 06/2019 to 10/2019
Company Name – City, State
  • Billing activities, Eligibility verification, and weekly reports, etc.
  • Perform billing for RI and MA programs, commercial insurance and Medicaid.
  • Verify client eligibility daily, maintain and update associated reports.
  • Review and request authorizations for continued services and update associated reports.
  • Review clinical staff billing and notes and enter into computer software.
  • Add clinical staff hours to billing and payroll sheets.
  • Maintain clinical staff productivity reports for Billing Director.
  • Answer phones as needed.
Licensed Pharmacy Technician I, 03/2019 to 06/2019
Company Name – City, State
  • Prepare prescription for the pharmacist in an orderly fashion.
  • Receive and verifying the prescriptions.
  • Pricing and filling of prescriptions.
  • Assisting with insurance claims processing.
  • Stocking and pricing of medications in inventory.
  • Maintain pharmacy safety by adhering to policies and regulations.
11/2016 to 03/2019
Company Name – City, State
  • Greet and assist customers when entering the store.
  • Outreached and engaged with public communities to educate senior centers, medical offices, and health/fitness facilities about programs and vaccines Rite Aid Pharmacy has to offer.
  • Collaborated with Pharmacy Manager, Store Manager, and co-workers to better our customer service.
  • Engage with Pharmacy manager on a daily basis to offer recommendations in terms of vitamins, over the counter supplements, and immunizations customers based on their needs.
  • Implement a monthly wellness event to provide customers with samples and knowledge to improve the health and wellness of individuals.
  • Strengthen communication skills with daily face to face interactions.
  • Developed an understanding of a variety of medications and possible side effects in relation to an individual's health conditions.
  • Expanded my knowledge of current immunizations recommended by the Center for Disease Control and prevention to improve individual's health and wellness.
  • Gained medical terminology within assisting pharmacy with filling prescriptions.
Sales Associate, 06/2008 to 11/2016
Company Name – State
  • Collaborated with co-workers and management to better assist customer's needs.
  • Strengthen "face to face" communications skills though daily verbal interactions with clientele.
  • Implemented scenario's to better present product to clientele and increase sales.
  • Stocked inventory to shelves both on floor and backroom on a daily basis.
Education
Certified Medical Coder Enos Medical Coding: 12/2019
City, State
Associates: General Education, 05/2016
Community College of Rhode Island - City, State
05/2013
La Salle Academy - City, State
Bachelor of Science: Community Health and Wellness, 2009
Rhode Island College - City, State
Summary
I am an ambitious and determined individual seeking to utilize my skills and further my career in the healthcare industry. Customer service, communication, time management, and organization skills utilized in my previous work experience will allow me to become an asset to the healthcare industry.
Highlights
  • Former Spin instructor & CPR Certified - Golds gym, Warwick, RI
  • Certified Medical Coder, Office & Medical terminology experience
  • Microsoft word & Microsoft excel
  • Communication
  • Customer service
  • Time management
  • Flexibility
  • Responsibility
  • Billing
  • Communications skills
  • Communication skills
  • CPR Certified
  • Clientele
  • Client
  • Customer service
  • Fashion
  • Filling
  • Immunizations
  • Instructor
  • Insurance
  • Inventory
  • Notes
  • MA
  • Director
  • Medical Coding
  • Medical Coder
  • Medical terminology
  • Microsoft excel
  • Office
  • Microsoft word
  • Payroll
  • Policies
  • Filling prescriptions
  • Pricing
  • Safety
  • Sales
  • Store Manager
  • Answer phones
  • Time management
  • Vaccines
Skills
  • Former Spin instructor & CPR Certified - Golds gym, Warwick, RI
  • Certified Medical Coder, Office & Medical terminology experience
  • Microsoft word & Microsoft excel
  • Communication
  • Customer service
  • Time management
  • Flexibility
  • Responsibility,
  • Billing, communications skills, communication skills, CPR Certified, clientele, client, Customer service, fashion, filling, immunizations, instructor, insurance, inventory, notes, MA, Director, Medical Coding, Medical Coder, Medical terminology, Microsoft excel, Office, Microsoft word, payroll, policies, filling prescriptions, Pricing, safety, sales, Store Manager, Answer phones, Time management, vaccines
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    Resume Overview

    School Attended

    • Community College of Rhode Island
    • La Salle Academy
    • Rhode Island College

    Job Titles Held:

    • Medical Billing Specialist
    • Licensed Pharmacy Technician I
    • Sales Associate

    Degrees

    • Certified Medical Coder Enos Medical Coding : 12/2019
      Associates : General Education , 05/2016
      05/2013
      Bachelor of Science : Community Health and Wellness , 2009

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