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Medical Billing Specialist Resume Example

Resume Score: 80%

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MEDICAL BILLING SPECIALIST
Professional Summary

Certified Medical Billing Specialist with 20 years experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Medical Billing and Coding Specialist with 20 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Proactive Medicare Collector with a distinguished understanding of mosaiq use and data entry. Adept at posting and collecting payments and an expert in handling customer complaints and comments. Client-focused Medicare Collector with 20 years of experience. Adept at maintaining long-term relationships with clients and accurately recording payments and collections. Successful in efficient collections and communicating with coworkers. Driven Medical Biller motivated to perform beyond expectations. Detail-oriented professional with a focus on deadlines and the assurance that all medical billing is handled efficiently and without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Skills
  • Bill Payment
  • CPT Coding
  • HIPAA Compliance
  • Insurance Knowledge
  • Account Reconciliation
  • Medical Billing
  • Billing
  • Payment Processing
  • Medical Records Management
Work History
Medical Billing Specialist, 01/2016 to 09/2020
Company Name – City, State
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Located errors and promptly refiled rejected claims.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Posted and adjusted payments from insurance companies.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Determined prior authorizations for medication and outpatient procedures.
  • Assisted patients by determining financial assistance available and setting up payment plans.
  • Collected payments and applied to patient accounts.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Devised new methods to make workflows more efficient and brought suggestions to attention of [Job title].
  • Researched and followed up on denied insurance claims.
Billing Specialist, 03/2015 to 12/2015
Company Name – City, State

Billing for 3 nursing homes

  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Generated accounts payable reports for management review to aid in financial and business decision making.
Medical Billing, 06/2006 to 06/2014
Company Name – City, State
  • Posted payments and collections on regular basis.
  • Analyzed medical records to satisfy insurance company mandates.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Collected payments and applied to patient accounts.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
Billing Specialist, 05/2003 to 07/2005
Company Name – City, State
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Charge Entry,Accounts Receivable,Collector,Coder
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Education
High School Diploma: 06/1977
Preble High School - City, State
Accomplishments
  • Docks 16-182695 Customhouse CourtSan Diego, CA 92154Attention Repair DepartmentType of Blind: Cellular & Vertical CellularPackage: _____ of _____Quantity: _____THIS LABEL MUST BE ATTACHED TO THE OUTSIDE OF EACH CARTONKEEP THE BOTTOM PORTION FOR YOUR RECORDSYOUR REPAIR.
Certifications
MARK FOR: COLLARD/4915 Springs Window Fashions LLC - Branch 82, 4025950 SWF REPAIR LOCATION: Springs Window Fashions LLC - Branch 82 YOUR ORIGINAL PO# 15528108
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Resume Overview

School Attended

  • Preble High School

Job Titles Held:

  • Medical Billing Specialist
  • Billing Specialist
  • Medical Billing

Degrees

  • High School Diploma : 06/1977

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