LiveCareer-Resume

medical billing specialist resume example with 19+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Professional Summary
Certified Professional Coder/Medical Billing Specialist with experience supporting physicians in a medical billing office. Expertise includes verifying insurance coverage, managing primary and secondary claims, posting charges and payments (both electronic and manual from EOB's), regularly working accounts receivable, Highly efficient Medical Biller with experience physician billing. Excellent multi-tasker and demonstrated team player with a positive attitude.  
Licenses
CPC Certification ICD-9/ICD-10
AAPC Member since 2013
,
Skill Highlights
  • Maintains strict confidentiality
  • Extensive anatomy/physiology knowledge
  • CPT and HCPCS coding
  • Medisoft billing system
  • ICD-9 coding
  • HIPAA compliance
  • Team player with positive attitude
  • Deadline-driven
Professional Experience
Medical Billing Specialist, 08/2009 - Current
Washington Hospital, Inc., Mary Montross, VA, United States
  • Recorded and filed patient XXX and medical records. Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information. Provided administrative support for three physicians. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Quickly responded to staff and client inquiries regarding CPT codes. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. Confirmed patient information, collected copays and verified insurance. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. 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 XXX in error. Performed full-cycle medical billing in a fast-paced medical billing company.  Manage claims, both Primary and Secondary for a Mississippi based Nephrology Group by coding from ICD-9, CPT and HCPCS manuals as needed.
  • Have worked with Medicare, Medicaid and Commercial insurance claims.
  • Post charges for physician billing, post Primary and Secondary payments do insurance verification and work on accounts receivable as needed.
  • While working for XXX company I attended Clayton State University and completed the course in Medical Billing and Coding, graduating in December 2013.
  • Took the Certification exam with the AAPC and obtained my CPC in December 2013.
  • Have a working knowledge of Windows XP, Microsoft Word, Excel, Powerpoint, Medisoft, AcumenEHR and NueMD.
  • I also have an extensive knowledge of medical terminology which I use daily.
  • Supervisor: Carolyn Christian ((555) 432-1000 ext.
  • 221).
  • Okay to contact XXX Supervisor: Yes.
Office Manager, 08/2005 - 08/2009
Lennar Tempe, AZ, United States
  • Hours per week: 35 Answered phones, Scheduled appointments, patient check-in and check-out, insurance verification, collecting payments and co-pays, posting charges and maintaining claims, posting payments and maintaining accounts, maintain medical records.
  • I have a working knowledge of Windows, Microsoft office, Excel, Powerpoint, and Lytec Medical.
  • I also used Medical Terminology, CPT and ICD-9 codes as it pertained to chiropractic procedures on a daily basis.
  • Supervisor: Robert E.
  • Waikel, D.C.
  • XXX 907-000).
  • Okay to contact XXX Supervisor: Yes.
Receiving Clerk, Sales Associate, 12/2001 - 08/2005
Walmart City, STATE, United States
  • Hours per week: 40 Worked receiving dock, scanned merchandise, balanced invoices, managed lingerie sales floor, performed weekly ordering of merchandise, in charge of keeping sales floor stocked and cleaned, and provided customer service.
Education and Training
United States Technical or Occupational Certificate: , Expected in 12/2013
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Clayton State University - Morrow, GA
GPA:
Status - Credits Earned: 21.7 Continuing Education Unit
Medical Billing and Coding Certification: , Expected in
-
- ,
GPA:
Status - Courses that I completed for XXX certification are Medical Terminology, Anatomy & Physiology, ICD-9, CPT, HCPCS, and Medical Billing.
Medical Billing & Coding Certification: , Expected in 12/2009
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Technical College System of Georgia - Jonesboro, GA
GPA:
Status -
CPR Certified - May 2014: , Expected in December 2013
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CPC - ,
GPA:
Status -
Accomplishments
  • Anatomy & Pathophysiology (thru AAPC) - 2014.
Professional Affiliations
AAPC - Member since 2013
Skills
Accounts Receivable, insurance billing, CPC, ICD-9, Anatomy, Medical Terminology, Physiology, Medisoft, Excel, Microsoft office, Powerpoint, Windows, Windows XP, Microsoft Word, Nuemed, E-Clinical

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Resume Overview

School Attended

  • Clayton State University
  • Technical College System of Georgia
  • CPC

Job Titles Held:

  • Medical Billing Specialist
  • Office Manager
  • Receiving Clerk, Sales Associate

Degrees

  • United States Technical or Occupational Certificate
  • Medical Billing and Coding Certification
  • Medical Billing & Coding Certification
  • CPR Certified - May 2014

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