Medical Billing Specialist Team Leader Revenue Cycle Manager resume example with 8+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA94105
:
Summary
Multitasking Medical Biller with a career spent submitting claims quickly and efficiently to insurance companies. Bilingual individual with a can-do demeanor and a positive attitude. Ready to tackle new challenges.
Meticulous Team Leader offering 10+ years of comprehensive experience in medical billing, team leadership & customer service. Comfortable working independently or as part of supportive team. Extensive familiarity with Nextgen, Cerner & CompuMed. Core competencies include project management, critical thinking/problem solving, leadership, and attention to detail.
Skills
Generally Accepted Accounting Principles (GAAP)
Bill payment
Quality-oriented team player
Files and records management
Accounts payable
Medical coding understanding
Training and Development
CPT code modifiers
Claim review
Insurance claims
40+ WPM
Account follow-up
Information inputting
Data entry
Submission of medical claims
Reimbursements
Education and Training
Bishop State Community CollegeMobile, ALExpected in ā ā: - GPA:
Experience
ACS/USA - Medical Billing Specialist/Team Leader/Revenue Cycle Manager City, STATE, 05/2015 - Current
Delegated & worked daily & monthly AR reports to team members to optimize group productivity.
Directed and led employees, supervising daily task (reviewed EOB's, found active insurance, corrected demographics, ect) to drive productivity and efficiency.
Developed open and professional relationships with team members, enabling more effective issue resolution.
Mentored & trained newly hired employees on software, rules and procedures. Assisted with additional training to help co-workers understand the workflow of new polices being implemented.
Assessed, motivated and empowered team members to work to build customer satisfaction and loyalty, to support retention and growth.
Worked to settle AR claims from multiple payers such as Medicare Pt B, Medicare Replacement plans, BCBS, Tricare, TriWest, Va, Va CCN, UHC & Supplemental Plans.
Transferred unresolved accounts over 150 days to bad debt/collection agency.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Reviewed and verified benefits and eligibility with speed and precision.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Submitted refund requests for claims paid in error.
Applied payments, adjustments and denials into medical manager system.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Infinity Client Solutions - Customer Service Representative Supervisor/Administrative Assistant City, STATE, 05/2014 - 04/2015
Trained staff to provide excellent customer service to challenging customers.
Coordinated schedule to maintain appropriate staff coverage.
Increased employee productivity by establishing, monitoring customer care performance indicators, and goal achievement.
Handled confidential tax information, reviewed patient contracts to ensure they had full understanding of the repayment process of their student loan debt.
Trained new hires on relationship building, product knowledge, customer needs analysis and overcoming objections.
Assisted with student loan consolidations. Followed up with Department of Education and acted as a liasion to assist clients with the complete process of consolidation for student loan repayments.
Evaluated quality of representatives' phone calls and provided feedback to management.
NCO - Medical Billing Specialist/Collections Representative City, STATE, 10/2012 - 04/2014
Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Reviewed and verified benefits and eligibility with speed and precision.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Completed appeals and filed and submitted claims.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Performed full-cycle medical billing for fast-paced company, to help reduce errors.
Posted charges, payments and adjustments.
Collaborated closely with other departments to resolve claims issues.
Applied payments, adjustments and denials into medical manager system.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Posted and adjusted payments from insurance companies.
Submitted refund requests for claims paid in error.
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Resume Overview
School Attended
Bishop State Community College
Job Titles Held:
Medical Billing Specialist/Team Leader/Revenue Cycle Manager
Customer Service Representative Supervisor/Administrative Assistant
Medical Billing Specialist/Collections Representative