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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, CA 94105
:
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 College Mobile, AL Expected in : - 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.
  • Offered constructive criticism regarding quality assurance.
  • 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

Degrees

  • Some College (No Degree)

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