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medical billing support services resume example with 20+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Competent Medical Billing professional with ability to manage a busy medical office and provide excellent customer service to all patients.

Knowledgeable Medical Billing specializing in Ophthalmology and Optometry . Talented at correcting and resubmitting claims, preparing patient charts for registration and reviewing health records to identify proper relationships between procedure and diagnosis codes. Offering over 15 years background in reviewing, analyzing and managing medical record information to identify appropriate coding.

Focused Billing Clerk with 8 years of experience. Skilled in building client and vendor rapport and managing accounts to reduce outstanding balances. Hardworking and energetic with passion for accuracy and efficiency.

Skills
  • Invoice Processing
  • Medical Records Management
  • Payment Posting
  • Insurance Knowledge
  • Account Reconciliation
  • Billing Systems
  • Billing Inquiries
  • Medical Records Review
  • Invoice Preparation
  • Collection Calls
  • Ophthalmology billing knowledge
  • Medicare and Medicaid process
  • Medical claims submission
  • Proficiency in Navinet and several hospital software
Work History
08/2015 to 03/2020 Medical Billing Support Services Kennedy Krieger Institute | Baltimore, MD,
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Completed client requests and advised supervisors of special needs.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Delivered timely and accurate charge submissions utilizing SweetSoftware. .
  • Liaised between patients, insurance companies and billing office.
  • Researched and followed up on denied insurance claims.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Filed and updated patient information and medical records.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Used Navinet and Passport to input information into computerized patient record system.
  • Transferred balances to correct payers.
  • Adhered to established standards to safeguard all patients' health information.
  • Devised new methods to make workflows more efficient and brought suggestions to attention of Director of Collections..
08/2014 to 08/2015 Insurance Verification Specialist Veterans Health Administration | Grand Forks, ND,
  • Verified all patient demographic information when registering for services.
  • Acquired billing information by worker's compensation accounts and MVA.
  • Located, checked in and pulled medical records for patient appointments and incomplete charts.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
  • Answered phone calls and messages for 2-physicians and assisted with scheduling appointments.
  • Organized patient files and streamlined operations to improve efficiency.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Accurately inputted all patient and insurance information into company's computer system. .
  • Maintained current and accurate medical records.
  • Determined appropriateness of payers to protect organization and minimize risk.
  • Reviewed 100 patient cases per week and verified insurance coverage information.
  • Verified client information by analyzing existing evidence on file.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Posted payments to accounts and maintained records.
  • Observed strict procedures to protect sensitive patient information, including medical records and payment data.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
11/2003 to 08/2014 Administrative Assistant Concentra | Fremont, CA,
  • Coordinated travel arrangements, including booking airfare, hotel and ground transportation.
  • Supported efficient meetings by organizing spaces and materials, documenting discussions and distributing meeting notes.
  • Handled client correspondence and tracked records to foster office efficiency.
  • Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
02/1992 to 11/2003 Medical Office Supervisor Millennium Eyecare | City, STATE,
  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Established and developed highly efficient and dependable administrative team by delivering ongoing coaching and motivation and fostering career advancement.
  • Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
  • Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
  • Maintained computer and physical filing systems.
  • Kept physical files and digitized records organized for easy updating and retrieval by authorized team members.
  • Coached new hires on company processes.
  • Entered procedure codes and diagnosis codes into medical billing software.
  • Received, recorded and filed medical payments by check, cash and credit card.
  • Maintained optimal supply levels by closely monitoring and proactively replenishing supply inventory.
  • Pulled charts and prepared for nurse and doctor assessment.
  • Reviewed and sent medical records to other physicians upon request.
  • Double-checked forms for accuracy and completion in terms of admission, transfer and discharge of patients.
  • Maintained patient databases and updated information in alignment with HIPAA protocols.
  • Managed appointments, registrations and patient relations in busy Multi Sub Speciality Ophthalmology office.
  • Trained all new employees on records management system.
  • Scheduled, rescheduled and handled cancelled appointments for patients.
  • Aided with prescription refill requests.
  • Audited customer files to verify medical necessity and satisfaction of coverage criteria.
  • Oversaw office records and maintained strict document control.
  • Delivered clerical support by efficiently handling wide range of routine and special requirements.
  • Performed billing, collection and reporting functions for office.
  • Developed highly-efficient administrative team through ongoing coaching and professional development opportunities.
  • Managed supervisor itinerary and appointments and streamlined scheduling procedures.
Education
Expected in to to A.S. | Business Administration And Management Brookdale Community College, Lincroft, NJ GPA:
Expected in to to A.A.S. | Fashion Merchandising Brookdale Community College, Lincroft, NJ GPA:
Expected in to to Diploma | Cedar Ridge High School , Old Bridge, NJ, GPA:

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Resume Overview

School Attended

  • Brookdale Community College
  • Brookdale Community College
  • Cedar Ridge High School

Job Titles Held:

  • Medical Billing Support Services
  • Insurance Verification Specialist
  • Administrative Assistant
  • Medical Office Supervisor

Degrees

  • A.S.
  • A.A.S.
  • Diploma

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