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medical coding and billing specialist resume example with 10 years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Summary

Customer service with 5 years experience in the medical field as a secretary and biller/coder. I am capable of working independently or as part of a supportive team. I have extensive familiarity with Microsoft word and excel. Core competencies include coordinating schedules with our local hospitals, scheduling appointments, and answering phone calls. I have the ability to complete tasks accurately despite interruptions and competing demands.

Skills
  • Customer Service
  • Organization
  • Prioritization and time management
  • Coordinating program activities
  • File distribution
  • Scheduling and calendar management
  • Sensitive material handling
  • Multi-line phone systems
  • Mail management
  • Employee training
  • Faxing documents
  • Invoicing and billing
Education and Training
Burkburnett High School Burkburnett, Tx, Expected in 05/2010 High School Diploma : - GPA :
Vernon College Wichita Falls, TX, Expected in 05/2012 Certificate of Pharmacy Technician : Pharmacy - GPA :
Experience
Pacific Dental Services - Medical Coding and Billing Specialist
Everett, WA, 07/2017 - Current
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • 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.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Determined prior authorizations for medication and outpatient procedures.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Completed appeals and filed and submitted claims.
  • Posted charges, payments and write-ups for joint and spine procedures.
  • Posted and adjusted payments from insurance companies.
  • Informed patients of financial responsibilities prior to services being rendered.
  • Posted surgeries, hospital visits and payments for assigned carriers within timely filing deadlines.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Collaborated closely with other departments such as our hospitals to resolve claims issues.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Barrow Neurosurgical Associates - Front Desk Receptionist
Chandler, AZ, 07/2015 - 07/2017
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Provided property details to patrons, including dining areas, pool, spa and fitness center.
  • Arranged special accommodations for guests to maintain optimal satisfaction
  • Coordinated front desk operations and diligently helped all in-person visitors and callers with knowledgeable assistance.
  • Handled payment processing duties and provided customers with receipts and proper bills and change.
  • Managed all front desk operations for busy high-volume sports therapy office.
  • Signed for packages, recorded all deliveries and distributed to inter-company personnel.
  • Transmitted information or documents to customers, using computer, mail or facsimile machine.
  • Prepared daily shift close reports and balanced cash register to accurately reflect all transactions.
  • Managed customer complaints and rectified issues to complete satisfaction.
  • Assisted with administrative tasks, including filing, answering phones and coordinating with our upstairs doctor's offices.
  • Answered phones, responded to customer inquiries and transferred calls to appropriate staff members.
Sears - Pharmacy Technician
Dubuque, IA, 05/2012 - 07/2015
  • Received, reviewed, dispensed and labeled over 100 prescriptions daily with expert accuracy.
  • Created new customer profiles and updated information in pharmacy computer systems.
  • Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests.
  • Communicated with member physicians to prevent harmful drug reactions, therapy duplications and allergic reactions.
  • Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
  • Merchandised related products to drive pharmacy department sales.
  • Managed medication stocks, including conducting counts, labeling products and maintaining controls.
  • Worked with insurance companies to process claims, resolve problems and obtain payments.
  • Assisted pharmacist with clearing high volume of problem prescriptions and customer questions to maintain optimal team efficiency.
  • Improved drug inventory management procedures to reduce waste and eliminate backorders or overstock.
  • Researched customer health insurance plans to provide prescription authorization and efficient patient care.
  • Trained four new technicians to provide excellent customer service
  • Checked medications for content, accuracy and completeness of all drug packaging and labeling to provide final verification of prescription.
  • Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
  • Verified and filled over 100 prescriptions per day in busy pharmacy setting.
  • Established and updated patient profiles, including lists of medications and insurance details.
  • Restocked shelves and prepared expired drugs for return.
  • Processed prescription transfer requests from competitors.
  • Resolved third-party rejection claims.
  • Ordered out of stock medications to ensure patients were taken care of accordingly.
Checkers Drive-In Restaurants, Inc. - Cashier/Drive Thru
Center Line, MI, 08/2009 - 08/2010
  • Informed customers of final bill tab and processed form of payment.
  • Maximized customer satisfaction by quickly addressing and resolving complaints with food or service.
  • Verified orders and bagged items for easy transport.
  • Accepted transaction payments, making change for cash payments and processing credit cards, debit cards and gift cards.
  • Restocked workstation with supplies and ensured out of stock items were communicated to management.
  • Completed opening, closing and shift change tasks to promote store efficiency.
  • Accurately made change for cash transactions.
  • Processed all sales transactions accurately and promptly to prevent long customer wait times.
  • Washed and sanitized dishes after every use to protect customers.
  • Kept work areas, utensils and pans cleaned and sanitized.
  • Monitored and counted food stock and supplies to reorder on time.
  • Entered requested menu items into POS terminal, modifying with substitutions and add-ons to customize orders.
  • Resolved customer concerns and relayed relevant information to supervisor.
  • Ensured compliance with company service standards, including inventory and cash control procedures.
  • Performed prep work such as washing, peeling, cutting and seeding fruits and vegetables.
  • Utilized approved food recipes and production standards to ensure proper quality, serving temperatures and standard portion control.

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Resume Overview

School Attended

  • Burkburnett High School
  • Vernon College

Job Titles Held:

  • Medical Coding and Billing Specialist
  • Front Desk Receptionist
  • Pharmacy Technician
  • Cashier/Drive Thru

Degrees

  • High School Diploma
  • Certificate of Pharmacy Technician

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