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Medical Collections Specialist Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary
To secure a position with an organization that allows me to utilize my knowledge in Medical Billing & Coding with room for advancement and improvement.
Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Medical Manager Software
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • Exercises good judgment
  • Good written communication
  • Team player with positive attitude
  • Strong work ethic
  • HIPAA compliance
  • CPT and HCPCS coding
Professional Experience
Medical Collections Specialist, 2013 to 04/2013
ConcentraMorton Grove, IL,

Thoroughly investigated past due invoices and minimized number of unpaid accounts by utilizing ResQ on a daily basis and document all activity appropriately. Strictly followed all federal and state guidelines for release of information. Remediates and resolves accounts receivable balance for government and non-government healthcare provider clients. Accesses and interprets EOB/Remit information within the client imaging systems for account documentation/correspondence/follow-up. Possesses the ability to professionally communicate (in all forms) with payer resources such as website, e-mail, telephone, customer service departments, etc. Consistently meets or exceeds all established department/client quality and productivity standards. Possesses a cooperative and positive attitude toward clients, management and co-workers by responding politely and professionally and being a valued team player. Accepts change with a positive attitude. Accepts and applies direction and coaching from supervisors and peers. Demonstrates flexibility to transfer to different projects while retaining industry knowledge. Adheres to the HIPPA privacy and security regulations.

Medical Billing Specialist , 09/2011 to 11/2011
HcaCleveland, MS,
  • Externship.
  • Medical Billing & Coding.
  • Filing.
  • Resubmitting Worker's Comp Claims.

Thoroughly investigated past due invoices and minimized number of unpaid accounts.Recorded and filed patient data and medical records.Strictly followed all federal and state guidelines for release of information.Acquired insurance authorizations for procedures and tests ordered by the attending physician.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Thoroughly reviewed remittance codes from EOBS/AR's.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 paid in error.Meticulously tracked and resolved underpayments.


Assembly Tech, 03/2007 to 06/2011
Babbitt's Sports CenterMuskegon, MI,
  • Operated various machines in a timely manner.
  • Applied technical adjustments to machines when necessary.
  • Worked in a team based work system.
Machine Operator, 01/2003 to 03/2007
QuadgraphicsShushan, NY,
  • Processed and packaged various sizes and styles of x-ray paper.
  • Processed and packaged information into a computerized tracking system.
  • Worked in a team based work system.
Merchandise Inspector, 2001 to 2003
Hammes Temporary ServiceCity, STATE,
  • Log all information into computerized tracking system.
  • Accurately count and record in tracking system and report inventory status.
Education and Training
Studying Medical Billing & Coding Microsoft Word and Excel Medical Terminology ICD-9 CPT Medical Insurance and Reimbursement Law & Ethics Work Core Certification Training : , Expected in 1/12
Virginia College - Charleston, SC
GPA:

Academic Achievement Award

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Resume Overview

School Attended
  • Virginia College
Job Titles Held:
  • Medical Collections Specialist
  • Medical Billing Specialist
  • Assembly Tech
  • Machine Operator
  • Merchandise Inspector
Degrees
  • Studying Medical Billing & Coding Microsoft Word and Excel Medical Terminology ICD-9 CPT Medical Insurance and Reimbursement Law & Ethics Work Core Certification Training

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