medical insurance collector resume example with 20+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
My objective is to secure a position in a business  with a stable environment that will lead to a lasting relationship within that organization will provide opportunities for professional growth and development. Focused and detail-oriented. organization.
I am also seeking of obtaining a position that will enable me to use my organization skills, my ability to work well with others and enjoy the challenging opportunities to learn and improve skills. I am a hard-working, reliable and conscientious individual that is adaptable and eager to learn what an organization requires.Â
Skill Highlights
Maintains strict confidentiality
Knowledge of HMOs, Medicare and Medi-Cal
Medical billing software
Good written communication
Team player with positive attitude
HIPAA compliance
HHM and Medisoft billing systems
CPT and HCPCS coding
Medical Manager Software
Professional Experience
07/2012 to CurrentMedical Insurance CollectorUniversal Hospital Services, Inc. | , CA,
Started as a commercial insurance collector for a recently purchased facility in Nevada. Within the 4 years of collections, have been collecting for 6 acquired facilities and:
Thoroughly investigated past due invoices and minimized number of unpaid accounts.
Recorded and filed patient data and medical records. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Confirmed patient information, collected copays and verified insurance. Completed appeals and filed and submitted claims.
Posted charges, payments and adjustments. Applied payments, adjustments and denials into medical manager system.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials. Efficiently performed insurance verification and pre-certification and pre-authorization functions.Â
All facilities with different operating systems that had to be learned as were the comprehension of different locations for contracts/medical records.
While working with Pennsylvania and Michigan facilities, was minimally trained to back up Medicare collections (including a quick overview of Medicare's DDE operating system.
Recently received training for the EPIC platform and the Emdeon clearing house for medical claims.
11/1992 to 01/2012Billing Office ManagerEncore Rehabilitation | Petal, MS,
 Started as a medical biller/collector for a pathology lab department (Riverside Community Hospital).
Promoted to office manager the last 12 years.
Managed most aspects of pathology, physical therapy and later cardiology billing office from data entry for billing claims, collecting/expediting claims and finally processing payments.
Trained new employees to the medical billing program.
Trouble shot any problems that arose.
Assisted in searching and implementing two computerized medical billing programs including the MediSoft platform.
Liaison to doctors, patients and insurance organizations.
Supervised and trained 10 employees.
Thoroughly investigated past due invoices and minimized number of unpaid accounts.Â
Designed improved training procedures to help new staff acclimate quickly. Increased team efficiency [number]% by implementing several process improvements.Â
Wrote reports, emails, memoranda, letters and releases. Purged outdated files.Â
Maintained complete confidentiality in accordance with organization and legal requirements.Â
Obtained information by contacting appropriate personnel or patients. Scanned incoming documentation. Obtained information by contacting appropriate personnel or patients.
04/1985 to 03/1991Computer SupervisorGateway Western Bank | City, STATE,
Started as a bank teller.
promoted to various positions including: merchant teller, teller supervisor, collection and recovery and was training in loan department when offered computer position.
Assisted in installing first in-house computer system.
Took many courses in operating, trouble shooting and training NCR financial software.
Implemented check sorting hardware and software.
Assisted in developing assorted reports and analysis.
Worked closely with staff and management to produce efficient procedures and accurate in house reports.
Consistently recognized by management for providing superior customer service.
Created new processes and systems for increasing customer service efficiency satisfaction.
Cross-trained and provided back-up for other customer service representatives when required.
Education and Training
Expected in February 1974 to to | Point Loma University, San Diego, CAGPA: Incomplete: only able to take one semester due to family hardship.
Expected in July 1973 to to High School Diploma | College PrepBanning High School, Banning, CAGPA:
Member of Banning Stampede School Newspaper
Member of History Club
4.5 GPA
Participated all 4 years in Organized Athletics
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Skills
Extensive
use of Window products over the years. This includes MS Word and
Excel. Assisted in contacting and implementing MediSoft medical
billing program for the office. Have created or worked with spreadsheets, email and online research. Also worked with CPU Medical
Management program. Also had training on NCR financial software. Have
heavy usage of all office equipment including phones, 10 key,
printers, fax, etc. Also have adapted to many medical billing
platforms over the last 4 years.
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