medical office specialist resume example with 19+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000
Cell:
resumesample@example.com
:
Professional Summary
Seeking a challenging opportunity in the Medical Billing/Collection Field which will fully utilize my office experience,
technical training, strong work ethic and dedication. Desiring employment where advancement is based on efficiency and
contributions to company growth.
Core Qualifications
Microsoft Office (Word, Outlook, Excel, and PowerPoint)
Knowledge of Medicare, Medicaid, Worker's Comp, PPO, POS, and EPI
HIPAA compliance
Team player with positive attitude
Public Notary
Experience
Medical office Specialist, 07/2015 to Current Universal Health Services – Streamwood, IL,
Responsible for managing claim details and verifying accurate reimbursement.
File appeals for denied claims and follow-up as necessary through appeal.
Manage and maintain outstanding patient balances to ensure accurate reporting of accounts receivable.
Scheduled patient appointments.
Scheduled surgeries and procedures in conjunction with surgical coordinator.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Consistently ensured proper coding, sequencing of diagnoses and procedures.
Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Medical Biller/ Collector, 08/2013 to 11/2015 Taravista – Devens, MA,
Appropriately and correctly identified errors and re-filed denied/rejected claims.
Thoroughly reviewed remittance codes from EOBS/AR's.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Knowledge of insurances, including Medicare, Medicare replacement HMO's, Medicaid, Blue Cross Blue Shield Plans, Commercial Insurances, HMO/PPO/EPO plans are utilized.
Medical Biller, 02/2012 to 01/2014 Texas Pain Solutions – City, STATE,
Answer telephones, and direct calls to appropriate staff.
Billing of medical insurance claims.
Appeals to insurance, billing and coding.
Review records for completeness, accuracy and compliance with regulations.
Protect the security of medical records to ensure that confidentiality is maintained.
Acquired insurance authorizations for procedures and tests ordered by the attending physician.
Retrieved physician correspondence from dictation service and made edits when necessary.
Scheduled patient appointments.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Use of ICD-9, ICD-10, CPT, and HCPCS, CMS 1500, and UB04.
Eye Care Specialist, 06/2011 to 02/2012 Vision Works – City, STATE,
Heat, shape, or bend plastic or metal frames to adjust eyeglasses to fit clients, using pliers and hands.
Verify that finished lenses are ground to specifications.
Recommend specific lenses, lens coatings, and frames to suit client needs.
Arrange and maintain displays of optical merchandise.
Maintain records of customer prescriptions, work orders, and payments.
Measure clients' bridge and eye size, temple length, vertex distance, pupillary distance, and optical centers of eyes, using measuring devices.
Office Manager/ Medical Billing, 12/2008 to 02/2011 Progressive Orthopedics And Pain Management – City, STATE,
Schedule and confirm patient diagnostic appointments, surgeries and medical consultations.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Answer telephones, and direct calls to appropriate staff.
Perform various clerical and administrative functions, such as ordering and maintaining an inventory of supplies.
Prepare insurance claim forms and related documents and review them for completeness.
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
Review records for completeness, accuracy and compliance with regulations.
Prepare itemized statements, bills, or invoices; and record amounts due for items purchased or services rendered.
Use of ICD-9, CPT, and HCPCS, CMS 1500, and UB04,.
Confirmed patient information, collected copays and verified insurance.
Lab Service Tech, 04/2001 to 11/2008 Lexicon Pharmaceuticals – City, STATE,
Clean, maintain and prepare supplies and work areas.' Set up, adjust, calibrate, clean, maintain, and troubleshoot laboratory and field equipment.
Maintain records of inventory and equipment usage.
Organize and assemble routine and specialty surgical instrument trays and other sterilized supplies, filling special requests as needed.
Report defective equipment to appropriate supervisors or staff.
Participate in the research, development, or manufacturing of medicinal and pharmaceutical preparations.
Clean instruments to prepare them for sterilization.
Monitor laboratory work to ensure compliance with set standards.
Check sterile supplies to ensure that they are not outdated.
Keep detailed logs of all work-related activities.
Education
Medical Office Specialist: , Expected in August 2008 to Texas School of Business - Houston, Texas GPA:
High School Diploma: , Expected in 1992 to - , GPA:
Medical Office Specialist / Billing Coding Certificate of Achievement with a 4.0 G.P.A American. Heart
Association Adult/child Cardio Pulmonary Resuscitation (CPR) American Heart Association Adult/child First
Aid.: , Expected in to Oak Ridge High Conroe - , Texas GPA:
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Resume Overview
School Attended
Texas School of Business
Oak Ridge High Conroe
Job Titles Held:
Medical office Specialist
Medical Biller/ Collector
Medical Biller
Eye Care Specialist
Office Manager/ Medical Billing
Lab Service Tech
Degrees
Medical Office Specialist
High School Diploma
Medical Office Specialist / Billing Coding Certificate of Achievement with a 4.0 G.P.A American. Heart
Association Adult/child Cardio Pulmonary Resuscitation (CPR) American Heart Association Adult/child First
Aid.