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Medical Receptionist/Billing Specialist Resume Example

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MEDICAL RECEPTIONIST/BILLING SPECIALIST
Summary

Organized professional known for always adhering to data confidentiality and HIPAA regulations. Smart Medical Biller capable of performing all office duties with efficiency and undeniable detail. Coordinated Medicare Collector with an extensive understanding of medical terminology and medical billing. Successful at payment posting quickly and following up with clients. Adept at accounts receivable management and maintaining confidentiality. Driven Medical Receptionist/Medical Biller well-versed in transforming business operations. Skilled at increasing profits and reducing operating expenditures through account reconciliations to identify errors in calculations. Expert at processing payments on outstanding invoices to minimize debt and prevent excess fees from being charged. Astute professional dedicated to verifying accuracy of information within ledger to verify accuracy of processed payments.

Skills
  • Bill payment
  • Quality-oriented team player
  • Generally Accepted Accounting Principles (GAAP)
  • WEBPT software applications proficiency
  • Files and records management
  • Accounts payable
Experience
06/2017 to 09/2020
Production Worker/Warehouse AssociateCompany Name － City, State
  • Inspected finished products for quality and adherence to customer specifications.
  • Built and packaged products to comply with multiple work orders and deadlines.
  • Troubleshot problems with equipment to make repairs or report diagnostics to supervisors.
  • Moved items between machines, conveyors and transport equipment based on current production needs.
  • Organized all project components on work tables according to work flow.
  • Recorded production data in daily logs.
  • Completed product assembly according to standardized procedures.
  • Assisted assessment of finalized product development to maintain QC standards.
  • Assembled components into finished product and performed quality inspection to clear for shipment.
  • Oversaw machine operation to identify defects or malfunctions, making adjustments as necessary.
  • Detected work-piece defects and machine malfunctions, maintaining apparatus to prevent future issues.
06/2016 to 06/2017
Medical Receptionist/Billing SpecialistCompany Name － City, State
  • Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • 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.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Determined prior authorizations for medication and outpatient procedures.
  • 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.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Precisely completed appropriate paperwork and system entry regarding claims.
  • Posted charges, payments and adjustments.
  • Completed appeals and filed and submitted claims.
  • Billed all lab claims with attached lab slips.
  • Meticulously tracked and resolved underpayments.
  • Accurately coded diagnostics and prepared billing statements for patients.
  • Kept detailed and accurate documentation of payments, charges and write-ups of cardiovascular procedures.
02/2014 to 06/2016
Sales RepresentativeCompany Name － City, State
  • Leveraged trends in customer marketplaces to shape value-added solutions and approaches.
  • Developed customized sales techniques to successfully sell and upsell Cable and Internet services to new and existing clients.
  • Maximized efficiency and time management by effectively planning and organizing client routes within territory.
  • Placed orders and answered customer questions in-person, through email and over phone to maximize customer service.
  • Followed-up with clients after installations to assess quality service and customer satisfaction.
  • Improved profitability, developing pipeline utilizing multiple marketing channels and sales strategies.
  • Created sales and revenue-generating opportunities in new markets to improve bottom line.
  • Created and implemented store displays, promoting sales and growth.
  • Improved overall customer purchasing experiences to promote steady revenue.
  • Prepared and processed contracts and order forms for new and existing customers.
03/2012 to 01/2014
Medical ReceptionistCompany Name － City, State
  • Prepared and sent financial statements to support bookkeeping functions.
  • Updated group medical records and technical library to support smooth office operations.
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
  • Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Straightened up the waiting room so that it remained neat and organized.
  • Communicated with all partners throughout practice, including physicians, nursing staff, technicians and medical assistants.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Processed patient payments and scanned identification and insurance cards.
  • Greeted callers with enthusiasm, answering all phone calls by second ring.
  • Set up appointments for physician visits and procedures using calendar software.
Education and Training
05/2004
High School DiplomaMainland High School － City, State
06/2018
Associate of Science: Medical Insurance BillingKeiser University － City, State
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Resume Overview

School Attended

  • Mainland High School
  • Keiser University

Job Titles Held:

  • Production Worker/Warehouse Associate
  • Medical Receptionist/Billing Specialist
  • Sales Representative
  • Medical Receptionist

Degrees

  • High School Diploma
    Associate of Science : Medical Insurance Billing

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