Medicare And Medicaid Biller resume example with 17+ years of experience

(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
Professional Summary
Medical billing and coding specialist with over 9 years experience providing administrative support in a hospital setting.  Advanced knowledge of insurance billing and follow-up, insurance and patient cash posting, preparing daily deposits and customer service capacities. Seeking a full time position where I can apply my knowledge, enthusiasm and become and active team member for the company
  • Familiar with Medical Coding guidelines and coding techniques CPT®, HCPCS Level II and ICD-9-CM
  • Certified in Workers Compensation, No Fault, Private Insurances and HMO/PPO billing
  • Billing and collection procedures expert
  • Proficient in Paragon, Claims administrator, HPF, FISS, Word and Excel
  • Understands insurance benefits
  • Insurance and collection procedures 
  • Composed and professional demeanor
  • Close attention to detail
  • Adept multi-tasker
  • Office support (phones, faxing, filing)
  • Understands and practices patient privacy at all times 
  • Excellent verbal communication
  • Resourceful and reliable worker
Sanford Brown Institute Springfield, MA Expected in 2004 : Medical Billing and Coding Certificate - GPA :
Work History
Blue Ridge Healthcare System, Inc.. - Medicare and Medicaid Biller
Valdese, NC, 02/2009 - Current
  • Responsible daily for billing over 60 Medicare, Medicare Managed Care and Medicaid claims and the appropriate follow up 
  • Responding to all inquiries from Medicare, Medicare Managed Care and Medicaid pertaining to eligibility, coordination/explanation of benefits and payments. 
  • Investigating and resolving all outstanding and credit balances on the accounts receivable
  • Responsible for reporting the hospital's daily Medicare EFT as well as correcting all of our return to provider claims through FISS
Johnson Memorial Hospital - Cash Posting
City, STATE, 09/2005 - 02/2009
  • Retrieved the hospital's mail and prepared the hospital's daily deposit
  • Manually posted all cash to the accounts receivable and processed patient and insurance refunds
  • Throughout this position I was certified and covered all of the billing positions in the office ranging from Workers Compensation, No Fault, Private Insurances and HMO/PPO
Johnson Memorial Hospital - Patient Accounting Customer Service Representative
City, STATE, 03/2004 - 09/2005
  • Efficiently answered all incoming phone calls in the patient accounting department  
  • Assisted patients with questions regarding their medical bills, setting up payment plans and supplying and processing financial aid applications
  • Visited uninsured patients during their inpatient stay to assist them with financial assistance or applying them for Medicaid
  • Processed all patient and attorney correspondence

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Resume Overview

School Attended

  • Sanford Brown Institute

Job Titles Held:

  • Medicare and Medicaid Biller
  • Cash Posting
  • Patient Accounting Customer Service Representative


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