Medicare And Medicaid Biller Resume Example Johnson Memorial Hospital

MEDICARE AND MEDICAID BILLER

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

Skills

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

Work History

Medicare and Medicaid Biller, 03/2009 to Current
Johnson Memorial Hospital – 201 Chestnut Hill Road Stafford Springs, CT 06076

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

Cash Posting , 10/2005 to 03/2009
Johnson Memorial Hospital – 201 Chestnut Hill Road Stafford Springs, CT 06076

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

Patient Accounting Customer Service Representative , 04/2004 to 10/2005
Johnson Memorial Hospital – 201 Chestnut Hill Road Stafford Springs, CT 06076

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

Education

Medical Billing and Coding Certificate, 2004
Sanford Brown Institute - Springfield, MA

Resume Overview

Companies Worked For:

Johnson Memorial Hospital

School Attended

Sanford Brown Institute

Job Titles Held:

Medicare and Medicaid Biller
Cash Posting
Patient Accounting Customer Service Representative

Degrees

Medical Billing and Coding Certificate , 2004

Medicare and Medicaid Biller Resume Example

Resume Score: 80%

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