Livecareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Summary
My professional experience includes billing and cash posting for 10+ years. I am proficient in handling multiple tasks, and able to meet deadlines effectively. Since I have worked with different computer programs: GPMS, eSolutions, Claim Agent, AHT, DDE/FSS, Epic, Microsoft Office & Excel, I am capable of learning quickly and can work with others or independently. I am ready to utilize my customer service talents, as well as my many skill sets, to work with individuals and to serve a thriving community.
Highlights
  • Analytical reasoning
  • Account reconciliations
  • Cash handling
  • Detail-oriented
  • Accounts receivable professional
  • Complex problem solving
  • Strong communication skills
  • Deadline-driven
  • Skilled multi-tasker
  • Positive attitude
  • Self-starter
  • Creative
  • Strong organizational skills
  • Adaptive team player
  • Computer-savvy
  • Physician billing
  • Claims appeal procedures
  • Insurance processing
  • Filing and data archiving
  • HIPAA compliance
  • Medical billing
  • Excellent research skills
  • Microsoft Word, Excel, PowerPoint
  • Medical coding capability
Education
Graduate of Norwalk High School , Expected in 1995 : - GPA :
Experience
Guardian Elder Care - Medicare Billing Specialist
Indiana, PA, 01/2011 - 01/2016
  • Check resident's insurance eligibility, correct info & update if necessary.
  • Calculate day counts, provider adjustments, per diem rates, insurance percentages, etc.
  • Gather information to create & submit nearly 1,000 claims to a variety of insurance companies.
  • Enter a variety of data into the computer throughout the day.
  • Navigate several different programs and websites to research information.
  • Post cash receipts, EFT's as well as paper checks.
  • Create deposits for both desktop deposit scan or hand delivering paper checks to the bank.
  • Post insurance payments to patient accounts, log daily stats into excel spreadsheet.
  • Organize, file, copy, fax as well as scan if needed.
  • Process mail when necessary.
  • Reconcile accounts; take care of any & all outstanding balances to retrieve missing money.
  • Troubleshoot issues to make my work time more effective.
  • Verify that claims have processed, track claims that need adjusted.
  • Write appeals and/or reconsiderations when necessary.
  • Collect data from Office Managers of 18 facilities for skilled nursing services & therapies.
  • Visit facilities to educate office staff about the dynamics of insurance.
  • Attend Medicare trainings as well as view webinars for continuous education.
  • Assist in training new employees in learning the American Health Tech system.
  • Explain the rules & regulations of Medicare and other insurance policies to office managers and sometimes resident family members.
U.S. Physical Therapy - Payment Poster
Gahanna, OH, 01/2008 - 01/2011
  • Prep mail, organize into batches to post.
  • Print various insurance Explanations of Benefits.
  • Enter a variety of data into the computer throughout the day.
  • Post insurance payments to patient accounts as well as post charges to be paid.
  • Organize, balance, and file, batches to be scanned.
  • Run & calculate, and balance numbers continuously throughout the day.
  • Troubleshoot issues to make my work time more effective.
  • Log daily stats into excel spreadsheet.
  • Check patient's insurance eligibility, correct info & update if necessary.
California Rehabilitation & Sports Therapy - Patient Service Representative
City, State, 01/2002 - 01/2005
  • Checked patients in and out, entered or updated account info, scheduled appointments.
  • Posted medical charges to insurance, applied payments/co-payments to accounts.
  • Researched CPT and ICD-9 codes.
  • Ran reconciliation list at months end to assure all charges were posted.
  • Re-created encounter forms to be filled out by physicians for recon list.
  • Processed mail for physicians and clinic, wrote receipts for patients.
  • Prepared, pulled, and filed charts for patients, physicians, nurses, and billing specialist.
  • Ordered some supplies bi-weekly.
Skills
Balance, billing, research, posting cash receipts, navigate different programs, CPT, electronic funds transfer, 835, 837, fax, copy, scan, read forms, ICD-9 and ICD-10, insurance, excel, process mail, policies, spreadsheet, troubleshoot. 

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Resume Overview

School Attended

  • Graduate of Norwalk High School

Job Titles Held:

  • Medicare Billing Specialist
  • Payment Poster
  • Patient Service Representative

Degrees

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