Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
Professional Summary

Organized medical office administrator trained in scheduling, patient medical records updating and insurance processes. Reliably completes accurate work and goes above and beyond to meet daily demands. Brings good computer skills and thrives under pressure. Focused medical office administrator well-versed in medical terminology, coding and compliance procedures. Proficient at answering requests quickly and delivering exceptional results. Experienced medical biller offering over 15 years of healthcare experience. Highly accurate and efficient with strong time management skills and reliable, hardworking nature. Dedicated medical biller professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Medical Biller with over 15 years of successful experience in medical billing and coding. Recognized consistently for performance excellence and contributions to success in healthcare industry. Strengths in claims submissions and collection backed by training in medical billing and healthcare office administration.

  • Trained in office administration with emphasis on medical office technology
  • Work well in busy professional settings handling a wide range of responsibilities
  • Highly self-motivated and a dependable worker who can get the job done
  • Work well with the public and with all level of staff and management
  • Computer Software: Windows 95 and above; Microsoft Word, Excel, Access, PowerPoint, Star, HPF, Search America, Express Bill, AS400, DDE, CCSM, Trailblazer, SSI, FSS, Medicaid system, Vantive, Medtron and Emdeon, Medisoft experience.
  • Office Equipment Operation: Copiers, Fax Machine, printers, scanner, calculators, multi-line phone systems
  • Records Management: Set up and maintain numerical and alphabetical filing systems
  • Communications: Excellent telephone etiquette; excellent customer relations
  • Other Skills: Handling money accurately; scheduling; problem-solving; type 65 wpm
  • Knowledge of medical records confidentiality, filing, retrieving, indexing, numbering, storage and content
  • Working medical terminology knowledge based on body systems
  • Knowledge of the health care delivery system including safety, security, and infection control procedures
  • Knowledge of CPT, HCPCS, ICD-9 and ICD-10 codes and medical billing UB04, 1500
  • Patient Medical Records Maintenance
  • Information Sourcing
  • Treatment Documentation
  • Time Management
  • Clerical Functions
  • Verbal and Written Communication
  • Interpersonal Communication
  • Appointment Scheduling
  • Data Entry
  • Attention to Detail
  • DRGs Patient Assignments
  • Word Processing Software
  • Insurance Billing
  • Medical History Recording
  • Medical Billing Processing
  • Epic Systems
  • Problem Solving
  • Office Health Records Preparation
  • Government Forms
  • Paperwork Processing
  • ICD-9 Coding
  • Coding Error Resolution
  • Medical Information Computerization
  • Workers' Compensation Forms
  • Patient Information Verification
  • Microsoft Excel
  • Medical Terminology
  • Records Review
  • Hospital Inpatient and Outpatient Records
  • Doctor Communication
  • Patient Rights
  • Charting and Clinical Documentation
  • Discharge Documentation
  • Protected Health Information
  • Electronic Filing System Organization
  • Patient Admission Documents Processing
  • EMR Systems
  • Patient Admission
  • Demographics Information
  • Inventory Coordination
  • Electronic Health Record Applications
  • Records Scanning
  • Physicians Orders
  • Past Due Account Management
  • Patient Health Information Access
  • Compliance Verification
  • ICD-10 Coding
  • Records Accuracy
Work History
Medicare/Medicaid Biller II/Collector/Analyst, 03/2009 to 09/2019
Northside Hospital AtlantaCity, STATE,
  • Primary function is to submit claims via SSI and Trailblazer
  • Follow-up on claims via FSS and CCSM
  • Monitor cash intake
  • Generate reports for management
  • Review accounts prior to submitting to the audit or coding department for additional follow-up
  • Work Medicare/Medicaid open series report, work daily Medicare/Medicare 72 hour rule report, work daily Medicare/Medicaid Discharge and Therapy report
  • Verify Medicare
  • Submit necessary information to insurance company in order for claims to be paid in a timely manner
  • Follow-up on status of claims
  • Prepare report for management documenting status of hold claims etc.
  • Assist patients via telephone with questions and concerns pertaining to their medical expenses
  • Work assigned referrals daily
  • Follow-up with patients
  • Work hand in hand with attorneys, medical facilities such as: ambulance service, doctors facilities etc.
  • Resolve patient issues
  • Read and interpret EOB’s from insurance companies
  • Work with insurance companies to resolve delay in payments
  • Handle credit card and check transactions
  • Handle patients correspondence, forward mail to patients, attorneys, and insurance companies in reference to requested documentation etc
  • Prepared and processed forms for government healthcare programs.
  • Kept accurate log of all requests for medical information and records.
  • Communicated effectively with staff, patients and insurance companies by email and telephone.
  • Used correct diagnosis-related groups based on patient encounter details.
  • Input data into computer programs and filing systems
  • Posted billings to medical insurance providers.
  • Maintained accuracy, completeness and security for medical records and health information.
DME Customer Service Representative, 07/2007 to 10/2008
LincareCity, STATE,
  • Primary function is to input order for DME equipment accurately into system
  • Verify patients insurance
  • Gather prior authorization if needed
  • Collect patient's responsibility
  • Manage patient's chart
  • Code patient's chart
  • Work hand in hand with physician’s offices to insure the certificate of medical necessity is signed in a timely manner
  • Offer customer service to patients via telephone as well as in person
  • Work held sales (unbilled insurance claims)
  • Work weekly reports, billing, batch necessary information to the corporate office
  • Dispatch deliveries to drivers, work Accounts Receivable Report etc.
  • Provided primary customer support to internal and external customers.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
  • Answered constant flow of customer calls with minimal wait times.
Patient Registrar/Trainer, 09/2004 to 03/2007
North Okaloosa Medical CenterCity, STATE,
  • Facilitated timely check-in by greeting visitors and establishing purpose of visits.
  • Coordinated with nursing staff to process and direct patients to appropriate departments
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
  • Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
  • Accurately inputted all patient and insurance information into company's computer system using AS400.
  • Collected and processed co-payments and out-of-pocket charges
  • Interpreted physician's orders accurately to input correct testing information and verify admissions criteria.
  • Distributed informational materials, necessary forms and hospital procedures to patients.
  • Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits.
  • Arranged transfers from outside facilities by communicating effectively with facility representatives, physicians and nursing staff.
  • Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations.
  • Took reservations from physicians and office staff to coordinate bed placements for scheduled and unscheduled patients.
  • Imaged and scanned patient and registration documentation into electronic patient record via [System].
  • Balance register
  • Order inventory
  • Trained employees
  • Batch necessary information to medical records and other departments

Team Lead/Customer Service Representative, 07/2002 to 08/2004
National Electronic WarrantyCity, STATE,
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Provided primary customer support to internal and external customers.
  • Handled day-to-day customer contact via phones, faxes and emails.
  • Took payment information and other pertinent information such as addresses and phone numbers to place orders.
  • Resolved product or service problems by clarifying customer's complaint, determining cause of problem and selecting best solution to solve problem.
  • Exhibited high energy and professionalism when dealing with all levels of clients and staff.
  • Cross-trained and provided back up for customer service managers.
  • Managed timely and effective replacement of damaged or missing products.
  • Trained staff on operating procedures and company services.
  • Implemented and developed customer service training processes.
  • Analyze and grade monitored calls
  • Dispatched service calls to technicians
Certificate: Health Information Technology, Expected in 09/2013
Santa Fe College - Gainesville, FL
  • Continuing education in Health IT workforce training accelerated Information Technology Practice Workflow & Information Management Redesign Specialist
Bachelor of Science: Healthcare Management, Expected in 02/2012
Kaplan University - Fort Lauderdale, FL,
Associate of Applied Science: Medical Office Administration, Expected in 05/2008
University of Northwest Florida - Niceville,
  • Professional development completed in medical billing and coding
Certficate: Medical Office Management, Expected in 05/2008
University of Northwest Florida - Niceville, FL,
Certificate: Office Management, Expected in 05/2008
University of Northwest Florida - Niceville, FL,
Certificate: Medical Billing And Coding Certificate, Expected in 08/2006
University of Northwest Florida - Nice,
Additional Information

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School Attended

  • Santa Fe College
  • Kaplan University
  • University of Northwest Florida
  • University of Northwest Florida
  • University of Northwest Florida
  • University of Northwest Florida

Job Titles Held:

  • Medicare/Medicaid Biller II/Collector/Analyst
  • DME Customer Service Representative
  • Patient Registrar/Trainer
  • Team Lead/Customer Service Representative


  • Certificate
  • Bachelor of Science
  • Associate of Applied Science
  • Certficate
  • Certificate
  • Certificate

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