Analytical Medical Biller successful at resolving disputes and billing inquiries. Detail-oriented individual with 14 years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with [Number] years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Results driven Medical Biller with over [Number] years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Skills
Financial Documentation
Adding, Calculating and Billing Machines
File Management
Decision Making
Spreadsheet Tracking
Charges and Rates Documentation
Word Processing
Microsoft Office
Work Coordination
Cost Reporting
Deadline Adherence
Data Analysis
Job Billing
Appointment Scheduling
Handling Complaints
Staff Scheduling
Time Management
Multitasking and Organization
Customer Service
Account Reconciliation
Accounts Payable and Receivable
Diligent Follow Through
Honesty and Integrity
Multitasking and Prioritization
Documentation and Recordkeeping
Attention to Detail
Customer Service Management (Variety Wholesalers-1997 to 2000) Title: Layaway Manager and then Office and Costumer Service Manager)
Friendly and Relatable
Phone and Email Etiquette
Education and Training
Randolph Henry High SchoolCharlotte Court House, Expected in 06/1986 ā āHigh School Diploma: - GPA:
Ashford UniversitySan Diego, CAExpected in ā ā:HealthCare Administration - GPA:
Experience
Cargill, Inc. - MOA II Tacoma, WA, 12/2014 - 06/2017
Check In and Check Out patients
Scheduling for Two Clinics
Enter Charges and Billing Information
Contacted insurance providers to verify insurance information and obtain billing authorization.
Investigated and resolved issues to maintain billing accuracy.
Coding for in office and outpatient procedures
Obtain and submit Authorizations
Follow Up on Denied Claims
Process/Follow Up on Appeals
Post Payments to accounts
Daily Cash Count
Scan/Answer Phones/Faxes
Boys Town - Billing Coordinator North Platte, NE, 12/2014 - 06/2016
Provided Daily Oasis Audit and Claims Held Reports
Downloaded Acknowledgments and Remittance
Posted Payments to accounts
Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Worked with team members and leadership to identify and develop process improvements.
Lowe's Companies, Inc. - Business Office Specialist Hendersonville, NC, 09/2012 - 12/2014
Responsibilities Scheduler=maintain the ongoing scheduling of patient visits for all assigned field staff (6 nurses, 3 PT's, 1-PTA, 1-OT, 2-ST and 2 prn staff) as well as communication updates, changes, missed visits, functional assessments and new admissions to ensure continuity of patient care services
Schedule visits based on patient's needs, location and staff experience
Adjust Schedule accordingly
Enter all physician orders into computer system as well as fax and mail daily to physician for signatures
Input billing data per visit to ensure accurate and timely billing and payroll accuracy
Maintain staff activity logs and daily reports (missed visit and POC reports)
Answer phone and direct calls to appropriate team members
Filing of medical records, physician orders, lab reports, progress and clinical notes etc
Complete OASIS tracking and Greet visitors
Complete reports for Business Office Manager when out of office
Put together our office packets/folders
Centra Cardiovascular Group/Physician Revenue Cycle Services - Claims Processor City, STATE, 06/2008 - 08/2012
Claims Processor for (office, hospital, testing), ICD-9 knowledge
Processed claims and printed daily reports for numerous Physicians to keep track of their individual claims progress.
Viewed and prepared documentation for claims audits
Worked denied claims for resubmission of payment
Obtained Authorizations for office and outpatient procedures.
Answered Billing questions for patients in office or by phone
Collections
Processed Financial Applications and assisted patients with the process
Helped with Patient Assistance Programs for patient's to receive discounted or free medicine
Processed Office deposits and payments
Attended office/staff meetings via phone or travel
Ordered Physicians lunch's daily and maintained non-office supplies.
Accomplishments
Increased my knowledge of claims processing through daily experience as well as being able to attend classes/conferences for ICD-9 updates and changes
Able to contribute input of coding that at times increased revenue
Team player/leader for the office
Truly enjoyed the coding and billing process
Customer Service Associate/Sales/Office Manager
Variety Wholesalers - Farmville, VA 1997 to 2000
Responsibilities
Last Full-time Position Held within Store: Office Manager: Prepared
Daily Deposit, Made Deposits, Counted Safe and register bags, daily logs, data entry
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