patient billing support specialist resume example with 18 years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • :
Professional Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Familiar with preparing and distributing customer statements, maintaining thorough and compliant records and resolving customer issues. Positive and upbeat when answering questions and offering information. First-rate oral and written, multitasking and decision-making abilities. Dedicated administrative professional skilled in handling multiple projects with high-pressure deadlines. Proficient with accounting systems and related computer software programs.

  • Charge Slips
  • Signature Verification
  • Financial Documentation
  • Records Management
  • Sales Tickets
  • Medical Terminology
  • Medical Transcription
  • Time Management
  • Reviewing Patient Information
  • Error Revision
  • Diagnostic Codes
  • Past Due Balance Management
  • Equipment Monitoring and Troubleshooting
  • Multitasking and Organization
  • Invoice Documentation Management
  • Insurance Claim Requirements
  • Itemized Statement Preparation
  • Customer Accounts Management
  • Categorizing and Classification
  • Professional Development
  • Critical Thinking
  • Account Posting
  • Check Inspection and Validation
  • Services Rendered Documentation
  • Patient Account Management
  • System Updates
  • HIPAA Compliance Certification
  • Legal Standards
  • Claim Processing
  • Customer Contact
  • Commercial and Private Insurance
  • Billing Data Verification
  • Information Updates
  • Information Confidentiality
  • Chart Auditing
  • Teamwork and Collaboration
  • Billing Systems
  • Fee and Charge Computation
  • Clerical Support
  • Patient Billing
  • Client Inquiries
  • Verbal and Written Communication
  • Accounts Payable and Accounts Receivable
  • Adding, Calculating and Billing Machines
  • Billing and Collections Procedures
  • Benefits Verifications
  • Electronic Claims
  • Revenue Operations
  • Workers' Compensation Knowledge
  • Training Classes
  • CMS-1500 Billing Forms
  • Payer Contracts
  • Obtaining Authorizations
  • Speaking Clearly
  • Regulatory Compliance
  • Medicare and Medicaid Knowledge
  • Physician Interaction
  • Electronic Health Record Software
  • Work Prioritization
  • Patient Collections
  • Claim Verifications
  • Spreadsheet Tracking
  • Billing Document Creation
  • 10-Key Data Entry
  • Inquiry Handling
  • Work Coordination
  • ICD-10
Work History
Patient Billing Support Specialist, 01/2022 to Current
Aetna Inc.Westerville, OH,
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Collected payments and applied to patient accounts.
  • Filed and updated patient information and medical records.
  • Posted payments and collections on regular basis.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Set up and maintained new electronic billing system.
  • Delivered timely and accurate charge submissions.
  • Adhered to established standards to safeguard patients' health information.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Liaised between patients, insurance companies and billing office.
  • Orchestrated medical coding, payment posting, accounts receivables and collections.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
EDI Specialist, 11/2019 to 01/2022
Capital VacationsPigeon Forge, TN,
  • Created and maintained EDI customer maps.
  • Transmitted records and files to customers efficiently to maintain operational timelines.
  • Tracked files from origin to destination and troubleshot errors.
  • Trained customer service personnel in strategies for supporting electronic data interchange activities.
  • Ran, reviewed and submitted daily reports using [Software].
  • Built and deepened positive and productive relationships with business partners.
  • Troubleshot incidents reported by end-users to schedule system changes and identify permanent solutions.
  • Analyzed existing systems and databases and recommended enhancements to solve business needs
  • Collaborated closely with upper management to drive strategy through development and implementation of new processes.
  • Communicated and explained business requirements to team members to understand and implement functional demands.
  • Applied knowledge of application components in conjunction with query tools to achieve business objectives.
  • Performed internal system acceptance to deliver well-tested enhancements and meet business requirements.
  • Developed flowcharts and diagrams to describe and lay out logical operational steps.
  • Enhanced project management skills by defining and presenting system solutions and timelines for business needs or technical problems.
  • Oversaw document development across project workstreams to create internal control statements per compliance and regulatory standards.
  • Offered input for complex documents to support client-ready final versions.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Carried out day-day-day duties accurately and efficiently.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Worked flexible hours; night, weekend, and holiday shifts.
Front Office Billing Manager, 01/2018 to 11/2019
Webedoctor INCCity, STATE,
  • Reviewed billing problems, researched issues and resolved concerns.
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Worked with customers to develop payment plans and bring accounts current.
  • Created new standard operating procedures improving billing accuracy and cash flow.
  • Conducted performance reviews and implemented improvement plans.
  • Worked cross-functionally with customer service, inventory, and finance teams for conflict resolution.
  • Performed billing, collection and reporting functions for office generating over $10,000 annually.
  • Performed testing for billing modules, enhancing new functionality and process improvements.
  • Complied with established internal controls and policies.
  • Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
  • Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
  • Performed banking, business administration and financial tasks to guarantee five-star service for clients.
  • Prepared internal and regulatory financial reports, balance sheets and income statements.
  • Developed strategic plans for day-to-day financial operations.
  • Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
  • Identified improvement changes regarding key processes for internal controls and accounting procedures.
  • Supported Billers with special projects and additional job duties.
  • Validated existing accounting management and reporting systems to assess quality and conformance, identify problems and implement corrective actions.
  • Established and checked coding procedures, monitored reports and updated internal files.
  • Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
  • Kept up-to-date and accurate funding accounts for internal departments, key programs and special projects.
Housekeeping Supervisor, 05/1999 to 02/2013
North Shore Inn At Lake MeadCity, STATE,
  • Communicated repair needs to maintenance staff.
  • Worked with front desk to respond promptly to all guest requests.
  • Trained and mentored all new personnel to maximize quality of service and performance.
  • Assigned housekeeping staff to specific shifts and room blocks based on abilities and daily requirements.
  • Placed orders for housekeeping supplies and guest toiletries.
  • Adhered to safety protocols by enforcing proper equipment usage.
  • Increased employee performance through effective supervision and training.
  • Completed schedules, shift reports and other business documentation.
  • Evaluated employee performance and developed improvement plans.
  • Drove improvements to workflow and room turnover with hands-on, proactive management style.
  • Implemented new cleaning processes and team strategies to reduce necessary man-hours
  • Directed team of 11 personnel in busy hotel with 49 rooms.
  • Maintained controls over expenses and inventory for optimal budget tracking.
  • Improved process efficiency through effective inventory control in alignment with client standards.
  • Created and implemented training programs to enhance employee performance.
  • Introduced new operational programs like incentives to increase company loyalty and reduce employee turnover.
  • Surpassed sales goals by improving service delivery.
  • Reduced financial discrepancies through accurate management of payroll and bookkeeping processes.
  • Restocked room supplies such as facial tissues for personal touch with every job.
  • Disposed of trash and recyclables each day to avoid waste buildup.
  • Managed laundry sorting, washing, drying and ironing.
  • Kept building entryway glass clean and polished for professional presentation.
  • Completed laundry services with special attention to care instructions for hand-washing and dry cleaning.
  • Managed household staff while parents were away.
Certifications: Medical Administration And Billing And Coding, Expected in 04/2018 to National Healthcareer Association - Remote,
High School Diploma: , Expected in 08/2017 to Temple City Adult School - Temple City, CA

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Resume Overview

School Attended

  • National Healthcareer Association
  • Temple City Adult School

Job Titles Held:

  • Patient Billing Support Specialist
  • EDI Specialist
  • Front Office Billing Manager
  • Housekeeping Supervisor


  • Certifications
  • High School Diploma

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