Payment Specialist Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Professional Summary
Seeking a rewarding and challenging medical billing position that will utilize my education and skills. Authorized to work in the US for any employer
Obtained Certified Medical Administrative Assistant (CMAA) and Certified Billing & Coding Specialist (CBCS) certifications.
Skill Highlights
  • Medical billing (10+ years),
  • Basic Accounting (5 years)
  • Four years experience of Analyst work with credit, contract and no pay accounts
  • Three years as a supervisor of soft lines for a major retail outlet store.
  • Deadline-driven
  • Very detailed oriented 
  • QuickBooks
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Extensive anatomy/physiology knowledge
  • ICD-9 coding
  • CPT and HCPCS coding
  • HIPAA compliance
  • Strong planning skills
  • Team player with positive attitude
  • Strong work ethic
Professional Experience
07/2015 to Current
Payment Specialist Billgo Redmond, WA,
  • Posted charges, payments and adjustments.
  • Responsible for posting of all patient, insurance payments information, data entry, and processing paperwork.
  • Review all zero dollars, denials and underpaid amounts that fall outside clients' collection policy Makes line item adjustments, as directed, for all zero pays and denials.
  • Identify accounts that need to be refunded.
  • Ensure correct payment processing Run and analyze balancing report to ensure accurate posting Completes all tasks received via the gMed dashboard, daily Abide with HIPAA and PHI guidelines at all times.
05/2012 to 07/2015
AP/AR Specialist Crane Co. Danbury, CT,
  •  Provided administrative support to executives and higher management.
  • Installed, implemented and trained others on QuickBooks.
  • Managed accounts receivable.
  • Completed daily invoicing, monthly statements and collections.
  • Managed customer accounts.
  • Responded to and resolved customer issues and complaints.
  • Identified and implemented enhancements to customer service, communications, and mediation processes to improve
02/2010 to 06/2012
Payment Research Clerk Lockbox & EFT Mfa Oil Trenton, MO,
  • Accurately identified all incoming payments, denials, and Electronic/Lockbox receipts by reviewing all provider information and research tools available.
  • Determined and perform all actions needed to resolve unidentified payments/denials including calling the Independent Clinics and insurance companies as needed.
  • Reversing any adjustments needed and moving payments and/or adjustments to other line items as needed.
  • Filled out proper paperwork, build or maintain excel spreadsheets and make necessary copies of documentation needed to keep on file and to send to the independent Clinics.
  • Forward information daily to the Independent Clinics, NMG Posting Department, Staff Accountant and Corporate Finance.
  • Was head of special projects to resolve any and all unallocated payments.
  • Working with IT on testing and improving new programs.
  • Ordered necessary supplies for my department when needed to keep the work process running smoothly.
  • Working closely with Independent Clinics to located there missing Lockbox and EFT payments.
  • Medical billing.
07/2006 to 03/2009
Medical Billing Healthcare Resource Association City, STATE,
  • Completed HRA training on Self Pay Accounts.
  • Advised Patient/Guarantors of account balances and obtained correct Insurance information.
  • Additionally answered any questions Guarantors postulated.
  • Fulfilled responsibilities with Insurance Followups.
  • Called Insurance Companies for claim status.
  • Dispatched letters to patients for correct insurance information.
  • Sent Appeals to Insurance companies, etc.
  • Credit Analyst.
  • Refunding Insurance/Patient due to overpayments.
  • Moving money to correct Charge.
  • Applying Adjustments per EOB, etc.
09/2004 to 10/2005
Assistant Manager KB Toys City, STATE,
  • Worked diligently as a Sales Associate beginning in September 2004 and was promoted to Assistant Manager in March 2005.
  • Promoted cleanliness in the workplace by making sure shelves were restocked, as well as clean and organized.
  • Gave high quality customer service working the cash register, on the sales floor, and when answering phones.
  • Quickly adapted to change when having to reset the store lay out in accordance with promotional sales and sales fliers.
  • Balanced Cash Office funds, filled out office paperwork, and deposited store profits.
09/2002 to 09/2004
Jewelry Specialist Target Corporation City, STATE,
  • Worked as a Level one Sales Associate from September 2002 until promoted to a Level two Jewelry Specialist in January 2003.
  • Provided superior guest assistance and customer service within Target Corporation Standards.
  • Managed Sales floor Associates.
  • Completed marketing analysis forms and sent in reorder request forms to remit stock.
  • Trained coworkers to assist guests and to prepare neat and orderly assigned areas in accordance with Target's expectations and cash policies.
Education and Training
Expected in 2015
CPC: Healthcare Information Management Program
New System School - Charlotte, NC
CAC in Ambulance Coding National Ambulance Healthcare Information Management Program
Expected in December 2005
- ,
Expected in
Retail Sales Leadership Program High School:
- ,
  • Medical Office Administration.
  • Anatomy.
  • CPT Coding.
  • HCPCS Coding.
  • Medical Terminology ICD9.
  • ICD9.
  • Excel.
  • Word Perfect.
a Level, Basic Accounting, Accountant, Administrative Assistant, Ambulance, Analyst, Assistant Manager, attorney, Billing, cash register, Corporate Finance, Credit, clients, customer service, data entry, documentation, forms, funds, Insurance, Leadership, letters, marketing analysis, Medical billing, excel spreadsheets, money, Office, neat, payment processing, policies, Coding, quality, research, retail, Retail Sales, Sales, supervisor, answering phones

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Resume Strength

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Resume Overview

School Attended
  • New System School
Job Titles Held:
  • Payment Specialist
  • AP/AR Specialist
  • Payment Research Clerk Lockbox & EFT
  • Medical Billing
  • Assistant Manager
  • Jewelry Specialist
  • CPC
  • Diploma
  • Retail Sales Leadership Program High School

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