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Pharmacy Billing Specialist Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Patient-focused. Trained in medical billing, coding and office management. Reliable multi-tasker with strong oral and organizational skills.

Skill Highlights

Maintains strict confidentiality


Knowledge of HMOs, Medicare and Medi-Caid


ICD-9 coding


CPT and HCPCS coding


HIPAA compliance


Strong work ethic


Excell, Word, Powerpoint


BriteTree


QS1


Medisoft


Citrix





Education and Training
Bartlett High School Anchorage, AK Expected in 1994 High School Diploma : - GPA :
Charter College Anchorage, AK Expected in 12/2012 Associates of Applied Science Degree : Health Information Technology Health Data Classi - GPA :
Affiliations

AAPC member- 3/13-present

Professional Experience
Guardian Pharmacy - Pharmacy Billing Specialist
Crestview, FL, 01/2013 - Current
  • Respond to inquiries from patients, physicians & insurance companies regarding covered charges, remittance advices and billing questions.
  • Work with insurance companies to optimize reimbursement by completing correct billing forms, & understanding reimbursement policies of each third party.
  • Prepare, review and send patient statements.
  • Identifies & resolves patient billing complaints.
  • Evaluate patient financial status and establish a budget payment plan.
  • Perform various collection actions including contacting patients by phone, & correcting and resubmitting claims to third party payers.
  • Maintain strict confidentiality; adhere to all HIPAA guidelines and mandates.
Direct Traffic Solutions - Customer Sales Representative
Boca Raton, FL, 05/2012 - 2013
  • Maintain patient confidentiality.
  • Call clients and initiate process for reoccurring monthly orders.
  • Receive inbound calls from clients and direct calls accordingly.
  • Arrange delivery method, date, and time for each order placed.
  • Update patient insurance information.
  • Update patient records.
  • Verify insurance coverage
Carteret Community College - Student Worker
Morehead City, NC, 01/2012 - 04/2012
  • Process loan payments received from students, & file transactions accordingly.
  • Update student Information.
  • Arrange appointments for students to meet with their financial aid officer.
  • Send out email notifications to students when requested.
  • Answer & direct phone calls.
Pegasus Aviation Services - Fight Operations Supervisor
City, STATE, 2009 - 07/2011
  • Oversaw and managed 10-20 personnel.
  • Resolved conflicts with both employees and customers.
  • Follow airport security & US Customs policies and procedures.
  • Monitor all International flight activity, updating as needed.
  • Pre-assign parking for each flight & notify ATC of any last minute changes.
  • Received via VHF call in range, block in & block out times from pilots of aircraft.
  • Send arrival, departure, or delay message via Sita.
  • Prepare flight plans, weather packets and jepson charts along with any pertinent weather information for each flight.
  • Perform manual and computerized weight and balance.
  • Prepared customs documents prior to flight arrival, and submitted to customs for approval.
Swissport - Flight Ops Lead/Flight Ops Supervisor
City, STATE, 2002 - 11/2008
  • Train operation personnel on new flight procedures and regulations.
  • Monitor parking for each flight.
  • Prepare each crew's pre-flight briefing packet.
  • Arrange catering, fuel & hotel accommodations, for flight crews.
  • Brief crews on local and destination weather conditions, and runway closures.
  • Ensure each flight plan is correctly filed and approved.

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83Good

Resume Strength

  • Length
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • Bartlett High School
  • Charter College
Job Titles Held:
  • Pharmacy Billing Specialist
  • Customer Sales Representative
  • Student Worker
  • Fight Operations Supervisor
  • Flight Ops Lead/Flight Ops Supervisor
Degrees
  • High School Diploma
  • Associates of Applied Science Degree