Physician Billing Specialist Resume Example
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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary
Organized Medical Biller boasts 25-year career performing difficult multitasking and claims-processing tasks. Works quickly and efficiently with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Skills
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Experience
07/2020 to Current Physician Billing Specialist Children's Hospital Boston | Boston, MA,
- Reviewed medical records to meet insurance company requirements.
- Assessed medical codes on patient records for accuracy.
- Filed and submitted insurance claims.
- Completed and submitted appeals.
- Used Athena system to manage provider schedules.
- Assigned Physician Quality Reporting System (PQRS) codes appropriately.
- Utilized electronic charge capture systems to consolidate and streamline billing processes.
- Added modifiers, coded narrative diagnosis and verified diagnoses.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
- Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
- Reviewed all claims for accurateness and appropriateness.
- Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
- Effectively coordinated all communications between patients, billing personnel and insurance carriers.
07/2012 to 07/2020 Office Coordinator Ashford University | Chandler, AZ,
- Organized workloads to streamline tasks and efficiently oversee day-to-day operations under tight deadlines.
- Balanced and updated computer accounting records and physical petty cash, including receipt documentation and expense tracking.
- Documented daily office activities in report logs for senior management review, smoothly implementing suggested operational changes to eliminate process gaps.
- Guided team members to minimize delays and maintain high-quality daily production.
- Supported internal team members with technical knowledge, operational support and exemplary customer service.
- Developed and implemented customer relations strategies, opening up communication to increase satisfaction scores.
- Adhered to data confidentiality practices, coordinated meetings and maintained heavy daily call volumes by leveraging strong multitasking and task prioritization skills.
- Input accurate account data to efficiently update company database and maintain detailed records.
- Instructed new hires on administrative procedures and company policies, closely checking work to verify performance.
- Backed up human resources department in handling benefits paperwork, employee incident reports and data entry to maximize team productivity.
- Collaborated closely with the Director of Operations to effectively smooth and improve office operations.
- Managed incoming and outgoing correspondence and packages to support smooth daily operations.
- Supported office needs including taking messages, scanning documents and routing business correspondence.
- Cultivated client loyalty and consistent referrals by proficiently managing customer relationships.
- Assigned projects to administrative staff, boosting office productivity and streamlining processes.
- Supervised medical office with 8 employees, consistently cultivating productive and positive work atmosphere.
- Developed long-term budgets covering office supplies and equipment maintenance to meet organizational demand.
- Collaborated closely with Director of Operations to effectively smooth and improve office operations.
- Collaborated closely with Director of Operations to effectively smooth and improve office operations.
07/2007 to 07/2012 Medical Billing Coordinator New York Institute Of Technology | Jonesboro, AR,
- Expertly assigned charges and payments for medical procedures.
- Assessed medical codes on patient records for accuracy.
- Reviewed medical records to meet insurance company requirements.
- Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
- Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
- Reviewed all claims for accurateness and appropriateness.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Managed benefit contract pricing, processing, policies and procedures.
- Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
- Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Added modifiers, coded narrative diagnosis and verified diagnoses.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Effectively coordinated all communications between patients, billing personnel and insurance carriers.
- Performed routine quality assurance audits to promote data integrity.
- Verified final claim submissions by comparing account charges with documentation.
- Documented and filed patient data and medical records.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Researched and rectified account discrepancies.
- Utilized electronic charge capture systems to consolidate and streamline billing processes.
- Completed and submitted appeals.
- Performed with precision by entering data accurately and researching to resolve questions.
- Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
- Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
- Filed and submitted insurance claims.
Education and Training
Expected in 06/1993 High School Diploma | Chesapeake Senior High, Baltimore, MD,
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Resume Overview
School Attended
- Chesapeake Senior High
Job Titles Held:
- Physician Billing Specialist
- Office Coordinator
- Medical Billing Coordinator
Degrees
- High School Diploma