reimbursement specialist resume example with 4+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • :
Professional Summary

Objective To obtain full or part time employment in the Medical records field. To maintain patient demographics and maintain HIPAA guidelines. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility. Customer service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts. Expertise includes verifying insurance coverage, records with schedule maintenance.

Qualifications: Computer experience, customer service, bill posting, A/R. Experienced electronic biller, poster, reception, office duties, Maintenance of patient records/demographics, data entry and support reception.

Medical billing Consultant 2005 - 2006 Private Sector


Skill Highlights
  • Maintains strict confidentiality
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • HIPAA compliance
  • Technical expertise
  • Strong work ethic
  • Team player with positive attitude
  • Good written communication
  • Exercises good judgment

Professional Experience
Reimbursement Specialist, 1990 to 02/1994
Change Healthcare Inc.Richmond, VA,

Thoroughly investigated past due invoices and minimized number of unpaid accounts.Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Strictly followed all federal and state guidelines for release of information.Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.Accurately entered procedure codes, diagnosis codes and patient information into billing software.Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Received, organized and maintained all coding and reimbursement periodicals and updates.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Confirmed patient information, Posted charges, payments and adjustments.Efficiently performed insurance verification and pre-certification and pre-authorization functions.and verified insurance.

Education and Training
Associates Degree: Health Information Technology, Expected in 2012 to Davenport University - Kalamazoo, MI

Coursework in Health Information Administration and Technology

Certificate: Medical billing/coding, Expected in 2004 to Olympia Training Institute - Kalamazoo, MI
Additional Information
  • Extracurricular Activities: 2010: Administrative volunteer at Pine Rest mental health facility, filing, phones, general administrative duties.

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Resume Overview

School Attended

  • Davenport University
  • Olympia Training Institute

Job Titles Held:

  • Reimbursement Specialist


  • Associates Degree
  • Certificate

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