Livecareer-Resume
Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Knowledgeable Senior Medical Biller/Fiscal Assistant specializing in Billing and Financial. Talented at correcting and resubmitting claims.

20-years of comprehensive experience in UM. Committed to maintaining 100% accuracy in processing invoices. Proficient in vendor management and Financial reconciliation. Proactive and self-motivated with high degree of professionalism and strong problem-solving capabilities.

Dedicated to performing on-time staff, vendors and supplier payments. Offering 20- years of functional experience in providing clerical, financial and administrative services in UM industry.

Skills
  • Medical coding knowledge
  • Payment posting/Processing
  • Accounts receivable management
  • Records Maintenance
  • Data Analysis
  • Patient account analysis
  • Sheet balancing
  • Financial statement analysis
  • Budgeting
  • Vendor invoice processing
  • Medical claims submission
  • Medicare and Medicaid process
  • Medical terminology expert
  • Accounting systems and controls
  • Regulatory filings
  • Financial Management
Work History
Senior Medical Biller/Senior Accounting Assistant, 12/1999 - Current
Panera Bread (Pr Management Corp) Webster, MA,
  • Analyzed medical records to satisfy insurance company mandates.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Collected payments and applied to patient accounts.
  • Used CMS and UHEALTH to input information into computerized patient record system.
  • Delivered timely and accurate charge submissions utilizing EPIC.
  • Verified proper ICD-10 coding on claims.
  • Reviewed outgoing bills for eligibility and accurateness.
  • Filed and updated patient information and medical records.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Researched and followed up on denied insurance claims.
  • Confirmed backup and proper storage of sensitive information in event of data breach or outage.
  • Managed billing calendar and scheduled claims for payments.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Posted payments and collections on regular basis.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Liaised between patients, insurance companies and billing office.
Youth Ministry Assistant, 06/1984 - 12/2018
Tabernacle De Dieu En Christ & Church Of Perfection City, STATE,
  • Set goals for youth in church and communicated with parents regarding progress, Receive training and support as determined in conversation with my pastor.
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
  • Planned and conducted worship services, worked with key church leaders to carry out church mission. Attend meeting for the purposes of the overall ministry of the church.
  • Facilitated community outreach programs, including guidance programs focused on helping middle school students prepare for college or vocational education opportunities, Serve as advisor to others as needed.
  • Raised congregational awareness of needs and contributions of youth to church life and operations.
Order Entry Processor/Returns Clerk, 08/1993 - 12/1998
Abc Distributing City, STATE,
  • Received and followed pick sheets to gather merchandise for customer orders.
  • Conducted research, gathered information from multiple sources and presented results.
  • Operated pallet jacks, forklifts and other equipment regularly.
  • Assisted customers by providing tracking information and resolving shipping or merchandise issues.
  • Double-checked customer orders and information before filling out order forms to prevent unnecessary delays and errors.
Shift Supervisor, 01/1986 - 04/1997
Kentucky Fried Chicken City, STATE,
  • Completed store opening and closing procedures, including setting up registers and checking products.
  • Established effective employee schedules and delegated tasks to take advantage of individual abilities and meet expected demands.
  • Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
  • Delegated tasks to others on grooming team.
Education
Associate of Arts: Nursing, Expected in 05/2006
-
Miami Dade College - Miami, FL
GPA:
Certificate: HealthCare Management, Expected in 05/2007
-
Univ Of Miami School Of Continuing Studies (Koubek - Miami, FL
GPA:
  • Continuing education in HealthCare Management
Certificate: Child Care, Expected in 03/1998
-
Nursing Unlimited - Miami, FL,
GPA:

30 Hours Child Care

No Degree: Business Administration And Management, Expected in
-
St Thomas University - Miami, FL,
GPA:
High School Diploma: , Expected in 06/1988
-
Miami Edison Senior High School - Miami, FL
GPA:

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Resume Overview

School Attended

  • Miami Dade College
  • Univ Of Miami School Of Continuing Studies (Koubek
  • Nursing Unlimited
  • St Thomas University
  • Miami Edison Senior High School

Job Titles Held:

  • Senior Medical Biller/Senior Accounting Assistant
  • Youth Ministry Assistant
  • Order Entry Processor/Returns Clerk
  • Shift Supervisor

Degrees

  • Associate of Arts
  • Certificate
  • Certificate
  • No Degree
  • High School Diploma

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