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Upfront Review Clerk Resume Example

Resume Score: 55%

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UPFRONT REVIEW CLERK
Professional Summary
Organized upfront review clerk with experience in maintaining accurate patient billing information. Experienced with researching denied claims and appeals.
Skills
  • Accurate and detailed
  • Maintains confidentiality
  • Independent worker
  • Patient charting
  • Works well under pressure
  • Medical terminology
  • Flexible
  • Dedicated team player
  • Insurance eligibility
  • Professional and mature
Work History
08/2007 to 04/2014
Upfront Review ClerkCompany Name – City
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Identified and resolved patient billing and payment issues.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Updated patient financial information to guarantee accuracy.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Maintained strict patient and physician confidentiality.
  • Responded to correspondence from insurance companies.
  • Submitted electronic/paper claims documentation for timely filing.
  • Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Precisely evaluated and verified benefits and eligibility.
  • Reviewed patient charts and prescriptions to verify eligibility for equipment services provided.
  • Conducted training in office when new procedures and policies were implemented.

06/2003 to 02/2004
Director of CommunicationsCompany Name – City, State
  • Adeptly managed a multi-line phone system and pleasantly greeted all customers.
  • Dispatched maintenance to repair malfunctioning machines.​
  • Entered numerical data into databases in a timely and accurate manner.
  • Coordinated deliveries and processed changes in warehouse stock.
  • Processed weekly timesheets to ensure accurate and timely payroll.

Education
2007
Diploma: Medical Transcription, Medical Billing and Coding
Wright Career College - City, State
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

School Attended

  • Wright Career College

Job Titles Held:

  • Upfront Review Clerk
  • Director of Communications

Degrees

  • Diploma : Medical Transcription, Medical Billing and Coding

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