Upfront Review Clerk Resume Example Company Name

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

Resume Overview

School Attended

Wright Career College

Job Titles Held:

Upfront Review Clerk
Director of Communications

Degrees

Diploma : Medical Transcription, Medical Billing and Coding

Upfront Review Clerk Resume Example

Resume Score: 55%

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