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Workers Compensation Coordinator Biller Resume Example

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JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Professional Summary
Medical Administrative Assistant adept at verifying insurance coverage, reviewing records, scheduling appointments and medical billing.  Previously supported up to [five] physicians in a busy medical office setting. Organized Medical Records Clerk with the ability to readily adapt to changing environments and demands.
Skills
  • Excellent problem solver
  • Adept multi-tasker
  • Excellent verbal communication
  • Excellent Time management
  • Research and data analysis
  • Office support (phones, faxing, filing)
  • Microsoft Office
  • Lytec Medical
  • EMR
  • Billing Professional
Work History
05/2005 to 05/2015 Workers Compensation Coordinator/Biller C&S Family Of Companies | Baltimore, MD,
    • Successfully handled 100% of the workers compensation billing
      • Resolved conflicts with patients, adjusters, nurse case managers and staff
        • Successfully dealt with insurance carriers and adjusters in obtaining the payment status and authorization.
          • Promptly followed up with insurance carriers  on denials, and submitted claims
            • Contributed to companies success by bringing in 100% of revenue for workers compensation accounts
            • Precisely completed appropriate claims paperwork, documentation and system entry
            • Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
            • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
            • Pre-certified medical and radiology procedures, surgeries and echocardiograms.
          • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
        • Maintained strict patient and physician confidentiality.
      • Accurately posted and sent out all medical claims.
    • Submitted electronic/paper claims documentation for timely filing.
  • Identified and resolved patient billing and payment issues.





07/1997 to 05/2015 Front Desk Check Out/ Referral Coordinator North Dekalb Orthopedics | City, STATE,


    • Increased office productivity by obtaining referrals from primary care providers and authorizations from insurance carriers. 
      • Verified medical insurance coverage
        • Enter charges into the system
          • Received and posted patient payments
          • Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
          • Precisely evaluated and verified benefits and eligibility.
          • Verified patients’ eligibility and claims status with insurance agencies.
          • Verified patients’ eligibility and claims status with insurance agencies.
          • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
          • Verified patients’ eligibility and claims status with insurance agencies.
          • Diligently filed and followed up on third party claims.
          • Coordinated luncheons with Pharmaceutical Representatives.
          • Researched questions and concerns from providers and provided detailed responses.
          • Maintained strict patient and physician confidentiality.
          • Precisely evaluated and verified benefits and eligibility.
        • Posted and adjusted payments from insurance companies.
      • Identified and resolved patient billing and payment issues.
    • Updated patient financial information to guarantee accuracy.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.



06/1992 to 03/1996 Auditor Rich's Service Center | City, STATE,
  • Promoted to Quality Control Office
      • Assisted management staff in annual year-end processes and data audits.
      • Communicated audit results to upper management through written reports and oral presentations.
      • Communicated audit results to upper management through written reports and oral presentations.
      • Responded to internal and external requests for information.
      • Tracked incoming and outgoing files and materials.
      • Maintained physical and computer-based filing systems.
    • Followed-up with staff and customers regarding missing or needed information.
  • Trained junior staff on department procedures.




Education
Expected in 1994-1995 Associate of Arts | Dekalb College, Clarkson, Ga GPA:
Expected in 1994-1995 Associate of Arts | Dekalb College, Clarkston, Ga GPA:
Additional Information
Member of AAPC(American Academy Of Professional Coders)

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Resume Strength

  • Length
  • Personalization
  • Target Job

Resume Overview

School Attended
  • Dekalb College
  • Dekalb College
Job Titles Held:
  • Workers Compensation Coordinator/Biller
  • Front Desk Check Out/ Referral Coordinator
  • Auditor
Degrees
  • Associate of Arts
  • Associate of Arts