Medical Billing Resume Sample
Emile Treutel
5736 Lewis Viaduct,
San Francisco,
CA
+1 (555) 584 2475
Work Experience
Medical Billing Team Lead
11/2015
-
PRESENT
Boston, MA
- Communicate effectively with the Surgery Center staff, physicians and theirstaff, patients, and their families
- Able to handle frequent interruptions and prioritize
- Have a thorough knowledge of all the center's insurance contracts and reimbursement rates and practices
- Verify patient charts with OR Schedule from previous day. Investigate differences andcorrect them in the computer to reflect actual count
- Verify patient's insurance carrier information from the insurance card to the information in Registration. Make corrections as necessary
- Enter actual procedures performed in Case History and delete any procedures that were not performed
- Calculate the correct write-off amount for ungrouped, second, third, (etc.) procedures. Verify batch totals and pass on to the Business Office Manager for review
- Bill insurance companies daily. Review bills for accurateness and thoroughness
Medical Billing
03/2013
-
10/2015
New York, NY
- Field telephone calls from patients regarding bills andinsurance companies requesting information
- Treat patients and insurance company personnel with respect and politeness
- Enter comments in computer whenever a conversation is held about a patient's account
- Protect patient's confidentiality by not disclosing patient information unless written releaseis provided by patient
- Make photocopies of all checks received and reconcile them to the daily cash receipts report
- Prepare bank deposit slip and reconcile it to the daily cash receipts report
- Put charts in proper post-op order
- File chart paperwork into patient charts
Medical Billing Intern
04/2007
-
11/2012
Phoenix, AZ
- Use electronic billing whenever possible
- Verify successful submission of electronic billing and maintain file of insurance company's confirmation reports
- Enter comments in computer for claims "In Review" or"Rejected."
- Bill secondary insurance after primary payment is made
- Billpatient after primary payment is made and a patient portion is indicated
- Work on continuous insurance problems and correspondence
- Pursue collection of delinquent accounts
- Print, analyze and mailmonthly patient statements at the end of each month
Education
Indiana Wesleyan University - Kokomo Campus
2001 - 2006
School's Degree in Computer
Professional Skills
- Excellent verbal and written skills and computer skills
- Multi-tasking and prioritizing skills with the ability to meet deadlines
- Excellent interpersonal and communication skills to positively interact with a variety of personnel, in a fast paced environment
- Strong customer service skills; prompt return and follow up to all interactions; prompt response to requests for information
- +Excellent computer skills
- Excellent computer skills with knowledge of Microsoft Word and Excel
- Strong communication and interpersonal skills both verbal and written
How to write Medical Billing Resume
Medical Billing role is responsible for customer, computer, insurance, interpersonal, software, research, training, microsoft, excel, typing.
To write great resume for medical billing job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Medical Billing Resume
The section contact information is important in your medical billing resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Medical Billing Resume
The section work experience is an essential part of your medical billing resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous medical billing responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular medical billing position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Medical Billing resume experience can include:
- Can effectively utilize electronic health record systems and other billing technologies
- Experience with prior appeals for underpayments and non covered services
- Positive and tactful interpersonal skills
- Proficient skills to collect organize and produce actionable
- Computer / data entry skills desired
- +Professional verbal and written communication skills
Education on a Medical Billing Resume
Make sure to make education a priority on your medical billing resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your medical billing experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Medical Billing Resume
When listing skills on your medical billing resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical medical billing skills:
- Effective prioritization and multitasking with demonstrated ability to consistently meet deadlines
- Effective communication skills both written and verbal is required
- Solid Microsoft Office/Google Suite skills
- Strong mathematical and analytical skills
- Develops and teaches transfer training classes, cross-training, leadership skills and continuing education for all MSC staff
- Computer and typing skills to enter data into a software application
List of Typical Experience For a Medical Billing Resume
1
Experience For Medical Billing Clerk Resume
- Insurance collections experience with a good success record
- Entering data into billing system
- Protecting hospital value by keeping collection information confidential
- Working directly with insurance companies, healthcare providers and patients to process claims for payment
- Understanding of Quality Assurance Standards and HIPAA rules
2
Experience For Medical Billing Operations Supervisor Resume
- Working knowledge of insurance processes, denials, and insurance eligibility requirements
- Communicating with medical providers
- Working in compliance with HIPAA and ARRA laws and regulations
- Working knowledge of commercial insurance, Medicare/Medicaid, Workers Compensation and Personal Injury claims
- Processing medical claims
- Being able to work with and resolve insurance denials
- Working knowledge of IDC-10
- Being able to problem solve
3
Experience For Medical Billing Team Lead Resume
- Obtaining insurance authorization and precerts
- Obtaining insurance authorization and (pre)certifications
- Speaking with insurance companies
- Working with delinquent accounts
- Generating customer invoices and ensure accuracy
- Collecting from Insurance providers and Patients too
- Understanding and frequent use of Medical Codes (CPT, ICD-9, and/or ICD-10)
- Understanding of Medical Insurance
4
Experience For Medical Billing Trainer Resume
- Speaking with patients
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
- Day-to-Day Activities Contacting insurances companies and following up on outstanding AR
- Reviews billing documents for all payers (including commercial, state, federal, third party, and workers compensation) for each of the following features
- Contact patients regarding outstanding balances and answer billing/statement inquiries
- Assists in identifying current and/or potential billing issues specific to outstanding receivable
- Follow-up with insurance carries regarding outstanding claims and provide carriers with missing information
- Responsible for month end close process including balancing and reconciling of gross charges, net collections and accounts receivable
5
Experience For Accounts Receivable / Medical Billing Resume
- Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur
- Secures outstanding balance payments for care of hospital employees by establishing payroll deductions; obtaining signatures for automatic transfers,
- Cross-train for scheduling and/or admitting function
- Responsible for electronic and paper billing of client charges in accordance with agency policy and the accounting procedures
- Monitor Scanning process. Ensure all reports, EOB’s, time sheets and billing sheets are scanned within the appropriate timeframe
- Success working in a team environment focused on meeting organization goals and objectives
- Assist with the reconciling and hard copy billing as required
- Responsible for processing payer denials and performing follow-up on unpaid accounts
6
Experience For Medical Billing Customer Service Representative Resume
- Review paperwork, research and identify billing issues and update the billing system with the correct payor information
- Audit claims and resolve issues while working with third party billing company
- Identify trends/recurring issues, working with third party vendor data, and present to supervisor for remediation
- Understands HIPAA and other relevant regulations affecting patient information and billing practices
- Pulls charges from other billing systems to be sent to processing
- Responsible for managing the collection process, pending reports and accounts receivables
7
Experience For Medical Billing Senior Associate Resume
- Work with other departments to build knowledge base of billing and coding
- Payment posting and reconciling
- Maintain a professional and customer centric composure in difficult or challenging situations while maintaining confidentiality
- Deep understanding of scanning
- Communicates with providers regarding verification of patient and insurance demographic information
- Follow up when required with the insurance company or physician’s office based on pending documentation or approval
- Review patients’ medical records on file to identify missing information
- Enter items for claim documents including : UB-04, HCFA 1500, Superbill, Manufacturer Invoices, Implants Logs, and Operative Reports
- Prepare productivity reports and billing trends
8
Experience For Major Medical Billing & Collection Specialist Resume
- Assist with special billing as required
- Knowledge of healthcare billing/follow up
- Responsible for accuracy and timeliness of billing
- #149; Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities
- #149; Coordinating insurance reimbursement of care providers
9
Experience For Patient Advocacy Representative Medical Billing Resume
- Reviews, edits, and finalizes patient billing documents for respective payers
- Oversee billing and reimbursement for specific patient accounts
- Follow up on unpaid claims within standard billing cycle timeframe
- Call insurance companies regarding any discrepancy in payments if necessary
- Responsible for working correspondence specific to insurance and eligibility denials
10
Experience For Medical Billing Collector Resume
- Responsible for processing appeals as part of the rejection/denial function
- Maintains knowledge of insurance rejection/denial processing
- Responsible for all daily, weekly, and monthly reporting requirements
- Answer questions from ordering clients, patients, insurance companies, and staff
- Research and resolve accounts appearing on Follow-up Reports
List of Typical Skills For a Medical Billing Resume
1
Skills For Medical Billing Clerk Resume
- The ability to work effectively in fast-paced environment
- Organizational skills with great attention to detail
- Interpersonal skills with a customer service focus
- The ability to communicate effectively with patients and all other personnel
- High volume medical billing and collections experience in a 3rd party billing company or a private office
- Experience working in medical billing
- Experience reviewing and processing a high volume of invoices
- Three (3) to five (5) years health care billing experience in a hospital setting required
- Have at least 4 years of experience in billing and collections
2
Skills For Medical Billing Operations Supervisor Resume
- Good understanding of the A/R process
- Some Medical Billing/Claims Knowledge OR Medical Administration Experience
- A good understanding of medical terminology and codes
- Excellent understanding of 3rd party payer
- +2+ years of experience working with denied medical claims
- Experience with EOB and manual payment processing of 150 per day
- 3rd party payer experience, preferably in a hospital setting, proficient in Excel, ability to work within a team environment
3
Skills For Medical Billing Team Lead Resume
- Medical billing or insurance claims experience is required
- Experience in medical billing and / or AR follow up
- 6 Months experience in Medical Billing
- Related experience with medical billing and follow-up
- Hospital Part A facility, Medicare DDE, and CSNAP billing experience required
- Experience with computers – preferably medical billing systems
- Experience in the medical field – preferably billing for medical services in some capacity
4
Skills For Medical Billing Trainer Resume
- Strong understanding of Insurance/payers
- Medical office support training and experience
- Develop a solid understanding of assigned client’s process in order to strategically review and analyze their A/R functions
- Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria
- Third Party/Medical Billing experience
- Coursework or work experience requiring the use of medical terminology
- Strong understanding of explanation of benefits (EOBs)
- Claim appeal/denial processing experience
- Demonstrates thorough knowledge and understanding of the Medicare Service Center’s policies and procedures
5
Skills For Accounts Receivable / Medical Billing Resume
- Entry level; 1-3 years of experience in a MEDICAL business office setting
- Experience in medical billing
- Surgical billing experience
- The research/analysis of this would be good to have an accounting background so they can re-bill accurately and know what to look for
- Previous experience in insurance collections
- Medicare/Medicaid and A/R experience
- Experience as a Medical Biller
- Experience with collections as it relates to insurance providers and patients is required
6
Skills For Medical Billing Customer Service Representative Resume
- Experience in same/related field
- Demonstrated customer service attitude
- Strong knowledge of medical and insurance terminology
- Work experience
- Previous experience in workers compensation
7
Skills For Medical Billing Senior Associate Resume
- Previous experience with Nevada Fee Schedule
- Previous experience with ICD-9, RVP and ASA codes
- Strong administrative abilities
- Follow up & Denials experience
- Experience with third party payers
- Prioritize workload to achieve maximum efficiency
- Provide a positive customer service experience to guest, visitors, and patients
- Experience with EOB
8
Skills For Major Medical Billing & Collection Specialist Resume
- Servicing Patient Accounts, as needed, including verifying patients' insurance coverage and answering billing/claims inquiries
- Generating revenue by making payment arrangements, collecting accounts, monitoring and pursuing delinquent accounts
- Collecting delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur
- Securing outstanding balance payments for care of hospital employees by establishing payroll deductions; obtaining signatures for automatic transfers
- Enhancing billing department and hospital reputation by accepting ownership for accomplishing new and different requests
- Billing / coding certification and continuing education
- Adding, updating, and reviewing claims
9
Skills For Patient Advocacy Representative Medical Billing Resume
- Obtaining information and resolving billing issues
- Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
- Working knowledge and application of basic accounting practices, ICD-9 and 10, CPT and HCPCS coding
- Maintaining work operations by following procedures and policies, reporting compliance issues
- Understanding and frequent use of Medical Billing Forms (CMS-1500, UB-04, and etc)
10
Skills For Medical Billing Collector Resume
- Understanding and frequent use of Medical Billing Software
- Speaking with patients and dealing with denials
- Managing revenue cycle and claims processing
- Presenting data to appropriate parties and partnering to develop resolutions
- Pulling and analyzing reports in Excel
- Following up with patients for outstanding payments
List of Typical Responsibilities For a Medical Billing Resume
1
Responsibilities For Medical Billing Clerk Resume
- Maintains work operations by following policies and procedures; reporting compliance issues
- Correct all errors on electronic error reports using all available information
- Convey pertinent billing information to patients and providers
- Enter payments from patients and payers into billing system
- Ensure all payer and patient payments have been appropriately allocated, helping to alleviate the financial burden to patient
- Assist third party billing company with review and appeal unpaid and denied claims
- Communicate consistently and professionally with other Orthology employees and third-party billing company
2
Responsibilities For Medical Billing Operations Supervisor Resume
- Persistence and problem solving
- Find, update and correct contact information for patients and update in coordinating system
- Identify any issues or trends with claims and bring them to the attention of management team
- Physical therapy, rehabilitation and / or medical coding
- Use Medical Billing software, Microsoft Office, and Office equipment
- Manual insurance payment processing - 150 payments per day
- Any additional tasks or projects of the Billing Department
- Insurance Collections, dealing with denied Claims and aged accounts
- Support the no-fault Personal Injury Protection (PIP) area of the Claims department
3
Responsibilities For Medical Billing Team Lead Resume
- Issue payments to providers upon verification of tax ID
- Obtain W9’s from providers
- Reprice medical bills in accordance with NV Workers’ Compensation Fee Schedule through electronic bill review system
- Assemble EOB’s with medical check
- Investigates and responds to errors generated from electronic claims submissions
4
Responsibilities For Medical Billing Trainer Resume
- Remains knowledgeable and current on third party requirements, and regulatory guidelines at the federal, state, and local levels
- Review case and insurance coverage information to customize the content of the call to the insurance company or physician’s office
- Obtain medical records contacts, phone numbers, and fax numbers for each physician’s office
- Identify inconsistencies in documentation
- Review and interpret reconsideration documentation to determine if further bill review is required
5
Responsibilities For Accounts Receivable / Medical Billing Resume
- Make outbound calls to vendors and insurance providers to verify information and appeals
- Explain patients’ financial responsibilities to them when statements are received
- Receive and process credit card payments over the phone
- Proficiency in the use of personal computers and Excel and/or Microsoft Office for communication and report generation
- Work under general direction of technical writers with the ability to act independently as needed
- Contact patients, hospitals, employers, insurance companies, and payers to collect information in order to insure reimbursement
- Positive attitude and willingness to learn and grow
6
Responsibilities For Medical Billing Customer Service Representative Resume
- Maintain open communication on a daily basis with supervisor
- Professional, positive and friendly attitude at all times
- Files records, reports, and other documentation in a systematic and readily retrievable manner
- Resolves outsource vendor’s escalates claims and claim rework
- Establish payment plans to help patients manage payment of bills
7
Responsibilities For Medical Billing Senior Associate Resume
- Check the eligibility and benefit verification
- All accounts are to be reviewed for insurance or patient follow-up
- Updates cash spreadsheet, runs collection reports
- Use of computer systems, software, especially Microsoft Office Suite programs
- Maintains knowledge of coordination of benefits requirements and processes
8
Responsibilities For Major Medical Billing & Collection Specialist Resume
- Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and self-pay payers
- Works with others to receive feedback on performance and create a personal developmental plan
- Research and re-bill unpaid claims
- Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked
- Meet production and quality standards
- Take patient phone calls and assist Customer Service when business needs arise
- Work directly with a third-party claims vendor to resolve patient account issues
- Detail oriented, flexible and creative
- Confront difficult situations and make appropriate and timely decisions
9
Responsibilities For Patient Advocacy Representative Medical Billing Resume
- Note in Allscripts each Patient who has returned mail
- Search in hospital web site for current and updated patient information on return mail
- Works Excel reports to match PM System
- Research and fix errors with patient demographic or insurance information
- Knowledge of the data entry process
- Maintain complete, tidy, properly organized patient charts
- Responsible for collections on past due accounts
- Responsible for entry of third party payments and application into Medisoft daily
10
Responsibilities For Medical Billing Collector Resume
- Computer programs: Microsoft Outlook, Word, Excel
- Verify adjust and document information as it relates to client payer policies
- Review all information for accuracy
- Follow state guidelines in regards to insurance laws
- Work in a team oriented atmosphere
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