Senior Billing Specialist Resume Sample
Zane Schaden
10218 Wunsch Lane,
San Francisco,
CA
+1 (555) 686 1407
Work Experience
Senior Billing Specialist
09/2015
-
PRESENT
Houston, TX
- Able to work independently, prioritize work, be flexible, creative, proactive, provide guidance, work out of the box initiatives, be a team player, have the ability to drive issues toward successful resolution
- Performing weekly and monthly billing functions, ensuring billing is completed in a timely and accurate manner
- Demonstrate a strong knowledge of third party payers including Medicare, Medicaid and local HMO/PPO’s
- Dealer research and reconciliations
- Assist with CPI and ad hoc projects on a monthly basis
- Act as a Subject Matter Expert and resource to others both within and outside the immediate work group for all Lending Solutions billing functions/tasks
- Assist with the training, mentorship and development of other members of the Billing department as needed
- Review monthly financial, suspense, collections, commissions, and variance reports collaborating with Billing Specialists to take necessary action for correction
- Acts as a Subject Matter Expert on billing related projects with other business units
Senior Billing Specialist
05/2009
-
06/2015
Boston, MA
- Provides on-the-job training to employees in Billing Services
- Relevant work experience in Billing, Accounting or Benefits Administration
- Solid communicator with the ability to interact with all levels within an organization
- Familiarity with HRIS (i.e. Workday, Business Solver) to support billing functions
- Utilize critical thinking to problem solve complex accounting issues
- Detailed understanding of the billing and premium reconciliation process
- Strong Excel skills – ability to create pivot tables
- Strong mathematical, analytical and writing skills
- Excellent time management and organizational, follow-up and follow through skills
Education
Whitworth University
2004 - 2008
Bachelor's Degree in Accounting
Professional Skills
- Displays strong knowledge of analytical and problem-solving skills
- Strong attention to detail, organizational and problem-solving and math skills
- Strong leadership and direct client interfacing experience required
- Has substantial understanding of the job and applies knowledge and skills to complete more complex and a wide range of tasks
- Intermediate level Word skills
- Skilled in billing, reporting, analysis, problem solving and relationship building
- Related accounting experience is required preferably in government contracting industry
How to write Senior Billing Specialist Resume
Senior Billing Specialist role is responsible for excel, software, government, insurance, research, reporting, database, training, credit, finance.
To write great resume for senior billing specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Senior Billing Specialist Resume
The section contact information is important in your senior billing specialist 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 Senior Billing Specialist Resume
The section work experience is an essential part of your senior billing specialist 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 senior billing specialist responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular senior billing specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Senior Billing Specialist resume experience can include:
- Manage complex and/or high visibility cases, analyze and research risks associated with those cases, and recommends appropriate measures to manage risks. Investigates and analyzes premium discrepancies between company records and the agents’ and initiates corrective action
- Mentors, coaches and assists with the development of the training of staff; reviews the work of others to check for quality and process consistency. Provides technical expertise to internal customers around billing. Documents best practice procedures
- Leads process improvement initiatives to improve productivity, accuracy, and/or customer service. Identifies and works with appropriate resources to address any upstream/downstream impact from process changes/modifications
- Effective written and verbal communication skills, including billing/accounting concepts that are easy to understand
- Demonstrated ability to learn new systems and skills quickly
- Good aptitude with numbers and strong attention to detail
Education on a Senior Billing Specialist Resume
Make sure to make education a priority on your senior billing specialist resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your senior billing specialist 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 Senior Billing Specialist Resume
When listing skills on your senior billing specialist 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 senior billing specialist skills:
- Excellent organizational skills, time management and communication skills
- Excellent organization skills and the ability to prioritize and manage multiple tasks and projects with careful attention to detail, accuracy and deadlines
- Proficient with Excel and Access, proven computer skills with other MS Office Suite applications
- Strong analytical skills with the ability to research and resolve issues
- Proficient with Excel and Access; Solid computer skills with other MS Office Suite applications
- Strong problem solving skills, with ability to formulate practical solutions
List of Typical Experience For a Senior Billing Specialist Resume
1
Experience For Senior Billing Specialist Resume
- Billing/Accounts Receivable experience including an understanding of revenue recognition process
- Demonstrates mastery level knowledge of Microsoft Office applications with emphasis on Excel: V-Look Ups, Pivot Tables etc
- Demonstrates mastery level knowledge of Group Benefit insurance products, benefits rules and contract language
- Review client service agreements and ensure the billing system reflects correct information for each client according to contract terms
- Requests credit memos for any erroneous or changed billing
- Coordinates accounting matters with other departments, locations, and business units
- Create and distribute all event invoices, ensuring appropriate sales contacts are included in the distribution
- Create and distribute all Marketing invoices
- RMS Transaction fee monthly billing (Trust & Sales Force)
2
Experience For Senior Billing Specialist Resume
- Liaise with the Senior Accounts Payable Coordinator on billing items as necessary
- Claim aging is >90 days but < 1 year
- Claim is being audited for any reason (ADR, CERT, RAC, etc)
- Perform pre-billing reconciliation activities
- Assist in completing analysis to ensure the reasonableness, accuracy and completeness of monthly revenues
- Work closely with the Technology team to maintain the billing system and resolve issues
3
Experience For Senior Billing Specialist Resume
- Monitor aging and perform necessary customer follow-up to assist with the OEM collections process
- Identify opportunities to increase operational efficiencies and assist in implementing process improvements
- Assist with resume screening and departmental interviews
- Ensure timely, proper, and accurate set up of project billing for clients
- Preparation of internal reporting
- Resolve problems and errors while making recommendations for process improvements
- A key player in the month-end and year-end closings. Willing to work in a deadline driven, fast paced environment
- Set up accounting / GL lines in ERP
- Work with Cash Applications / accounting
4
Experience For Senior Billing Specialist Resume
- Communicate with external clients on outstanding payments
- Collects and reviews all patient insurance information needed to complete the billing process
- Follows all billing problems to conclusion
- Detail oriented, reliable and be able and willing to work in a deadline driven environment
- New remote work arrangements are not available
- Establish relationships with client business contacts and client’s accounts payable departments to facilitate acceptance of CROSSMARK invoices and timely payment
- Obtains meter reads, purchase order numbers and other billing information, as necessary, from customers and other Ricoh personnel
- Creates and maintains contract records and billings
5
Experience For Senior Billing Specialist Resume
- Meets department's attendance and punctuality standards. Allow flexible availability to accommodate work schedule, when necessary
- Deletes maintenance/contract data when equipment has been removed
- Promotes other company products and services
- Some overtime is required to meet deadlines
- Assists team members with resolution of customer issues and more complex problems
- Prepare customer statements, bills and invoices, and reconcile expenses to the general ledger
6
Experience For Senior Billing Specialist Resume
- Calculate and post receipts to appropriate general ledger accounts and verify details of transactions, such
- Highly proficient in Microsoft office, specifically Microsoft Excel
- Use Microsoft Excel to create summary bills for approximately 70 clients throughout the month
- A seasoned, experienced professional who can independently apply advanced principles to answer and educate the most complex billing transactions and solve problems related to billing concerns
- Prior experience in a role that interacted with technology
- Backup to the AR Specialist position
- Perform all tasks related to the Shared Services Specialist Job Description
7
Experience For Senior Billing Specialist Resume
- Review and analyze monthly reports, identify errors and trends and escalate/research for resolution until complete
- Assist with CPI, MMF and ad hoc projects on a monthly basis
- Prepares, analyzes, reviews, verifies, and reconciles vouchers and reports
- Establishes and maintains accurate, detailed financial records
- Analyzes financial reports and makes recommendations relative to the next steps on reconciliation of older programs
- Create and distribute all other invoices for Membership Programs, sub tenants, events, and/or special projects on an as needed basis
- Calculate and issue any necessary credits to accounts, in conjunction with the Accounts Receivable team
8
Experience For Senior Billing Specialist Resume
- Customer account set up and maintenance
- Responsible for proper revenue recognition
- Assist accounting management in collecting materials and preparing documents for annual financial audits which includes interacting with auditors, responding to their questions and requests
- Participate in special projects and/or corporate initiatives as needed
- Answer calls from the customer call queue and manage voicemail
- Respond in a timely manner to inquiries from both internal and external customers
9
Experience For Senior Billing Specialist Resume
- Partner with third party bill printer to produce ad-hoc customer balance letters and notices, as required
- Cross-train and assist other team members whenever necessary
- Performs moderately complex activities associated with accounts receivable
- Perform quality checks of billable inputs
- Reconciliation of cash, credit cards, and financial payments
- Set up bank account changes and resolve all errors
- Assist internal and external customers regarding billing inquiries while ensuring accuracy, accountability, and timeliness to the customer. Assist direct communication with customers, Sales and other internal departments as required
- Work with Project Managers / operations / finance to ensure accuracy
- Billing. Complete billing/registration functions and provide coverage as assigned. Complete research with third party payer needed to resolve billing issues and claim denials. Process external customer invoices and ensure that they agree to stated contractual terms. Follow collections procedures to ensure that prompt payment is maintained
10
Experience For Senior Billing Specialist Resume
- Handle and prioritize multiple requests simultaneously
- Strong customer service and willingness to be a team player
- Process billing invoices for clients using a variety of internal systems
- Partner with clients on a monthly basis to understand completion status and recognize/adjust billing appropriately
- Assist in running monthly reports
- Ensure client invoices are being sent in accordance with the contract or based on instructions from the client
- Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors
- Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment
List of Typical Skills For a Senior Billing Specialist Resume
1
Skills For Senior Billing Specialist Resume
- Accounts receivable and general accounting principles experience or a combination of experience and education equivalent
- Competent written and oral communication skills, time management organization, and an attention to detail
- Billing or general accounting experience
- Progression experience in billing, finance or accounting
- Possesses strong billing and reporting knowledge that helps to ensure quality is reached for all projects
- Participate in cross departmental meetings to review the billing data and to adjust that data prior to billing
- Two years of related medical coding experience
- Up to three years of experience in an accounting, contract administration or another business related role
2
Skills For Senior Billing Specialist Resume
- Relevant experience, preferably in an academic setting
- Four or more years of related billing work experience
- Eight (8) or more years experience in government contract billing
- A strong understanding of government contract regulations (FAR)
- Billing experience required
- Medicare billing experience required
- Billing/Accounts Receivable experience
- Multi-task, prioritize and work independently with efficiently
3
Skills For Senior Billing Specialist Resume
- Advanced level Excel experience
- Experience with PC’s and MS Office software applications
- Prioritize deliverables and meet assigned deadlines
- Extensive knowledge and experience in reviewing government contract awards for billing requirements
- Demonstrates a general knowledge of medical terminology, ICD9-CM, and CPT procedure codes relative to hospital practices
- High aptitude with numbers and strong attention to detail
4
Skills For Senior Billing Specialist Resume
- Accumulating billing data from multiple sources, maintaining contract rates, creating invoices and credit memos
- Communicating with customers regarding billing related inquiries
- Serving as a resource for questions and problem-solving regarding premium payments and client bills
- Managing a high volume of medical claims that have denied by refuting the denials within payer guidelines through accurate review, correction, and resubmission
- Acting as a liaison/subject matter expert on billing related activities
- Acting as an online billing liaison between IT, Sales, and Clients
5
Skills For Senior Billing Specialist Resume
- Submitting invoices in a timely manner to the customer’s payment processing system
- Responding to hotel billing inquiries in a prompt and professional manner
- Researching and resolving client inquiries and issues
- Reporting based on discussion with billers on collections
- Coordinates and delivers group billing/timekeeping training
- Performs accounting-related functions independently including monthly financial entries, ad hoc reporting, and cost analysis
- Process billing data for monthly invoices, including, but not limited to, the processing of balance transfers, credits and debits
- Communicate internally with sales, credit, transportation, shipping, accounting, supervisors, and managers to assure all customer issues are addressed
6
Skills For Senior Billing Specialist Resume
- Assist with the daily and monthly closing activity to verify invoicing accuracy
- Interface with Clients, Client Management, Financial, Underwriting, and Third Parties regarding reconciliation issues and premium activity
- Monitors assigned territories and high profile accounts to ensure that invoicing is occurring correctly and premium received is applied in a timely manner
- Research and resolve payment discrepancies and customer inquiries by partnering with the internal businesses and working with customers
- Prepare , update and verify accounting reports as applicable such as the Ad Hoc invoices report, IDOC errors, PayTraxx Tracking sheet and the Win/Loss report
- Assist with the training, guidance and development of other members of the Accounting department as needed
- Create and distribute all monthly invoicing to hotels based on their membership contracts, ensuring necessary support is attached
- Primarily responsible for billing, accounts receivable, time reporting, project setup
7
Skills For Senior Billing Specialist Resume
- Collaborates with company Program Managers to gain an understanding of contracts and government funding in order to properly account for contracts
- Keeps accounting management informed of issues and activities related to billing and accounts receivable
- Investigate customer invoicing issues, escalating issues as appropriate
- Prepare adjustment requests, ensuring proper supporting documentation is collected and retained
- Address & resolve internal and external (i.e. Alliance Partner and Consultants) billing and Finance inquiries, including invoice and report requests
- Initiates discussions and communication with billing partners to drive monthly results
- Provides routine weekly, semi-monthly, monthly, and ad hoc reports to assist billers in billing analysis and engagement management
- Independently investigates moderately complex billing issues and processes invoice adjustments to ensure invoice correctness and employee margin accuracy
- Satisfactory backup of Billing for all regions
8
Skills For Senior Billing Specialist Resume
- Assist with other billing functions, as required
- Write disallowance letters to customers requesting repayment of deductions
- Responsible for handing in weekly UD reports to supervisor
- Run morning processes daily to ensure invoices are created accurately
- Recognize and Identify coding deficiencies and exercise the appropriate action based upon compliance and CMS regulations
- Perform at high levels to meet customer, month end or general deadlines in a fast paced ever changing work environment
- Deep understanding of business, department, contract and system rules, processes and expectations
9
Skills For Senior Billing Specialist Resume
- Knowledge of computer medical billing and/or electronic medical record systems such as Epic and IDX
- In depth knowledge of CPT4 and ICD9 coding and its applications
- Take initiative and achieve results in a fast-paced and changing environment
- Works on assignments requiring considerable judgement and initiative
- Gather all pertinent data from various sources to create the monthly billing to our customers
- Create and review invoices/statements and other documents for accuracy and proper coding
- Generate age analysis and review AR aging to ensure compliance; communicate status to management
- Collect data, provide trend analysis and prepare monthly metrics for AR, Treasury and other Accounting functional areas
- Recommend process improvements, maintain policies and documentation, and participate in adhoc projects for other Accounting Functional areas
10
Skills For Senior Billing Specialist Resume
- Apply daily incoming cash receipts to customer accounts
- Ensure maximum revenue potential through the timely processing of client implementations and renewals
- Escalate to necessary parties in times of missing contracts and/or go live notifications
- Assist in the monitoring of the general mailbox and respond to inquiries or forward to the applicable parties
- Act as a Subject Matter Expert and resource to others both within and outside the immediate work group for all BillPay billing functions/tasks
- Interact with the Accounting group to ensure proper revenue recognition
- Maintain working relationships with contacts at other Fiserv business units
List of Typical Responsibilities For a Senior Billing Specialist Resume
1
Responsibilities For Senior Billing Specialist Resume
- Medical Biller is responsible for performing full cycle medical billing for multi-specialty physician and hospital services
- Submits all paper claims and supporting documentation as required by payors. Files all claims, documentation, etc. in patient financial files
- Obtains appropriate medical records with patient and/or responsible party authorization on file as they relate to the billing process
- Transmits daily all electronic claims to third party payors. Researches and resolves any electronic claim delays within 24 hours of exception report print date
- Resubmits insurance claims as required
2
Responsibilities For Senior Billing Specialist Resume
- Reports any trends/delays to supervisor
- Processes any necessary insurance/patient correspondence. Mails accurate statements to patients within 24 hours of print date
- Provides all necessary documentation (on or with HCFA1500) required to expedite payments. This includes demographic, authorization/referrals, UPIN number, and referring doctors. Submits claims within 24 hours of print date
- Ensures billing parameters match the customer’s Contractual Agreement as applicable. Maintain billing schedule to ensure that contracts are billed on time
- Prepare monthly and quarterly manual customer billings for installation projects and maintenance projects in accordance with contract terms and guidelines. Work closely with the Sales group, Contracts department and project personnel to ensure prompt and accurate billing
- 3 – 5 years’ experience with Cost Point
- Be the customer interface for all billing related issues. Responsible for investigation, analysis, escalation and resolution of accounts receivable issues
- Maintain project invoice file and electronic invoice correspondence/log. Monitor the Billing Mailbox and respond in a timely fashion
- Serve as the backup for the billing responsibilities for other JCFS subsidiaries
3
Responsibilities For Senior Billing Specialist Resume
- Advanced knowledge of Excel, with an emphasis around macros
- Review data and make sound judgement on the go-forward approach with acute or long term processes
- Interact with all levels of the company and work in a team environment
- Work collaboratively with different departments to ensure all controls and process are followed
- Intermediate proficiency with Excel and Word
- Based in Eden Prairie, MN
- Proficient in Microsoft Office (Outlook, Excel & Word) above average proficiency with formulas, pivots & vlookups
- Manages assigned territory health through
- Respond with a sense of urgency
4
Responsibilities For Senior Billing Specialist Resume
- Knowledge of federal, state and payer specific regulations and policies required
- Executive polish and presence
- Excellent written and oral communication skills, with ability to interact professionally and maintain confidentiality with broad range of leaders across the health system
- Knowledge of Excel applications
- Monitor inventory and ensure adherence to client discounts and guidelines by reviewing proformas and analyzing aged WIP prior to distribution to Billing partners; follow-up with Billing Partners regarding AWIP especially those over 30 days; keep Manager informed by regularly providing updates to billing status, and reasons for delayed billing
- Monitor unallocated funds and expedite application of funds; advise Manager of any payment that remains unapplied for more than one week
- Monitor On Account funds and follow up with partner to ensure timely application to WIP and AR; bring to Manager’s attention if unallocated for more than two months
- Suggest ways to improve the billing process, productivity, and over-all functioning of the department
- Provide monthly Billing Projections, Aged WIP Report, Hit List and Missed List by dates indicated on Billing Schedule, or as required by Manager
5
Responsibilities For Senior Billing Specialist Resume
- Assist Accounts Receivable department by actively monitoring receivables
- Prepare, print and distribute proformas by no later than the 6th working day of each month
- Draft bills and forward to partners by the 12-15th working day of each month; carefully observe and apply discounts ensuring adherence to client requirements; follow up with partner/reviewer to ensure timely review and transmittal to clients
- Edit time records, maintaining and filing documentation for adjustments in a timely manner; develop awareness of repetitive adjustments; suggest ways to improve the time-keeping and adjustment process
- Maintain a correspondence folder for each Billing Partner; promptly file miscellaneous correspondence, and time and disbursement adjustments; ensure that copies of all posted bills are filed and saved to the 3E Invoice module by the 4th working day of the month
- 42 mos. exp. or 42 mos. trg. in accounting &/or finance to include an advanced level of experience in spreadsheet software
- Offer assistance with peer assignments; mentor and assist in the training and development of new Billing Coordinators
- Any other responsibilities or special projects as required by partners, or as assigned by management
6
Responsibilities For Senior Billing Specialist Resume
- 12 mos. exp. as Financial Analyst, 66562
- Manage a high volume of medical claims mainly related to over payments received by insurance companies to ensure timely and accurate funds are returned to the payer. Refute or comply to payer denials or retraction requests through accurate review, correction, and resubmission of medical claims
- Provide representation when needed of the Accounts Receivable area to internal departments as well as external departments, clients, vendors and processors to clearly relay situational occurrences and provide support when needed
- Effectively prioritize and manage outstanding refund requests and overpayments to support contract and legal adherence with all payers including Medicare and Medicaid
- Identify and implement process efficiencies across the dept. including automation opportunities or workflow enhancement opportunities to reduce manual efforts and improve productivity and overall compliance
- Identify key stake holders or primary contacts within payer communities to drive more effective processes to return funds to payers
7
Responsibilities For Senior Billing Specialist Resume
- Managing a high volume of medical claims mainly related to overpayments received by insurance companies to ensure timely and accurate funds are returned to the payer
- Refute or comply to payer denials or retraction requests through accurate review, correction, and resubmission of medical claims
- Provide representation when needed of the Accounts Receivable area to internal dept.’s as well as external dept.’s, clients, vendors and processors to clearly relay situational occurrences and provide support when needed-
- Identify and implement process efficiencies across the dept. including automation opportunities or workflow enhancement opportunities to reduce manual efforts and improve productivity and overall
- Provide representation when needed of the Accounts Receivable area to internal departments
- Provide representation when needed of the Accounts Receivable area to internal dept.’s as well as external dept.’s, clients, vendors and processors to clearly relay situational occurrences and provide support when needed
- Identify key stake holders or primary contacts within payer communities to drive more effective processes
8
Responsibilities For Senior Billing Specialist Resume
- Agency Management system (EPIC) experience
- Works well in environment with firm deadlines; results oriented
- Updates AR and WIP reserves as directed
- Complete follow-up calls to clients and periodically meet with billers to discuss collections
- Review and key invoices accurately for all orders shipped daily
- Research and process some credit requests from customers, regional sales offices, and other internal departments
9
Responsibilities For Senior Billing Specialist Resume
- Sort and mail invoices and credits
- Investigate unauthorized deductions within 3 days to find out the reason for the deductions
- Maintain clear and accurate notes necessary to follow up and track all deductions
- Process credits to offset resolved deductions
- Partner with Audit team to obtain information
- Participate in special projects and issue resolution
- Self-directed and collaborative approach to solution and issue resolution
10
Responsibilities For Senior Billing Specialist Resume
- Unauthorized Deductions
- Supervisor Support
- Communicate timely with the agent and internal departments to ensure discrepancies are reconciled to maximize cash flow and minimize financial impact to the company. Leads and participates in broker/customer meetings to find solutions to customer issues and problems, as well as and negotiate with tact and diplomacy to find a solution that is win-win
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