Medical Billing Specialist Resume Sample
Bell Larkin
83204 Shaniya Ville,
Phoenix,
AZ
+1 (555) 583 0158
Work Experience
Medical Billing Specialist
02/2016
-
PRESENT
Los Angeles, CA
- Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts
- Follow the company’s policy and procedure manual
- Experience in Medical/Hospital Insurance related collections
- Complete all billing in queue
- Work claim rejections
- Bill Medicaid portal claims
- Work the pending rebill report
- Work the reconciliation report for billing errors
External Medical Billing Specialist
05/2010
-
11/2015
Detroit, MI
- Filing secondary claims
- Confirm all billing complete for month end
- Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
- Read EOBs and post payments accordingly and also post patient payments
- Claims appeals, patient collections, A/R work
- Able to see objects closely, as in reading
- Able to push/pull objects with minimal effort continuously, moderate effort frequently and maximum effort occasionally
- Able to sit, stand or remain on feet for 30 minutes consecutively, 8 hours per shift
Hospice Medical Billing Specialist
11/2004
-
01/2010
San Francisco, CA
- Able to perform fine motor skills
- Generate and print reports/claims and/or statements to prepare for insurance company submission as needed
- Enter and post charges into various Billing systems when necessary
- Apply knowledge of practice procedures to respond to incoming correspondence and documents
- Communicate/correspond with office personnel to ensure accuracy of data entry, billing and relevant documentation
- Complete front end data integrity reports within established production guidelines (AKA database reports)
- Accurately prepare electronic file for electronic patient statement submission
- Correct billing statement discrepancies on computer, and reprint or resubmit as needed
Education
Rockhurst University
1999 - 2004
School's Degree in Accounting
Professional Skills
- Strong data entry / typing skills and computer skills
- Possess outstanding problem solving skills; written and verbal communication skills; and the ability to work independently without much supervision
- Demonstrated ability to make outbound calls confidently while presenting excellent verbal and written communication skills
- Strong communications skills; ability to listen attentively and to communicate clearly and effectively
- Strong technical skills including proficiency with Microsoft Office
- Excellent problem-solving skills
- Strong customer service skills along with telephone etiquette as well as knowledge with EMR and medical billing software
How to write Medical Billing Specialist Resume
Medical Billing Specialist role is responsible for customer, microsoft, software, medical, excel, interpersonal, research, computer, social, insurance.
To write great resume for medical billing specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Medical Billing Specialist Resume
The section contact information is important in your medical 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 Medical Billing Specialist Resume
The section work experience is an essential part of your medical 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 medical 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 medical billing specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Medical Billing Specialist resume experience can include:
- Possess strong interpersonal skills to work within a team environment
- Display effective customer service skills with internal/external customers
- Strong communication skills (written and verbal)
- Works effectively in a team environment, coordinating work flow with other team members and ensuring productive and efficient environment
- Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment
- Proven experience as a Billing Specialist or similar accounting role
Education on a Medical Billing Specialist Resume
Make sure to make education a priority on your medical 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 medical 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 Medical Billing Specialist Resume
When listing skills on your medical 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 medical billing specialist skills:
- Organized, detail oriented, hard working & self motivated with effective time management skills
- Good professional communication skills, including verbal, written, and presentation
- Enthusiastic positive attitude with strong interpersonal skills
- Excellent data entry skills required
- Strong attention to detail and data entry skills
- Strong customer service skills (1 to 4 years)
List of Typical Experience For a Medical Billing Specialist Resume
1
Experience For External Medical Billing Specialist Resume
- Good organization skills with the ability to manage a heavy workload from beginning to end, efficiently, and timely
- Superior communication skills – can write an email (sales reps, VPs, CFOs)
- Exemplifies strong work ethic and operates with highest level of integrity
- Run 837 files according to established procedures. Resolve any validation issues
- Medical billing experience desired
- Preferably five years of consistent medical billing experience
2
Experience For Senior Medical Billing Specialist Resume
- Knowledgeable and experienced in basic keyboarding
- Work experience in Medical Billing/Claims
- Experience with Medicare/Medicaid billing
- Excel Spreadsheet software and Microsoft Office Word Processing software experience
- Previous administrative or other professional office experience in a medical setting
3
Experience For Hospice Medical Billing Specialist Resume
- Experience in medical billing
- Medical billing experience / certification
- Demonstrates positive working relationships with oc-workers, managment team and ancillary departments
- Works directly with third party payers toward effective and efficient claims resolution
- Exercises good judgment towards account resolution and documents all activity on account
- Effective communication abilities for phone contacts with insurance payers to resolve issues
- Strong proficiency with Microsoft Office applications, specifically Word, Outlook and internet applications
- Band together with other effective units to uphold quality of data and consistency
4
Experience For Msla-medical Billing Specialist Resume
- Strong proficiency with Microsoft Office applications, specifically Word, Outlook, and internet applications
- For patients with insurance - verify benefits, request pre-authorization for procedures, collect deductibles and co-insurance prior to procedure
- 2+ years' experience as a Medical Biller
- Numeric data entry experience
- Strong Job Tenure (At least 2 years in each position)
- Persistent, attention to details, follow through, good attendance
- Experience in a physician's office
- Charge entry experience in the Healthcare Industry
5
Experience For Home Care Medical Billing Specialist Resume
- Strong familiarity with medical denials
- Account follow up experience with insurance accounts
- Charge entry experience in healthcare industry
- Experience with Medicare and Medicaid insurance claim submission and reimbursement
- Strong Accounts Receiveables
- Attention to detail ability to multitask and prioritize responsibilities
- Experience in Medisoft is a requirement
6
Experience For RCM Medical Billing Specialist Resume
- Strong knowledge of explanation of benefits (EOBs)
- 3 to 4 yrs related experience
- Experience in a medical office required
- Experience with ICD-10
- Researching all information needed to complete the billing process including getting charge information from patients
7
Experience For Lifeclinic Medical Billing Specialist Resume
- Maintaining supporting and chronological notes that detail action taken to resolve billing edits
- Understanding of medical terminology and billing is desired
- Creating and submitting claims
- Billing and follow-up associated with the billing for dispensed prescription medication
- Communicating with patients and insurance companies regarding their claim/payment status
8
Experience For Orthology Medical Billing Specialist Resume
- Processing and distribute copies of billings according to clinic policies
- Following up with health insurance companies and ensuring claims are paid and processed
- Working over-payment report by identifying refunds due to patient or insurance company and process request
- Reading and interpreting insurance explanation of benefits
- Processing customer invoices and updating account information
- Writing appeals and resubmitting claims
- Reconciling and balancing a daily deposit log
- Working knowledge of CPT and ICD-10-CM codes and electronic claim filing
- Resolving daily clearinghouse edits from Payer Confirms
9
Experience For UMB Medical Billing Specialist Resume
- Posting Adjustments from Pre-Generated Reports
- Credentialing of new locations and physicians
- Verifying patients' benefits
- Tracking the patients in the reception area
- Scanning of patients insurance cards
- Entering new patient information into computer software
- Coding paperwork with proper procedural codes
- Billing and reimbursement for specific patient accounts
10
Experience For Medical Billing Specialist Resume
- Submitting bills to insurance organizations and patients
- Working closely with other functional teams to ensure data quality and consistency
- Assisting with claims and claims denials when needed
- Correcting any claim denial discrepancies
- Willing to work overtime or irregular hours and allowed by local regulations
- Working knowledge of ICD-10
- Missing provider name(s)
List of Typical Skills For a Medical Billing Specialist Resume
1
Skills For External Medical Billing Specialist Resume
- Two to three years experience working with Payroll processing or other relevant experience
- Possess two to three years bookkeeping experience with strong knowledge of general principles of accounting, its processes and procedures
- Experience in Ophthalmology, if not than over 5 years of Medical Billing experience
- Strong ability to perform multiple tasks at the same time, prioritize assignments, and ensure details are followed in executing tasks
- Problem-solving skills to research and resolve discrepancies, denials, appeals and collections
- Use problem solving skills to identify, investigate and resolve production issues
- Work effectively with patients and co-workers
- Intermediate skills with MS Word- Outlook and Excel
2
Skills For Senior Medical Billing Specialist Resume
- Prior healthcare / medical billing experience is an absolute requirement (2 years)
- Efficiently and effectively bill and collect monies relative to physician reimbursements
- Advanced skills in computer programs, spreadsheets and applications
- Willingness to learn additional computer skills
- The ability to work effectively and efficiently under tight deadlines, with high volumes of data and with multiple interruptions is key to success in this role
- Advanced skills in computer programs, spreadsheets?? and applications
- 2- Assist performing pre-billing steps prior to closing monthly billing cycle
- Five years of experience in healthcare field working specifically in billing, coding or insurance verification/authorizations and contracts/credentialing
3
Skills For Hospice Medical Billing Specialist Resume
- Five years of experience in a healthcare field working specifically in billing, coding or insurance verification/authorizations and contracts/credentialing
- One – two years related billing/accounting experience and/or training
- Experience creating, submitting, and processing government, Medicare, Medicaid, and commercial insurance claims
- Experience posting insurance and patient payments, cash applications, cash posting
- Health insurance claims adjuster/processing or claim coding experience
- At least two years of experience posting and/or billing insurances in medical offices or hospitals
4
Skills For Msla-medical Billing Specialist Resume
- At least two years of medical collections experience that include: researching of accounts, reviewing of accounts and contractual, appeals and adjustments
- Experience with CMS 1500 Billing Forms, EOBs, claims, coding and charges is required
- Solid understanding of cash posting
- Computer experience including but not limited to practice management software, word processing and spreadsheet applications
- Experience working with Medical Billing software
- Possess working knowledge of Microsoft Office Suite, including Word, Outlook, and Excel applications; and strong knowledge of QuickBooks
- Experience coordinating third party Medicare and Managed Care billing in accordance with regulations and guidelines
5
Skills For Home Care Medical Billing Specialist Resume
- Experience collecting for and/or selling products or services over the phone
- Solid understanding of medical coding
- Ensure all encounters are properly coded and are entered in a timely manner reviewing clinical notes, CPT, and ICD codes for accuracy prior to posting charges
- Convey an outstanding first contact experience to all customers, including internal and external contacts
- Experience in medical billing
- Experience using ICD-9 and ICD-10
- 2 years medical billing experience required
6
Skills For RCM Medical Billing Specialist Resume
- 6 months to a year of experience in medical billing
- Strong understanding of clearinghouses and how to function inside them
- Skilled in general Microsoft applications and navigating through multiple screens
- Experienced working in insurance claim denials, adjustments, and appeals
- Experience in CPT and ICD-10 coding; familiarity with medical terminology
7
Skills For Lifeclinic Medical Billing Specialist Resume
- Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
- Hospital billing experience required
- Experience and familiarity with insurance including Medicare & Medicaid
- ) of experience in medical billing
- Experience with billing and collections in the medical field
- Good working knowledge of Microsoft Office Suite (Word/Excel/Outlook/Power Point), medical software, payer portals, and type 40+WPM
- Experience obtaining insurance verification, pre-certification, and authorization via phone and online insurance payer portals
8
Skills For Orthology Medical Billing Specialist Resume
- Strong knowledge of billing and reimbursement required
- Operate computerized billing systems
- At least one year of medical billing, insurance, and/or claims experience
- Medical Billing Experience Required
- Experience working with all types of insurance: commercial, Medicare, Medi-Cal
- Demonstrates a high level of integrity and innovative thinking and actively contributes to the success of the organization
- Demonstrates positive working relationships with co-workers, management team and ancillary departments
- Previous experience working with an electronic medical system required
- Verifies that the services and products are correctly authorized and that required documentation is on file prior to billing
9
Skills For UMB Medical Billing Specialist Resume
- Solid understanding of insurance payers and their guidelines
- Strong familiarity with medical billing
- Experience in CPT, ICD-9, & HCPC coding; and used to production standards
- Operate and utilize adding machines, personal computers and printers
- Billing or medical office experience
- Experience working with ICD-10, HCPC and CPT Codes
- Recent and relevant Medical Billing and Collections experience
- Verifies that services and products are correctly authorized and that required documentation is on file prior to billing
10
Skills For Medical Billing Specialist Resume
- Ensures that all required documentation for billing is completed and accurate prior to claim submission
- At least two years of experience in the medical billing field
- Experience utilizing A/R Software systems and Excel
- Medical coding experience desired
- Strong Medical Billing & Claims knowledge
List of Typical Responsibilities For a Medical Billing Specialist Resume
1
Responsibilities For External Medical Billing Specialist Resume
- Knowledge of Medicare and other regulatory practices in order to assess effectiveness of intake referral activities
- Strong knowledge of MS Access
- Verifies completeness and accuracy of all claims prior to submission
- Claim denial follow up and appeals experience
- Skill in computer programs, spreadsheets and applications
- Operate personal computer & 10 key calculator
- Strong administrative abilitys
2
Responsibilities For Senior Medical Billing Specialist Resume
- Collecting payments, setting up payments and plans, and tracking and following up with delinquent accounts
- Billing, processing payments, and coding
- Creating, submitting,submits, and processing government, Medicare, Medicaid, and Commercial insurance claims
- Understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare
- Following up with patients in regards to account information and processing payments
- Processing accounts and initiating proactive measures that result in account resolution
- Working with close supervision of management to ensure the integrity of the work performed and reports any trends in incoming correspondence
3
Responsibilities For Hospice Medical Billing Specialist Resume
- Posting third party payments
- Sending out paper and electronic bills to patients
- Working on team based projects
- Filing various EOBs, authorization letter and checks filed to appropriate locations
- Provide In-Service training to PFS and Ancillary departments as appropriate regarding changes in compliance issues, billing regulations and coding requirements
4
Responsibilities For Msla-medical Billing Specialist Resume
- Researches all information needed to complete billing process including getting charge information from physicians
- Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment. Follows all billing problems to conclusion
- Research all information needed to complete the billing process including getting charge information from physicians
- Follow claims through processing to ensure payment from patient and/or insurance to include managing and working denials
- Assists in the processing of insurance claims including Medicaid/Medicare claims
- Review of accounts and aging and reporting of cash collection information
- Assists in the processing of insurance claims. including Medicaid/Medicare claims
5
Responsibilities For Home Care Medical Billing Specialist Resume
- Posts insurance and patient payments using medical claim billing software
- Look up ICD 10 diagnosis and CPT treatment codes from online service or using traditional coding references
- Maintains current information on department procedures, billing and coding guidelines, patient record information and related
- Courteously and professionally answers incoming phones, displaying proper phone etiquette, routes to appropriate person or handles request personally
- Verifying patient insurance and working directly with insurance companies
- Reviewing and appealing denied and unpaid claims
- Preparing weekly aging and A/R reports
- Knowledge medical terminology, current coding practices and guidelines involving ICD-9 and CPT-4 Codes
- Assumes responsibility for completing or assisting on special projects as assigned by the manager
6
Responsibilities For RCM Medical Billing Specialist Resume
- Contacts insurance companies and patients regarding outstanding accounts
- Medical Billing and filing insurance claims
- Deep understanding of medical billing - UB92
- Generate primary and secondary paper bills according to established procedures and edit paper claims before mailing
- Identify and communicate to up-line delays affecting balancing issues, new codes, or adjustments
- Responsible for communication with patients concerning billing and insurance if applicable
- Maintain billing report, providing a copy daily to Manager
- Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements), and "leading practices
- Responds to billings inquiries by e-mail, fax, Instant Messaging and phone according to departmental policies
7
Responsibilities For Lifeclinic Medical Billing Specialist Resume
- Has an understanding of Medicare, Medicaid, Tricare and other government payers as it relates to collections and billing
- Participates in monthly aging meeting with CFO and Director of Patient Accounts
- Participates in bi-weekly billing audit meeting
- Performs all necessary functions relating to Billing in both AdvantX and GHN
- Maintain a list of outstanding documentation required for coding
8
Responsibilities For Orthology Medical Billing Specialist Resume
- Knowledge of accounting and medical billing standards
- Knowledge of billing cycle, insurance policies, and coding required
- Accounting and bookkeeping procedures required
- Perform posting charges of claims, once payment is made by insurance companies or applying payments made by patients
- Works with electronic billing vendor to resolve any e-billing issues, denied claims, etc
- Knowledge of coding and clinic operating policies
- Self-educate within your specialties regarding new rules, new codes and changes to Medicare’s LCD’s
- Verify patients’ insurance coverage and answer billing questions
- Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answer patient questions and concerns
9
Responsibilities For UMB Medical Billing Specialist Resume
- Key charge information into entry program and produces billing
- Processes and distributes copies of billings according to clinic policies
- Prepares bank deposits, records deposits, photocopies checks for entry into billing system
- Maintains required billing records, reports, files
- Keys charge information into entry program and produces billing
- As a generalist, be able to contribute to revenue cycle by following up on accounts, collect and allocate payment
- Assist patients in completing all necessary forms
- Process and distribute copies of billings according to clinic policies
10
Responsibilities For Medical Billing Specialist Resume
- For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by primary insurer
- Performs billing functions and ensures clean claim submission
- Maintains a thorough knowledge of third party billing and collection requirements
- Advises manager of any billing errors, third party payer trends, denials, or payment fluctuation
- Maintains working knowledge of specific payer group to which position is assigned
- Accesses manuals, websites and contacts Customer Service at each carrier site to obtain and verify most current billing practices and regulations
- Monitors insurance billing and rejections for trends related to collection obstacles and communicates to manager
- Assists with other patient billing information and activities
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