Medical Biller Resume Samples
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Medical Biller Resume Samples
The Guide To Resume Tailoring
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TB
T Beier
Thalia
Beier
6216 Kellie Glen
Los Angeles
CA
+1 (555) 845 6022
6216 Kellie Glen
Los Angeles
CA
Phone
p
+1 (555) 845 6022
Experience
Experience
Chicago, IL
Medical Biller
Chicago, IL
Simonis, Padberg and Gibson
Chicago, IL
Medical Biller
- Works collaboratively with management to create and analyze tracking reports to evaluate trends
- Work claims and clam denials to ensure maximum reimbursement for services provided
- Training provided
- Works directly with insurance companies to get claims processed and paid
- Working knowledge of basic computer functions, with an emphasis on typing
- Working knowledge of basic math including percentages
- Make outbound phone calls to resolve denial issues
Houston, TX
Experienced Medical Biller
Houston, TX
Dickens, Rau and Quigley
Houston, TX
Experienced Medical Biller
- Successfully works as a team member
- Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure
- Inputs charges, payments and adjustments to computerized system or posting to manual records
- Collects all monies due from patient at time of services, prepares payment journals, and makes bank deposits for all collections
- Schedules appointments for patients with ancillary hospital departments, service, and doctors' offices
- Greets patients as they arrive to suite, obtains necessary demographic and insurance information. Reconciles billing with kept appointments/procedure logs
- Prepares batch for dates of services, posts, balances and closes for the day
present
Los Angeles, CA
Senior Medical Biller
Los Angeles, CA
Hudson Group
present
Los Angeles, CA
Senior Medical Biller
present
- Responsible for processing payments, adjustments and denials according to established guidelines (Payment Poster)
- Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed
- Ensure accurate entry of work into designated billing systems
- Assist with training materials and training staff members
- Communicates with the Clinics to provide or obtain corrected or additional data
- Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information
- Responsible for working EDI claim rejections in a timely manner
Education
Education
Associate’s Degree in Business
Associate’s Degree in Business
Howard University
Associate’s Degree in Business
Skills
Skills
- Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs and ability to apply basic algebraic concepts
- Ability to work quickly
- Ability to read explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments
- Ability to read accounts receivable
- Knowledgeable in personal computer software and general office procedures
- Knowledge of Accounts Receivable
- Strong knowledge of medical terminology
- Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
- Knowledge of and experience with Hospital & Professional Billing
- Excellent attention to detail
15 Medical Biller resume templates
Read our complete resume writing guides
1
Medical Biller / Administrative Assistant Resume Examples & Samples
- 1+ year of Office experience
- Medicaid/Medical Billing experience
- Strong background in Administrative support
- Solid time management skills
- Associate's Degree in related field
- Experience in a small Office setting
- Experience in a Mental Health or other Healthcare setting
- Knowledge of Medicaid billing
- Nonprofit experience
2
Medical Biller Resume Examples & Samples
- 2+ years of Medical Billing experience
- Hands on Denials experience
- Knowledge of Insurance guidelines, especially Medicare and state Medicaid
3
Medical Biller Resume Examples & Samples
- 1+ year of Medical Billing experience
- Knowledgeable of third party physician billing
- Ability to read and interpret explanation of benefits, remittance advices and invoices in billing system
4
Medical Biller Resume Examples & Samples
- Ability to read and understand EOBs from various insurances as well as the advice code
- Proven organizational and excellent attention to detail
- Proficient with MS Office Applications
- Data entry experience with billing third parties
- Working knowledge of navigating Medicare payer website and others
- Proficient placing calls to clients or insurances for missing information
- Associates or Bachelor's degree (or equivalent)
- Knowledge and expertise of medical terminology, CPT and ICD9 coding and third party billing
5
Medical Biller Resume Examples & Samples
- CPC preferred
- Managed care and medical billing experience
- Skills in Excel, Word, and payment posting
6
Medical Biller Resume Examples & Samples
- 2+ years of Authorization / Billing experience
- Strong Medical Billing and Registration background
- Knowledge of insurance companies and authorizations, posting charges, ICD9/CPT codes, etc
- Experience with AHS/Eagle
7
Medical Biller Resume Examples & Samples
- Prior experience using Super-Bill, ICD-9, and CPT
- Knowledge of CureMD
- Use EMR system
8
Medical Biller Resume Examples & Samples
- Background in Medical Billing
- Knowledge of patient information data entry, IDX, AHS/Eagle, ChartMaxx, etc
- Solid mathematical skills
9
Medical Biller / Collector Resume Examples & Samples
- Associate's and/or Bachelor's Degree in Accounting and/or Finance
- Out of network insurance follow ups / Appeals / Collections experience
- Private Practice, Surgery, Brain and Spine specialty experience
10
Medical Biller Resume Examples & Samples
- Prior experience in Medical Billing
- Proficiency with Microsoft Excel
- Knowledge of patient information data entry, IDX, AHS/Eagle, ChartMaxx
- Excellent attention to detail and math skills
11
Junior Medical Biller Resume Examples & Samples
- Administer and process billing and collection efforts relating to patient transactions covered by third party insurance companies
- Maintain and update electronic claims submissions and EDI files
- Follow-up to patients and insurance companies
- Improve the collection of patient responsibility and co-payments
- Communicate with insurance companies on all processing issues and problems
- Maintain on-line database for insurance credentialing
12
Medical Biller / Collector Resume Examples & Samples
- AA in Accounting
- Prior experience in a related role
- Comfortable handling a high volume of requests
13
Medical Biller Resume Examples & Samples
- Prior IDX experience
- Knowledge of Accounts Receivable principles
- Strong customer service background
- Ability to handle high volume of calls
14
Medical Biller Resume Examples & Samples
- Account follow-up experience
- Prior hospital billing experience
- Prior experience with Eagle Account Receivable System
- Experience with commercial unit insurance accounts
- Proficiency with computer systems and applications
- Strong knowledge and experience with Eagle
15
Medical Biller Resume Examples & Samples
- Exceptional interpersonal skills
- Customer- / Patient-oriented
- Strong negotiation skills $
16
Medical Biller Resume Examples & Samples
- 2+ years of Medical Billing and/or Coding experience
- Experience using the Super-Bill, ICD-9, and CPT codes
- Working knowledge of CureMD as our EMR system
- Solid research and analytical skills
17
Medical Biller Resume Examples & Samples
- 2+ years of experience in Medical Equipment Billing
- Understand procedural requirements for Medicare and Private Insurance Claims Processing
- Knowledge of or experience with Explanation of Benefits (EOBs)
- Knowledge of ICD-9 / ICD-10 codes
- Knowledge of third party billing policies, regulations, etc
- Solid analytical and problem-solving skills
- Knowledge of CPR Plus software
18
Medical Biller Resume Examples & Samples
- Knowledge of patient information data entry such as IDX, AHS/Eagle, ChartMaxx
- Experience with Excel
- Personable and Professional
19
Medical Biller Resume Examples & Samples
- Computer literate with knowledge of Excel and Microsoft Word
- 2+ years of medical billing and reimbursement experience
- Certified in ICD9 & CPT4 Coding with knowledge of medical terminology, HCPCS, Modifiers and CDT
- Strong interpersonal communication and writing skills $
20
Medical Biller / Collector Resume Examples & Samples
- Associate's Degree in Accounting
- Prior insurance experience
- Some experience with patient follow-up and coinsurance deductibles
21
Medical Biller Resume Examples & Samples
- 3+ years of Physician or Medical Billing experience
- Knowledge of multiple 3rd party regulations, diagnosis and procedural coding and modifier assignments
- Knowledge of major 3rd party payor requirements in MA
- Working knowledge of Medical Terminology, Anatomy & Physiology and Disease processes
- Physician Coding certification
- Experience with Soarian Financials
22
Medical Biller Resume Examples & Samples
- 3 years of related medical billing experience
- Knowledge of regulations and multiple third party insurance carriers
- Ability to multitask $
23
Medical Biller Resume Examples & Samples
- 3 years of physician or medical billing experience
- Knowledge of multiple third party regulations, diagnosis and procedural coding and modifier assignments
- Knowledge of major third party payer requirements in Massachusetts
- Advanced knowledge of medical terminology, anatomy & physiology, and disease processes
- Ability to organize, prioritize and meet strict deadlines
- Service-oriented
- Physician Coding Certification
- Soarian Financials knowledge
24
Medical Biller Resume Examples & Samples
- ICD9 experience
- Familiar with insurance policies and companies
- Medical billing office experience
- 0-1 year of professional work experience
- Medical Biller certification
25
Medical Biller Resume Examples & Samples
- 3+ years of experience in the Healthcare industry, including 3rd party payors, Managed Medicaid and Medicare
- High School Diploma and/or GED
- Solid problem solving and analytical skills
- Knowledge of Medical terminology / Coding
26
Medical Biller Resume Examples & Samples
- 3+ years of clerical experience
- 2+ years of experience with computerized patient systems with third party and special program claims
- Familiarity with ICD-9 Dx coding, and experience in an interdisciplinary setting
27
Medical Biller Resume Examples & Samples
- 1+ year of experience working in a medical office setting involved in billing and collection
- Current knowledge of coding, billing and reimbursement for commercial insurance, Medicaid and Medicare
- An understanding of EOBs
- Experience with Excel and Word software
- Experience with eClinicalWorks and OB/GYN billing and coding
28
Medical Biller Resume Examples & Samples
- Excel spreadsheet experience
- Ability to add and balance various types of cash
- Knowledge in Electronic Remittance Advice (ERA) from various payers
- Clear understanding of various types of payments from Electronic fund transfers (EFT), ACH, debits and credits
- Ability to read explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments
- Ability to read accounts receivable
- Proficient in payment postings, denials, and adjustments
- Knowledge of various party payers
- Experience with Eagle
29
Medical Biller Resume Examples & Samples
- 1+ year of medical billing experience within a healthcare facility
- Knowledgeable in personal computer software and general office procedures
- Insurance billing experience with Medicare, Medicaid, and third party commercial managed care companies
30
Medical Biller / Collector Resume Examples & Samples
- 2+ years of Medical Billing and Collections experience
- Previous experience with Appeals, Finance, Claims, and Reimbursement
- Experience in a Managed Care setting
31
Medical Biller / Accounting Specialist Resume Examples & Samples
- Completely fluent in written and spoken English. Bilingual Spanish a plus
- Excellent spelling, grammar, and math skills
- Highly responsible with strong work ethic and consistent punctuality
- Familiarity with HIPAA guidelines, and electronic medical records systems
- Bachelor’s degree (any subject), plus 5 years of relevant work experience
- Intermediate to advanced computer skills including MS Office 2013 (Word, Excel, PowerPoint)
- Typing speed of 50 wpm with little to no errors
- Outstanding attention to detail with 100% accuracy
- Positive attitude; ability to adapt to changing priorities and simultaneous requests for assistance
32
Medical Biller Resume Examples & Samples
- Review EOBs to ensure appropriate payment and the ability to resubmit claims to obtain correct payment
- Other Job related duties
- 2 years experience in Medical Billing or claims processing is preferred
- Outpatient or behavioral health billing experience a plus
- Strong Knowledge of Excel
- Ability and willingness to work as part of a team
- Familiarity with ICD-10, HCPCS, CPT coding, HCFA 1500 & UB-04
33
Senior Medical Biller Resume Examples & Samples
- Ensure all insurance companies and governmental entities are billed accurately and in a timely manner using the correct forms, policies and procedures
- Claim appeals and denial resolution
- Extensive claim denial follow up
- Prior authorization and eligibility
- Accounts receivable
- Three or more years in billing, accounts receivables, payment posting rejections or denials required; centralized billing office experience highly preferred
- Extensive claim denial follow up and appeals experience
- Accounts Receivable, Revenue Cycle, Payment Posting experience highly preferred
- Must have strong knowledge of insurance, eligibility and prior authorizations
- Ability to prioritize and multi task a large work volume with a high level of efficiency and attention to detail
- Dependable and able to work independently
34
Medical Biller Resume Examples & Samples
- 2-3+ years of billing experience
- Good customer service orientation
- Strong experience with Medicare and Medicaid billing
- Experience with New York State nursing home eligibility system
- Managed care billing experience
35
Medical Biller Resume Examples & Samples
- 2+ years of Hospital Billing experience
- Previous experience with: Insurance contract interpretations; Electronic billing systems; Medicaid HMO, Medicare HMO, BC and commercial payers; and, UB04 claim forms
- Working knowledge of Epremis and Siemens
36
Medical Biller Resume Examples & Samples
- 6+ months of experience as a Medical Biller
- Knowledge of Hospital Billing
- Working knowledge of e-Clinical Works
37
Medical Biller Resume Examples & Samples
- Knowledge of medical billing systems
- Basic knowledge of coding
- Skilled in organization
- Knowledge of specialty medical practices
- Ability to read and understand an EOB
- One to two years of medical billing, coding, or charge entry experience in the health care field is required. Two to three years would be preferred
38
Medical Biller Resume Examples & Samples
- Knowledge of health care operations and structure, general requirements in an integrated delivery system, and use of information system applications in the practicing health care environment
- Exceptional customer service skills, responding to user needs in a prompt, courteous manner
- Ability to apply proven communication, analytical and problem-solving skills to help identify, communicate and resolve system issues to maximize system potential
- Understanding/compliance of HIPAA laws and regulations
- Computer proficiency (MS Office - Word, Excel and Outlook)
- Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers
- Ability to read, understand and follow oral and written instructions
- Must have good organization skills; ability to prioritize multiple activities and objectives in a rapidly changing environment, and deliver quality service
39
Medical Biller Resume Examples & Samples
- 1+ year of work experience
- Knowledge of and experience with Hospital & Professional Billing
- Knowledge of Insurance companies and Authorizations
- Charge Entry experience
- Working knowledge of AHS / Eagle
- Experience with ICD9 / CPT codes
40
Medical Biller Resume Examples & Samples
- At least 1 year of experience with hospital and professional billing
- Experience with charge entry
- Knowledge of insurance companies and authorizations, posting charges, and ICD9/CPT codes
41
Medical Biller / R Follow Resume Examples & Samples
- Research and resolve a variety of A/R issues
- Research complex accounts to ensure timely reimbursement
- Research claim status and new payor regulations via the Intranet and telephone
- Identify provider enrollment and reimbursement issues
- Submit mass and individual appeals
- Other duties as requested by Management
42
Medical Biller Resume Examples & Samples
- Prior medical billing experience is a must
- Keen knowledge of ICD-9 and CPT codes is a must
- Knowledge of medical billing laws and practices
- Ability to correctly distinguish between physician and hospital billing and process appropriately
- Understands all aspects of the appeal process and appeals claims effectively
- Minimum 3 years of third-party billing experience in a healthcare setting
- Prior experience billing for a multi-specialty medical office is highly desirable
- Knowledgeable of all insurance rules and regulations
- Demonstrated ability to identify, analyze and problem-solve independently - as it relates to billing issues
- Strong communication and organizational skills required
- Degree or certificate from an institute of higher education preferred
- Minimum 3 years of third-party billing experience in a healthcare setting required
- Candidates will possess excellent computer skills, be a team player, and display a positive attitude
- Must have the ability to multitask and prioritize workloads effectively
43
Medical Biller Resume Examples & Samples
- Follows Standard Procedures and AMA guidelines to accurately read and code medical records using ICD-9 and CPT codes
- Inputs codes into a PM software in order to reflect proper coding
- Assesses claims to verify correct billing
- Completes assigned systematic checks to ensure all medical records are properly coded and recorded in PM system
- Verifies all systems are balanced at the end of the date of service
- Runs and works assigned reports verifying imputed data is accurate
- Corrects, both preemptively and post submission upon denial or rejection, coding errors and issues
- Works collaboratively with management to create and analyze tracking reports to evaluate trends
44
Medical Biller, Oncology Resume Examples & Samples
- Review lab log for charge entry
- Prepare and Bill physicians hospital billing
- Verify chemo orders when needed
- Do financial assistance for patients as need
- Stay up to date on current protocols and billing guidelines
- Answer any billing or coding questions from our physicians and discuss with them when there are changes in procedures from a billing and coding perspective
45
Medical Biller Resume Examples & Samples
- Post all zero lock boxes on a daily basis
- Work all explanation of benefits within 48 hours of payment
- Process all appeals within 48 hours of denial
- Work accounts receivable reports on a daily basis according to policy schedule
- File all corrected claims to the appropriate insurance company on a daily basis
- Process refunds to insurance carrier if there is an overpayment
- Interacts with payment posters and Coders to assure compliance and appropriate billing practices
- Gather data and prepare information/reports as requested by Division Director of Medical Billing
- Handle billing correspondence
- Maintains confidentiality in all aspects of the job
- Minimum 3 years specialty billing in the area of internal medicine, family medicine and/ or emergency medicine
- Ability/knowledge to code multiple specialties
- Knowledge of patient insurances. Ability to provide instruction to the patients and their families regarding insurance coverage procedures
- Ability to perform standard office procedures according to established protocols
- Experienced and comfortable providing education to providers one on one and in group setting on a frequent basis and work with the providers to optimize their billing
- Knowledge of and ability to use computer systems and other office equipment
- PC skills, with emphasis on Windows applications, and ability to use a mouse
- Keyboarding/data entry skills
- Ability to perform detail-oriented work
- Thorough knowledge of medical terminology, anatomy, physiology and disease process
- Ability to work independently yet in conjunction with a team
- Ability to adapt to a changing and growing atmosphere
- Knowledge of medical reimbursement methodologies
- Ability to speak in a group setting. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
- Courteous and professional demeanor
- Demonstrates excellent verbal and written communication skills
- Ability to maintain a professional demeanor and composure when handling difficult clients/stressful situations
- The employee must have the ability to work overtime hours when necessary
- Willingness to learn new skills and help in different areas
46
Medical Biller Resume Examples & Samples
- HS Diploma is required
- An associate or bachelor’s degree in business or related field is highly preferred
- Strong working knowledge of medical terminology is required
- One to two years of billing or charge entry experience in the health care field is required. Please note this experience must be clearly visible on an application to be considered
47
Medical Biller Resume Examples & Samples
- Perform posting charges and completion of cliams to payers in a timely fashion
- Convert dosages to billable units
- Submit billing data to insurance providers
- Work claims and clam denials to ensure maximum reimbursement for services provided
- Perform Medicare/Medi-Cal reviews and audits
- Implement, maintain and report on programs initiated by the practice
48
Medical Biller Resume Examples & Samples
- Pull information from the system and enter the charges, make any adjustments, utilize internal databases, optimize the codes and submit the claim electronically or by paper
- Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self-payers
- Complete billing rejections and make corrections as needed
- Follow up on pending claims and work them to resolution
- Review the variance report and identify and report any trends found
- Consistently achieve defined metrics
- Minimum one year medical billing experience
- Thorough understanding of medical terminology and medical coding
- Working knowledge of MS Office including Word, Outlook, and Excel
- 2017-3143 EVR
49
Medical Biller Resume Examples & Samples
- Process rejections, denials and other correspondence received from third party payors in accordance with RTI procedures and guidelines in an effort to resolve non-payment issues and rebill “clean” claims for payment
- Document accounts worked through the system notes screen
- Investigate payor rejections and denials and communicate findings to appropriate management personnel
- Work all Advanced Denials that pertain to the specific Advanced Denial unit assigned, including but not limited to, either Provider Enrollment, Duplicate Claim, Timely Filing and/or Medical Necessity denials
- Make outbound phone calls to insurance to discuss/resolve denied claims
- Maintain proper inventory counts through the use of the system inventory control features
50
Medical Biller Oncology Brownstown, MI Resume Examples & Samples
- Verify insurance coverage
- Charge entry for Office Physicians charges
- Prepare and Bill physicians’ hospital billing
- Obtain authorizations for chemotherapy and other drugs when needed
- Confirm/Review physician, lab and chemo schedules weekly to make sure we have referrals and authorizations on patient’s that need it
- Balance charges, when needed
- Talk with patients’ who have billing questions
- Help with appeals as needed
51
Medical Biller Resume Examples & Samples
- Prior medical billing experience
- Knowledge of insurance companies and authorizations, as well as posting charges
- ICD9/CPT codes knowledge
52
Medical Biller Resume Examples & Samples
- Responsible for a variety of clerical duties related to preparing, processing, and reviewing medical bills for covered expenses to private and government insurance agencies and other third party payers
- Reviews claims for appropriate payments by following prescribed procedures
- Adjusts or corrects denied claims due to missing information or change in patient status, etc
- Maintains patient folders, billed accounts and other related materials
- Takes appropriate action on referrals provided by Account Representatives
- 3+ years clinical billing experience
53
Medical Biller Resume Examples & Samples
- Communication – Communicates clearly, concisely, and professionally
- Analytical Skills – Demonstrates ability to critically evaluate and act upon information
- Technical Skills –
54
Medical Biller / Accounts Receivable Analyst Resume Examples & Samples
- 1+ year of Hospital Billing experience
- Knowledge of third party billing policies, regulations etc
- Experience with GE / IDX
- Solid analytical, mathematical, and research skills
55
Temporary Medical Biller Resume Examples & Samples
- Performs various registration functions including, but not limited to
- Schedules and confirms patient appointments and arrival
- Obtains and records necessary demographic and insurance information
- Sets up, retrieves and files patient charts, as required
- Collects any monies due from patient at time of service
- Answers phones, obtains and provides necessary information and takes messages
- Performs various billing, collection and third party reimbursement functions including, but not limited to
- Completes, processes and reconciles insurance claim forms
- Prepares payment journals and/or bank deposits for all collections
- Prior registration and/or third party insurance billing experience, required
56
Experienced Medical Biller Resume Examples & Samples
- Completes, processes and reconciles insurance claim forms and payments
- Verifies insurance coverage and other related data with third party carriers
- Processes credit balance reports, preparing pre-collection notices and other correspondence/bills
- Collects all monies due from patient at time of services, prepares payment journals, and makes bank deposits for all collections
- Schedules appointments for patients with ancillary hospital departments, service, and doctors' offices
- Greets patients as they arrive to suite, obtains necessary demographic and insurance information. Reconciles billing with kept appointments/procedure logs
- Types correspondence and relevant forms
- Knowledge of physician's billing inclusive of third party billing, medical terminology and CPT codes, required
- Typing 30 wpm and ability to utilize word processing system
57
Medical Biller Resume Examples & Samples
- Responsible for answering patient inquiry calls and correspondence in a professional and courteous manner as well as researching / resolving any issues or concerns patients may have with their accounts
- May also be responsible for contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability
- Quality Assurance Standards and HIPAA rules must be adhered to at all times
- Training provided
- Contacting insurances companies and following up on outstanding AR
- Identifying billing trends
58
Medical Biller CBO Resume Examples & Samples
- Customer Orientation – Establishes long-term customer relationships, building trust and respect by consistently exceeding expectations
- Decision Making – Identifies issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action
- Contributing to Team Success – Actively participates as a member of the Center’s team to move the team toward the completion of goals
- Minimum of one to two years experience in a physician/medical office, ambulatory surgery center, or hospital business office environment in billing required
59
Medical Biller Resume Examples & Samples
- Provide administrative and business support in preparing, updating, and monitoring program/facility budget requirements
- Uses coded data to produce and submit claims to insurance companies
- Ensures that claims formatting and data elements are in compliance with payer specifications
- Works directly with insurance companies to get claims processed and paid
- Researches unpaid claims, determines and corrects cause, performs collection and follow up as needed
- Appeals and re bills underpaid or denied claims within payer deadlines
- Verifies patients’ insurance coverage
- Identifies denial trends and researches root causes and reports findings to Supervisor for resolution
- Assist/monitor the Accounts Receivable reports
- Prepares itemized statements, bills or invoices, recording amounts due for services rendered
- Maintains records of invoices and supporting documents
- Assists with posting of cash, reconciling accounts, and making authorized adjustments as needed
- Ensures all payers are entered into the billing system accurately and timely
- Contacts customers to obtain or relay account information
- Composes various daily, weekly, and monthly reports as assigned
- Completes data entry
60
Accounts Receivable / Medical Biller Resume Examples & Samples
- Must be able to prepare and submit all billing (i.e. Medicaid, HMO claims, Medicare A & B) accurately and in a timely manner
- Must be able to effectively manage and oversee bookkeeping functions including: posting payments and charges to patient ledgers, entering and balancing census daily, balance daily receipts, collect delinquent accounts, and evaluate need for and refer delinquent accounts to collection agency
- Must be able to manage and oversee patient accounts, with timely follow-up of claims
- Must be able to process facility resident trust transactions daily and reconcile account weekly/monthly
- Must demonstrate dependable, regular attendance
- Must be proficient in Microsoft Excel and Microsoft Word
- One (1) year in post-acute care or other geriatric-related field
- Medical billing experience
61
Medical Biller Resume Examples & Samples
- Medical Billing background
- HMO Collection experience
- Knowledge of applicable laws, rules, regulations and internal policies
- Previous experience in a Nursing Home setting
62
Medical Biller Resume Examples & Samples
- 3 years of medical billing experience preferred
- Experience in medical billing or medical administration preferred
- A working knowledge of insurance guidelines
- Strong ethics and a high level of personal and professional integrity
63
Medical Biller Resume Examples & Samples
- Review accounts receivable
- Process incoming mail from insurance companies
- Process denials
- Post insurance payments
- Make and take calls from insurance companies
- Work negative balance reports
- Must have atleast 2 years of prior experience
64
Physician Medical Biller Resume Examples & Samples
- Perform full cycle medical billing for multispecialty physician and hospital services
- Medical Biller & Collectors create, submit, and process government, Medicare, Medicaid, and commercial insurance claims
- Medical Biller & Collectors follow up on insurance claim status, resolve denials/rejections, submit re-bills, re-submit claims, and file appeals
- Medical Biller & Collectors collect on insurance and patient outstanding balances
- Medical Biller & Collectors establish payment plans, accept payment, and work aging reports
- Medical Biller & Collectors post insurance and patient payments (cash, check, credit card, Explanation of Benefits, EOB, EFT, lock box)
- Medical Biller & Collectors manage accounts receivable and accounts payable
- Medical Biller & Collectors obtain insurance verification, precertification, and authorization via phone and insurance payer portals
- Medical Biller & Collectors update patient accounts with registration, insurance, demographic, scheduling, and billing data
- Medical Biller & Collectors provide superior high volume patient customer service in a fast paced environment
- Medical Biller & Collectors use Microsoft Office Word/Excel/Outlook, medical software, payer portals, and type 40+WPM
65
Medical Biller Resume Examples & Samples
- Skill in evaluating bills for clean claim submission in a timely manner
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals,
- Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs and ability to apply basic algebraic concepts
- Ability to deal with problems involving several concrete variables in standardized situations
- Knowledge of third party payers guidelines
- Knowledge of medical insurance practices and policies and regulations
66
Medical Biller Resume Examples & Samples
- Excellent communication skills using proper English grammar
- Minimum 2 years of billing experience
- Familiar with patient accounting software, especially AdvantX
- Ability to read and understand insurance explanations of benefits and managed care contracts
- Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook
67
Senior Medical Biller Resume Examples & Samples
- Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed
- Verifies appropriate CPT, ICD, and HCPCS codes to accurately file claims for the physician service using the medical record as supporting documentation (Biller)
- Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information
- Responsible for working EDI claim rejections in a timely manner
- Receives and interprets Explanation of Benefits (EOB) that supports payments from Insurance Carriers, Medicare, or patients. Able to apply correctly to claims / fee billed (Collector)
- Processes incoming EOBs to ensure timely insurance filing or patient billing. May require correction of data originally submitted for a claim or Coordination of Benefits with secondary insurance
- Responsible for processing payments, adjustments and denials according to established guidelines (Payment Poster)
- Responsible for reviewing insurance payer reimbursements for correct contractual allowable amounts
- Responsible for reporting payer payment and denial trends in a timely fashion
- Responsible for reconciling transactions to ensure that payments are balanced
- Responsible for reducing accounts receivables by accurately and thoroughly working assigned accounts in accordance with established policy and procedures
- Responsible for keeping current with changes in their respective payer’s policies and procedures
- Communicates with the Clinics to provide or obtain corrected or additional data
- Able to prepare documents for training or for establishing procedures for clinics
- Identifies problems and root cause of problems related to billing and collections
- Assist with training materials and training staff members
- Responsible for identifying problems / trends in medical documentation and reporting them in a timely fashion
- Answers patient and customer questions regarding billing and statements
- Prepare claims for encounters with complex progress note issues
- Participates with special assigned projects
- 4 - 5 years of relevant medical experience
- Strong attention to detail and professional customer service skills
- Proficiency with Microsoft Office applications
- Medical terminology and ICD / CPT coding
- Technical skills in the areas of EDI, systems analysis and process flows
- 2+ years of related billing and / or collection experience
- Coding certification
- 50 wpm typing skill
- Knowledge of submission and resubmission of medical claims
- Knowledge of government and commercial policies and procedures
- Knowledge of ICD, CPT codes and HCPCS coding
- Knowledge of HIPPA compliance rules and regulations
- Skill in the operation of billing software and office equipment
- Skill in using Microsoft Office (Outlook, Excel, Word)
- Skill in processing claims efficiently and on a timely basis
- Solid customer service skills and excellent interpersonal skills
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Experienced Medical Biller Resume Examples & Samples
- Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure
- Prepares batch for dates of services, posts, balances and closes for the day
- Prepares charts for doctor''s signatures, maintains medical record files, and is responsible for all aspects of its confidentiality
- Obtains and files all reports generated by outside vendors
- Submits charges on patient accounts to correct payer based on the verified insurance information. Performs re-bills to insurance payers and patients as needed and supplies additional information as requested
- Updates and maintains master copy of all current forms used at the Center
- Updates charge master for new/deleted procedure or diagnosis codes
- Mails infection control survey to surgeons, keeps track of statistics, and informs the Clinical Manager of any reported infections. Prepares report for the PI Committee and MEC
- Obtains surgeon signatures on Operative Reports and completes the Medical Record
- Maintains log of outstanding Operative Reports and prepares report for the MEC
- Assures that new physicians have transcription number and information. Resolves any problems with the transcription service
- Is knowledgeable about current coding conventions and applicable state and federal laws as they pertain to billing, coding and consents
- Backs up Accounts Receivable representative as needed
- Receives, screens, and routes incoming calls in a professional manner by the third ring
- Informs Business Office Manager of applicable day-to-day situations
- Follows employee health, safety, personnel, and staffing policies
- Successfully works as a team member
- Shall be flexible, reliable, productive, patient-oriented and self-motivated
