Analyze trends impacting charges, coding collection and accounts receivable and take appropriate action to realign staff and revise policies and procedures. Medical billing professionals handle the financial side of healthcare, translating medical charts into billing codes that are then sent to insurance companies or patients. work samples and references for your career portfolio, which will include your master application, resumé and cover letter.When you are applying for jobs, use Reconciles billing with kept appointments/procedure logs, Prepares batch for dates of services, posts, balances and closes for the day, 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, 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, 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 read explanation of benefits (EOB) and assigned patient liability including secondary/tertiary assignments, Knowledgeable in personal computer software and general office procedures, Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers, Knowledge of and experience with Hospital & Professional Billing, Strong background in Administrative support, Experience in a Mental Health or other Healthcare setting, Knowledge of Insurance guidelines, especially Medicare and state Medicaid, Knowledgeable of third party physician billing, Ability to read and interpret explanation of benefits, remittance advices and invoices in billing system, Ability to read and understand EOBs from various insurances as well as the advice code, Proven organizational and excellent attention to detail, 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, Managed care and medical billing experience, Skills in Excel, Word, and payment posting, 2+ years of Authorization / Billing experience, Strong Medical Billing and Registration background, Knowledge of insurance companies and authorizations, posting charges, ICD9/CPT codes, etc, Prior experience using Super-Bill, ICD-9, and CPT, Knowledge of patient information data entry, IDX, AHS/Eagle, ChartMaxx, etc, 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, Knowledge of patient information data entry, IDX, AHS/Eagle, ChartMaxx, Excellent attention to detail and math skills, 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, Comfortable handling a high volume of requests, Knowledge of Accounts Receivable principles, 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, 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, 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 third party billing policies, regulations, etc, Solid analytical and problem-solving skills, Knowledge of patient information data entry such as IDX, AHS/Eagle, ChartMaxx, 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 $, Some experience with patient follow-up and coinsurance deductibles, 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, 3 years of related medical billing experience, Knowledge of regulations and multiple third party insurance carriers, 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, Familiar with insurance policies and companies, 3+ years of experience in the Healthcare industry, including 3rd party payors, Managed Medicaid and Medicare, Solid problem solving and analytical skills, Knowledge of Medical terminology / Coding, 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, 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, Experience with eClinicalWorks and OB/GYN billing and coding, 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, Proficient in payment postings, denials, and adjustments, 1+ year of medical billing experience within a healthcare facility, Insurance billing experience with Medicare, Medicaid, and third party commercial managed care companies, 2+ years of Medical Billing and Collections experience, Previous experience with Appeals, Finance, Claims, and Reimbursement, Completely fluent in written and spoken English. @���A� ]D*Z�J�)�PlY*� 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, 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. Everyday duties of these employees include processing claims to collect payments, answering billing inquiries from patients, verifying insurance coverage and reviewing denied claims. Hiring managers often go through a lot of resumes to fill a Medical Biller Position. Writing a great Medical Billing Specialist resume is an important step in your job search journey. Summary : 12+ years of experience in Durable Medical Billing. endobj 20 0 obj <> endobj 21 0 obj <> endobj 22 0 obj <> endobj 23 0 obj <> endobj 24 0 obj <> endobj 25 0 obj <> endobj 26 0 obj <>stream Beginning of Sample Medical Billing Resume Mary Biller 123 Maple Tree Lane Hoover, AL 35216 (205) 555-5555 [email protected] Summary. Medical Billing Specialist. This way, you can position yourself in the best way to get hired. 16w��70 �O�ae�ae`��a��a��a��b`�А��3xػ�s���]� - Select from thousands of pre-written bullet points. Skilled in providing great customer service. Medical Billing Clerk Responsibilities and Duties: Prepare bills and invoices for medical services and treatments received. Analyze billing to improve coding data accuracy for Medicare compliance reimbursement Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse Conduct training, in-service and other education regarding diagnosis, procedure code assignment, regulatory requirements, and use of AHLTA, CHCS I, CCE for compliance and data quality It’s actually very simple. 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. There are plenty of opportunities to land a Medical Claims And Billing Specialist job position, but it won’t just be handed to you. Medical Biller Resume Examples. Complete set up of revenue cycle management process for two practices, professional and institutional billing. If you are making a resume or CV for a medical billing job, it is important to craft a powerful objective statement that immediately gets the employer’s attention. 16w3�70 �T�y��yX�X:4任���B���` FF f`bddb��Y��� � � Medical Coder and Biller Resume. Self-motivated accounts receivable/data entry person offering a strong work ethic and determination to complete tasks in a timely manner. Successful track record handling complicated assignments. When you’re done, Zety’s resume builder will score your resume and tell you exactly how to make it better. Accurate and detail-oriented with extensive bookkeeping, accounts receivables medical billing … endstream [��5\�_�u�f]Da+�y:��nF�lOw`���D��'�"梧X�&�ٜ�MUR3�#}$�SXl��ph�� �����>VP��F_��5h����V�J?Cm���H�.���f䞦�� �i�Exs���gq��,=���=���g1��ut5M�(�;"�4�M��W��Ey��� ��::�e����]�w���m���2y��W��Wh�a�w/�;DA*�����?��xgR �Y��4`����(p.|�. Sample Resume Medical Billing Specialist. Medical billing and coding graduates, rejoice! These professional are involved in a wide range of duties such as explaining charges to the patient's family, solving billing disputes by coordinating with the insurance companies, and maintaining accurate records. Medical Billing Resume; Medical billers are primarily responsible for handling all aspects related to medical billing and payments. x�cd`ab`dd� Medical Billing Manager Resume Examples. endstream jobs.utah.gov. Medical Billing Resume (Template) Medical Billing Resume Template (CV Example) 43 Shares. Medical Billing has become a very sought after profession in recent years, attracting more applicants than ever before. Medical Billers work in healthcare facilities and are responsible for submitting claims to insurance companies. Examples of Medical Billing And Coding Specialist duties are using medical classification software, making sure assigned codes meet legal requirements, and solving issues related to claims denied due to incorrect coding. Highly experienced In reconciling insurance and patient payments and resolving account disputes. x��{ |SU�������i�$MҤM��ii! Dedicated to maintaining strict patient confidentiality. May require correction of data originally submitted for a claim or Coordination of Benefits with secondary insurance, 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, Able to prepare documents for training or for establishing procedures for clinics, Identifies problems and root cause of problems related to billing and collections, 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, Technical skills in the areas of EDI, systems analysis and process flows, 2+ years of related billing and / or collection experience, 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, 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. 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