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Sample Medical Billing Specialist Resume

Objective

A challenging Supervisory or Lead Medical Billing position with diverse job responsibility in a growth-oriented organization seeking an articulate and personable professional who displays initiative and is well organized.

Summary Of Accomplishments
  • Set up job descriptions and standards of performance for all positions in Billing and Front offices.
  • Analytical ability, with extensive experience in conception and execution of the Billing process
  • Proven ability to work independently, handle simultaneous projects, and meet deadlines.
  • Effectively motivate others on all levels in the achievement of individual and organizational goals.
  • Motivated, efficient, accurate, and detail-oriented.

  • Experience

    Medical Billing Specialist - (2006 - 2008)
    Excellence Billing Services, LLC. - NV

    I Coded and Posted Charges for various physicians to include office visit, hospital rounds, as well as Surgical coding and Charge entry. I did Electronic billing for most payors, as well as paper claims when reporting is necessary. Performed daily Deposits, posted payments read EOB'S to Determine true and correct payment as been received Via Contract guidelines Responded to all correspondence in Billing, reviewing and validating all codes, review and correction of denied claims review of denials and underpayments, Resubmission of Corrected Claims to include written appeals to complete the billing process to insure clean claims and maximum reimbursement. Worked Insurance and Patient A/R. Performed billing and payment data analysis, reconciled and audited assigned insurance and patient accounts to determine all insurance payment have been received per contract and patients are being billed in a timely and accurate matter. Reviewed unapplied cash reports for application, allocated payments. Reconciled cash deposits to bank records, prepared aging report and provided cash flow trend analysis and other month-end financial report support. I also handled internal and external inquiries concerning computer billing software, using INTERGY software.

    Lead Medical Biller - (2004 - 2006)
    Las Vegas Neurosurgery, Orthopaedic, & Rehabilitation -NV

    Post Daily Office/Hospital visits, Coded and posted Surgery Charges for Multi-Surgeon Specialty Practice. Responded to all correspondence in Billing, reviewing and validating all codes, reviewed and corrected denied claims Resubmitted Corrected Claims to via written appeals, unbundling codes, attaching records and more to complete the billing process to insure clean claims and maximum reimbursement. Responsible for a variety of cash operations and adjustment duties in billing office. Major responsibilities included researching checks for overpayment validity, processing balance billing, bill out all secondary claims, handle patient's disputes. Prepared month-end financial reports and sent our patient statements. Trained front desk staff on insurance and data collecting procedures on the computer billing software using MEDICAL MANAGER to better meet the needs of entire medical office staff as well as managing cash resources with more profitably.

    Payment Poster-A/R Auditor - (2002-2004)
    Nevada Imaging Centers NV

    CPT and ICD-9 coding of all radiology procedure reports to include Charge entry, and electronic billing, and paper claims to payors who require reporting with submission of claims. Responded to claim denial mail and resubmitted claims with necessary corrections and/or medical reports when required. Responsible for researching and posting all payments to outstanding patient accounts. Identifying over payments on accounts and initiate a refund on overpaid accounts. Contact banking institution about any missing deposits or deposit errors immediately. Insure Front office patient co-pay accuracy by balancing clinical totals daily as well. Cash report reconciliation per Physician, as well as per facility and reconciling complete practice daily totals. Ran claims for secondary payors, copied EOB's for submission of claims to patient secondary insurance carrier. Complete month-end reports and reconciled directly with Practice Manager's. I acted as key contact and liaison for our network specialist. I traveled between all four of our Radiology offices for Monthly training meetings for all front desk staff as well as any Computer software or licenses issues. I was required to work in a fast paced environment with daily deadlines to meet using LYTEC software.

    Certifications

  • Medical Billing and Coding Procedures, Pacoima Skills Center, Fully Accredited. (1997 - 1998)
  • Microsoft Word and Excel, w/Internet Inner scope, Pacoima Skills Center, (1997 - 1998)