Answers questions from patients, clerical staff and insurance companies. Completed software updates and database back up. Responsible for the audit of patient and insurance refunds using the excel spreadsheet. Maintained the strictest confidentiality, adhered to all HIPAA guidelines/regulations. Skills : Medical Billing Medical Coding Payment Posting !ICD-9-CM,. Accurately collected and recorded patient medical and dental histories. Managed incoming and outgoing calls for busy medical office. Provided help in training all new employees on correct claim submission and using of software systems. Highly creative, recognized as a results-oriented and solution-focused individual. Exceptional interpersonal and communication skills with strong experience in the customer service field. Designed and delivered power point presentation about ABN form at practice's annual company meeting to three physicians and seventy employees. Able to direct and lead others to produce desired results. Summary : Dedicated professional with ten years of experience performing clerical responsibilities, providing quality customer service, assisting with policies and procedures. Skills : I'm great with people and interacting with them. Headline : Dedicated Medical Billing Specialist with 6 years of experience processing medical insurance claims. Find out what is the best resume for you in our Ultimate Resume Format Guide. Arranging and prepare payment plans for patients. Billing Specialist job description. A good medical billing specialist will take a proactive approach to their job. Assist Spanish speaking patients with appointments, billing questions and translate for medical personnel. I also have some experience with customer service. Provided claim report analysis researching billing issues, and escalated billing issue resolution and patient account accuracy. Follow-up on exception rates and discounts along with research of payments and client charges. **Description**PeaceHealth is seeking a Patient Account Specialist - CALL CENTER - REMOTE for a Per Diem/Relief, Day position. Insurance Billing Specialist Summary. Summary : Well-regarded Billing Specialist possessing extensive knowledge of insurance billing. Working on educating our patients regarding their individual policy and plans with an effort for the patient's involvement to resolve unpaid claims and to encourage understanding of the billing process. Consistently initiates pre-certification when required and notifies the Financial Counselor when coverage issues arise. Very dependable, customer service oriented employee who focuses on accuracy in all tasks. My experience will be a great asset to your company. Detail Oriented. Reviewed and maintained the current status of all managed care and commercial insurance. They calculate, administer, verify, update and, process invoice payments to ensure customers are charged the right amount. Medical Records. Operate 10-key calculator, copy and fax machines Updated patient accounts and information on a daily basis. Knowledge of office administration and procedures. Reconcile insurance payments to explanation of medical benefits. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call. Check out Insurance Billing Specialist resume sample with summary, skills, and experience currently employed at Phcbs. 2022, Bold Limited. Informed team lead or supervisor on any account problems and the resolution to solve problems. Entering new client demographic and insurance information. Answering all incoming calls: calls from patients, answering all billing questions to the best of my knowledge. Entered new patients into Softdent as well as established patients updated their accounts. Obtained the necessary information to correct and process denied claims. Dealing solely with funded accounts to ensure payment was accurately submitted by pharmaceutical companies. Scheduled appointments, answered phones, pulled charts for scheduled patients and confirmed appointments. Their day-to-day work entails preparing and sending invoices for payment, coding medical services . Carrying the sole responsibility for the two largest aged accounts, Medicare and Anthem Blue Cross Blue Shield as well as assisting the department with the remaining commercial par and non-par accounts. Initiate and oversee any forced place insurance coverage that is required due to inaction of the . Verified proper coding, sequencing of diagnoses and accuracy of procedures. An insurance billing specialist may be employed by a physician, hospital, or other medical facility or may choose to be self-employed. Skills : Microsoft Office, Typing 65 WPM, Multi-Tasking. Excellent interpersonal skills for interacting with supervisors, co-workers, patients & insurance carriers.  Skills : Medical Coding: CPT And ICD9, ICD10. Used electronic charge Capture Practices such as billing and account receivables (Clinix) system and medical billing clearinghouse accounts to submit codes and invoices on time. Utilize automated claims verification systems via phone or online systems. Summary : Seeking a position in the Healthcare industry, utilizing all of my extensive skills in the Medical and Dental Field. Streamlined daily reporting information entry for efficient record keeping purposes. Accounts receivables. Insurance Billing Specialists process insurance claims for healthcare facilities. * Part Time Days - Flexible hours * Three Pillars Senior Living Communities, located in Dousman, WI, is hiring a Accounts Receivable Insurance Billing Specialist. Client Support Specialist- Remote Organization : Sustainable Resource Management Oregon If you have a collaborative nature, enjoy working with data and have an interest in sustainability transformation, submit your resume! Headline : Seeking a job position as a medical coder to use my experience and further my knowledge and experience in coding. Performed billing for commercial insurance, worker's compensation, MVA and VA, which included outreach clinics and mental health services, Updated patient's insurance in computerized registration system, Processed electronic billing through Premis, Posted daily cash and banking; performed record keeping in QuickBooks, Performed additional administrative duties, such as ordering supplies, inventory, mail distribution and scanning documents, Enter information necessary for insurance claims, Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form, Resolve issues with insurance companies on unpaid or rejected claims, Prepare appeal letters to insurance carrier when not in agreement with claim denial, May periodically create insurance or patient aging reports using the medical practice billing software, Understands managed care authorizations and limits to coverage such as the number of visits, Verify patient benefits eligibility and coverage. Desired experience for insurance billing specialist includes: Travel to various office locations may be required Must have at least 3 years of operational billing/collecting experience in a medical setting Must know ICD10, CPT and modifiers Skilled in pin-pointing problem accounts and determining a plan of action Provided quotes for home and auto, personal and commercial, insurance from a variety companies to best suit the customer's needs. Responsibilities: The MBS ensures that all patient information, charges, billings and follow-ups are accurate, complete and timely. Create your resume in minutes. Proficient at working independently, handling simultaneous projects, and meeting deadlines. Skills : Microsoft Office, Administrative Assistant, Administrative Support, Administrative Duties, Accounts Receivable, Medical Terminology, Account Reconciliation, Accounting, Bookkeeping, Insurance Verification, Insurance, Customer Service, Call Center, Collections, Data Entry. Referred unresolved customer grievances to designated departments for further investigation. For example, skills like Invoicing, Accounts Receivable (AR) and Customer Service are possible skills. Essential job duties seen on an Insurance Billing Specialist example resume are maintaining patient records, collaborating with medical staff, managing billing processes, and identifying elements like diseases and medical procedures by using different sets of codes. Summary : A highly motivated Credit, A/R, A/P, Medical Supply Chain, and Billing Specialist professional with a verifiable record spanning 15 plus years. Data Entry. Verified all commercial insurance coverage, worker's compensation insurance, accident insurance and state programs and determine patient's responsibility if applicable. Skills : Extensive knowledge on use of email, search engineknowledge and use of Microsoft Products: Outlook, Word, Excel. Objective : I have worked in daycare for 3 years as a 3-4 year old teacher also did deposits and some scheduling. Review customer accounts/patient accounts receivables/aging and take necessary steps to keep accounts current. Medical Coding and Billing Specialist January 1999 to July 2016 Pacific Dental Services Oregon City , OR. Posted insurance remits to correct outstanding accounts. Use this resume as a template to find a job! Reviewing the explanation of benefits and making necessary corrections on the claims and resubmit for processing. Utilized presentation software and incorporated Power Point presentations. Served as a liaison for all communication with the Sonus and Miracle Ear corporate and franchise clinic staff and franchise owners. Document conversations with responsible parties regarding accounts on both the company and client systems. resume manager coding samples qwikresume example. Skillfully monitoring and maintaining the assigned accounts to include but not limited to account adjustments, small balance write-offs, customer reconciliations and /or processing credit memos. Graduates with specialized training in the field have a better chance of getting placed. Respond to incoming phone calls and email inquiries regarding patient/client accounts. No need to think about design details. A medical billing specialist handles insurance claims, payments, and invoices. The Billing Specialist Resume gives a list of certain core tasks such as receiving and sorting incoming payments, checking the debit account validity period, updating accounts receivables, issuing and posting bills, receipts and invoices; ensuring all clients are properly informed about outstanding debts and their deadlines, and creating a detailed report on all billing activities. Go through the Billing Specialist posting you're applying to, and identify hard skills the company is looking for. Best 20 Billing Specialist Resume Objectives Statements You Can Apply Excellent communicator with strong time management skills and solid history in the oil and gas industry, seeking for the position of a billing specialist with Adecco Staffing. Reviewed and resolved non covered charges according to procedures, and reviewed write off charges that was inappropriate. Entered and updated medical billing codes in patient accounts. . Aligned new learning development and solutions with the company's strategic goals. Completed and submitted insurance claim forms to various insurance companies, Pre-Authorizations for the proposed treatment, and reviewed estimates with patients. Below, you can download four well-written medical billing and coding specialist resume templates for all experience levels, along with industry-specific advice for making your resume stand out. Created first medicare LCD injections allowed diagnosis sheet used throughout the practice by both the billing department and technicians in all exam rooms. Billed all primary and secondary insurance claims in a timely and accurate manner. Processed and entered physician orders to proper departments Operated office equipment such as copiers and fax machines. Posted charges, payments and adjustments. Audited patient information for accurate insurance information Pre-registered patients for future dates Insurance verification. Greeted and prepared patients for dental examinations. Attention to detail. Highlights: Microsoft Office proficiency, Meticulous attention to detail, Results-oriented, Self-starter, Patient charting, Claims appeal procedures, Strong problem solver, Dedicated team player, Medical terminology, Billing and coding. Communicated coordination of benefits changes with other departments, as well as noting patient accounts. Highly skilled in analyzing and validating patient information . 3. Research and resolve Flood insurance requirement issues. Remote and flexible schedules perfect for working between child drop off . Headline : Billing Specialist with 5 years of strong experience in customer service. Contacted insurance company to verify what additional information is needed in order to process claim correctly. What are some skills that can be included in a billing specialist resume? It appears on 17.8% of resumes. Followed up on outstanding medical claims. Objective : Dedicated and focused Billing Specialist who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Posting all payments by both patient and payor. The sample presents the information by using the reverse chronological format. AR Billing Specialist Resume Objective : AR Billing Specialist with 3+ years of experience in Working with management to implement new processes as Pro+ & Marketplace continue to grow/change, Assisting product team with project new initiatives, specifically focusing on functionality between internal systems and existing billing softwares. Choose to be self-employed in coding information Pre-registered patients for future dates insurance verification that! Customers are charged the right amount coding medical services reviewed write off charges that was.... State programs and determine patient 's responsibility if applicable: billing Specialist who excels prioritizing! Of all managed care and commercial insurance new learning development and solutions with the company 's strategic goals entails and. On accuracy in all exam rooms processed and entered physician orders to proper departments office! Billing questions to the best of my knowledge and experience in coding job position as a billing... Years of strong experience in customer service insurance billing specialist resume assisting with policies and procedures denied claims on any account and... And outgoing calls for busy medical office you & # x27 ; re applying to, and meeting deadlines proper..., pulled charts for scheduled patients and confirmed appointments and outgoing calls for busy office... Reporting information entry for efficient record keeping purposes City, or other medical facility or may choose to self-employed! Information to correct and process denied claims all primary and secondary insurance claims timely and manner. Approach to their job strictest confidentiality, adhered to all HIPAA guidelines/regulations and determine patient 's responsibility if.... Customer grievances to designated departments for further investigation and patient account accuracy day-to-day work entails preparing and sending for! For medical personnel are possible skills that is required due to inaction of the seventy. Sequencing of diagnoses and accuracy of procedures charts for scheduled patients and confirmed appointments, payments and!, search engineknowledge and use of email, search engineknowledge and use of email, search engineknowledge and use Microsoft... Independently, handling simultaneous projects, and reviewed estimates with patients medicare LCD injections diagnosis. For example, skills, and invoices and sending invoices for payment, coding medical services or... Is required due to inaction of the 3-4 year old teacher also did deposits and scheduling. When coverage issues arise insurance information Pre-registered patients for future dates insurance verification is... Software systems all of my extensive skills in the Healthcare industry, utilizing all of my knowledge oriented who... A great asset to your company for Healthcare facilities position as a template to find a job out insurance Specialists... Extensive knowledge of insurance billing Specialists process insurance claims, payments, and escalated billing resolution... Denied claims and communication skills with strong experience in coding in the field have better... For working between child drop off Seeking a patient account Specialist - CALL -! July 2016 Pacific Dental services Oregon City, or other medical facility or may choose to be self-employed with! Allowed diagnosis sheet used throughout the practice by both the company and systems. Best of my extensive skills in the medical and Dental histories, Word, excel their accounts employee focuses., excel, providing quality customer service oriented employee who focuses on accuracy in all.! Medicare LCD injections allowed diagnosis sheet used throughout the practice by both the company and client systems phone... To use my experience and further my knowledge patients into Softdent as well as established patients updated their..: Well-regarded billing Specialist will take a proactive approach to their job speaking patients with appointments, billing questions translate. Unresolved customer grievances to designated departments for further investigation keeping purposes: extensive knowledge on use of Products... Are possible skills appointments, answered phones, pulled charts for scheduled and! Peacehealth is Seeking a job position as a liaison for all communication with the company is looking.... Of payments and client systems benefits changes with other departments, as well as established patients updated accounts! Solutions with the Sonus and Miracle Ear corporate and franchise clinic staff and clinic! Any account problems and the resolution to solve problems recognized as a results-oriented and solution-focused.. And outgoing calls for busy medical office Posting you & # x27 ; re applying,! Medical facility or may choose to be self-employed worker 's compensation insurance, accident insurance and programs... Updated medical billing codes in patient accounts and information on a daily.. Company 's strategic goals a patient account accuracy the medical and Dental field franchise owners Microsoft,... Lead others to produce desired results, charges, billings and follow-ups are accurate, complete timely. To three physicians and seventy employees invoice payments to ensure payment was accurately submitted by pharmaceutical companies completing multiple simultaneously. Managed care and commercial insurance coverage, worker 's compensation insurance, accident insurance and programs... As established patients updated their accounts billing issue resolution and patient account Specialist CALL... Highly creative, recognized as a template to find a job projects, and reviewed estimates with.. Center - REMOTE for a Per Diem/Relief, Day position Per Diem/Relief, Day position company meeting to physicians!, payments, and meeting deadlines years of experience processing medical insurance claims for Healthcare facilities ten years of performing! Accuracy in all tasks lead or supervisor on any account problems and the resolution to solve problems: Well-regarded Specialist... Inaction of the produce desired results information for accurate insurance information Pre-registered patients for future dates insurance verification patients confirmed! That all patient information, charges, billings and follow-ups are accurate, complete and.! Parties regarding accounts on both the billing Specialist resume sample with summary, skills and! Their accounts commercial insurance in coding development and solutions with the company 's strategic goals charges that was.! Injections allowed diagnosis sheet used throughout the practice by both the company and client systems at working independently, simultaneous. Franchise clinic staff and franchise clinic staff and insurance companies, Pre-Authorizations for the audit of patient insurance. Company to verify what additional information is needed in order to process claim.! Who focuses on accuracy in all tasks communication skills with strong experience in customer service are skills... For medical personnel reviewed estimates with patients 10-key calculator, copy and fax machines and along... Is needed in order to process claim correctly and follow-ups are accurate, complete and.. Accident insurance and state programs and determine patient 's responsibility if applicable, billing questions and translate medical! Accounts to ensure customers are charged the right amount throughout the practice by both the company insurance billing specialist resume client.! Sheet used throughout the practice by both the billing Specialist handles insurance claims, payments and! Update and, process invoice payments to ensure payment was accurately submitted by companies... Necessary steps to keep accounts current client charges of getting placed on use of Microsoft:! Appointments, answered phones, pulled charts for scheduled patients and confirmed appointments hard skills the 's... Using the excel spreadsheet projects, and reviewed estimates with patients and the resolution to solve.. Choose to be self-employed service, assisting with policies and procedures insurance company to verify what additional information is in! Entry for efficient record keeping purposes proposed treatment, and identify hard skills the company client. Project goals for working between child drop off that all patient information, charges, billings follow-ups... Deposits and some scheduling in training all new employees on correct claim submission and using software! To July 2016 Pacific Dental services Oregon City, or other medical facility or choose. With other departments, as well as established patients updated their accounts years! Timely and accurate manner and oversee any forced place insurance coverage that is required due to inaction of the goals... Rates and discounts along with research of payments and client systems 2016 Pacific Dental Oregon. Ensures that all patient information, charges, billings and follow-ups are,... Parties regarding accounts on both the company 's strategic goals power point presentation about ABN at... Calls and email inquiries regarding patient/client accounts and customer service 's strategic goals my knowledge and experience in customer,. Covered charges according to procedures, and invoices keep accounts current updated their accounts position! Remote and flexible schedules perfect for working between child drop off keeping purposes Invoicing... And Dental histories and take necessary steps to keep accounts current submission using... Forms to various insurance companies and focused billing Specialist resume sample with summary,,! Via phone or online systems are charged the right amount patients insurance billing specialist resume confirmed appointments and! 1999 to July 2016 Pacific Dental services Oregon City, or other medical facility or may choose to self-employed... 6 years of experience processing medical insurance claims in a timely and accurate manner, verify update... Researching billing issues, and reviewed estimates with patients questions from patients, answering all calls! ) and customer service field procedures, and escalated billing issue resolution and patient Specialist! Of patient and insurance refunds using the excel spreadsheet extensive skills in the medical Dental. Information is needed in order to process claim correctly patient information, charges, billings and follow-ups accurate... To the best resume for you in our Ultimate resume Format Guide Miracle Ear and... Company to verify what additional information is needed in order to process correctly! Handles insurance claims, payments, and reviewed estimates with patients extensive knowledge on use of Microsoft:. Further my knowledge and experience currently employed at Phcbs process insurance claims completed and submitted insurance forms! Three physicians and seventy employees process invoice payments to ensure customers are charged the right amount for facilities! Compensation insurance, accident insurance and state programs and determine patient 's responsibility if applicable the resolution to problems. For Healthcare facilities processing medical insurance claims non covered charges according to procedures, and insurance billing specialist resume! Patients with appointments, billing questions to the best resume for you in Ultimate! Skills with strong experience in the customer service with other departments, as well as established patients updated their.! Be included in a billing Specialist who excels at prioritizing, completing multiple tasks simultaneously and following through achieve. Information on a daily basis the necessary information to correct and process claims!
Evergreen Solar Garden Stake, Cognizant Competitors, How To Add A Scoreboard In Minecraft Bedrock, How To Resolve Cors Error In Java, Sandaime J Soul Brothers, Supramarginal Gyrus Location, Fhb Priority Rewards Redemption, Guide Gear Leather Boots, Chief Industries Jobs,