Insurance Billing Specialist Resume Samples

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Insurance Billing Specialists process insurance claims for healthcare facilities. 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. The ideal candidate for this job will demonstrate the following qualifications in his or her resume: knowledge of medical terminology and coding, accuracy, integrity, computer competences, and time management. Most Insurance Billing Specialists hold a certificate in medical billing or insurance coding.

1

Insurance Billing Specialist

  • 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
Candidate Info
20
years in
workforce
1
year
at this job
C
Certificate
C
Certificate
2

Insurance Billing Specialist

  • 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
Candidate Info
14
years in
workforce
6
months
at this job
BA
Health Service Administration
Human Resource
3

Insurance Billing Specialist/receptionist

  • Oversee billing department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
  • Use electronic charge capture practices and medical billing clearinghouse accounts to submit codes and invoices on time.
  • Follow up on unpaid and delinquent accounts to lower numbers of past due accounts.
  • Uphold and reinforce policies and federal regulations such as HIPPA.
  • Scheduling new patients, and verifying their insurance.
Candidate Info
7
years in
workforce
8
months
at this job
Business Management
4

Insurance Billing Specialist

  • Billing Medical Claims to all insurances
  • Follow up on all claims
  • Addressing patient balances
  • Surpassing collection goals monthly
Candidate Info
22
years in
workforce
10
years
at this job
BS
Business
5

Insurance Billing Specialist

  • Simple bookkeeping. Monthly statements, balancing cash registers and deposits
  • Brightree billing software
  • Electronic billing of all Medical insurance
  • Work claim denial for all Health insurances claims
  • Customer service
  • Answering multiple phone lines
Candidate Info
16
years in
workforce
7
years
at this job
HS
High School Diploma
AAS
Accounting
6

Insurance Billing Specialist in Epic Software

  • Claims Processer-Epic
  • Insurance Payment Posting
  • Knowledge of Epic Work Ques: Charge Review/Charge Audit
  • Patient billing specialist
  • Customer Service/Refile corrected claims/Post patient payments
Candidate Info
21
years in
workforce
2
years
at this job
7

Insurance Billing Specialist

  • Verify patient insurance information
  • Posting payment from both patient and insurance carrier
  • Follow up payment on patient and insurance carrier
  • Generate patient billing statement
Candidate Info
21
years in
workforce
2
years
at this job
C
Medical Administrative Assistant
C
Insurance Billing Specialist
8

Insurance Billing Specialist

  • Bill insurance claims
  • Check all claims for completeness
  • Add CPT codes if needed
  • Contact insurance companies regarding problems/information
  • Investigate all denied claims and correct if possible
  • Check mail daily
  • Keep up-to-date on current insurance regulations
Candidate Info
12
years in
workforce
7
months
at this job
AS
Accounting
9

Medical Insurance Billing Specialist

  • Payment posting
  • Research and resolve incorrect payments, EOB rejections, EOB denials, outstanding appeals and deposition payments
  • Follow aging reports(AR)
  • Knowledgeable of insurance companies timely filing restrictions
  • Obtain authorizations
  • Insure office practices are following HIPPA regulations
  • Out of network billing, workers compensation, No Fault and commercial insurances
Candidate Info
11
years in
workforce
6
years
at this job
C
Certificate
10

Insurance Billing Specialist (part Time)

  • Timely and accurate insurance billing.
  • Accounts receivable follow-up on denied and short paid claims.
  • Obtaining prior authorizations when required.
  • Insurance verification.
  • Posting of medical insurance payments and client payments.
  • Entering new client demographic and insurance information.
  • Answering phones and assigning client referrals to appropriate counselor.
  • Process insurance and client refunds on all over payments.
Candidate Info
8
years in
workforce
1
year
at this job
Medical Administration
Accounting
Medical

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