Medical Biller Resume Samples - Page 2

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Medical Billers work in healthcare facilities and are responsible for submitting claims to insurance companies. Everyday responsibilities described in a Medical Biller resume sample include processing data from medical coders, making sure claims get processed and paid, verifying insurance coverage, reviewing denied claims, and assisting patients with billing questions. Based on our collection of example resumes, Medical Billers should demonstrate billing expertise, attention to details, accuracy, communication abilities, computer competencies, and time management. At least a high school diploma and billing knowledge are required by most employers.

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11

Medical Biller / Insurance Verification Specialist

  • [company name]handles a very large volume of insurance verifications, billing, and problem accounts for numerous Hospital Facilities all over the United States.
  • In charge of verifying all medical insurance, including Worker's Compensation, Auto Insurance, Commercial, Medicare and Government Insurance. Billing out all professional claims for the numerous clinics associated with Columbia St Mary's Hospital, in Milwaukee, WI, along with the hospital billing for Providence Hospital, in Alabama.
  • Work diligently on problem and escalated accounts sent to me from Customer Service to resolve and communicated back to individual facilities action taken or documents needed to complete billing for proper reimbursement.
  • Met and exceeded individual goals set for me by my Manager to meet daily quotas for number of accounts /claims processed per hour and gladly took on additional assignments and projects as needed.
  • Learned all filing limits and rules and regulations for billing out of state insurances for both Wisconsin and Alabama, including Auto insurance, for WI which is not a "no fault" state like Michigan and thus have different billing guidelines.
Candidate Info
9
years in
workforce
1
year
at this job
Biological Studies
Medical Terminology /anatomy
Certified Medical Billing/coding Specialist
12

Medical Biller

  • Third Party billing for Medicare, Blue Cross Blue Shield, Harvard Pilgrim, Tufts, and Commercial Insurances
  • Reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
  • Follow up with insurance companies and ensure that all claims come to conclusion
  • Answer patient questions on patient responsible portions, co-pays, deductibles, and work to resolve patient complaints
  • Ability to look up ICD 9 diagnosis codes and CPT treatment codes
  • Experience with using Allscripts
  • Send secondary claims upon processing of primary insurance
  • Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions.
Candidate Info
4
years in
workforce
4
years
at this job
C
Medical Billing And Coding
BS
Psychology
13

Medical Biller

Analyze monthly aging reports and patient ledger

  • Appeal medical claims for healthcare carriers, auto and no fault insurance
  • Effectively follow-up with insurance companies to determine claim status
  • Negotiate insurance rates and discounts
  • Obtain medical records for claims submission
  • Evaluate patients accounts to conduct accurate patient billing
  • Prepare documentation for collections and American credit bureau
  • Verify patients insurance eligibility
  • Obtain authorization from various insurance companies for procedures
Candidate Info
4
years in
workforce
4
years
at this job
Business
14

Medical Biller Coder

  • Collected, posted, and managed patient account payments.
  • Submitted claims to insurance.
  • Prepared and review patient statements.
  • Reviewed delinquent accounts and call for collection purposes.
  • Processed payments from insurance companies.
  • Maintained strict confidentiality.
  • Coded patient services and entered into computer.
  • Sorted and filed paperwork.
  • Handled information about patient treatment, diagnosis, and related procedures to ensure proper coding.
  • Investigated rejected claim to see why denial was issued.
Candidate Info
8
years in
workforce
1
month
at this job
Medical Billing And Coding
Medical Billing And Coding
15

Medical Biller

Daily charge entry and billing

  • Review rejections of claims by Medicare and PPO
  • Audit physicians reports for PPO audits
  • Review surgery coding by medical coder
Candidate Info
10
years in
workforce
2
years
at this job
HS
High School Diploma
C
Medical Biller
16

Supervised Therapist (medical Biller & Coder)

  • Perform Anger Management Counseling using the ABC model.
  • Empower disadvantaged individual, families, and youths through counseling, educations and social skill training.
  • Write Counseling Curriculum
  • Teach Counseling Classes
  • Work with patients suffering from Depression and Post Traumatic Stress Disorder (PTSD).
  • Provide an array of training, support, case management and counseling service within a clinical setting.
  • Perform Substance Abuse Counseling and Parenting Classes.
  • Medical Billing and Coding (Coventry, CIGNA, Medicaid CMO, Cash Payments)
  • Research and Write Grants
Candidate Info
21
years in
workforce
3
years
at this job
AS
Education
AS
Health Information Technology
BS
Policy Studies & Statistical Analysis

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