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Medical Biller Resume Samples
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Candidate Info
1
year in workforce
1
year at this job
HS
Medical Billing And Coding Program
Medical Biller
Escorted private guests and visitors to each appropriate offices and conference rooms
- Recorded and verified Explanation of Benefits (EOB's) for monthly payroll
- Organized and controlled pretty cash payments and receivable valued at over $1000 monthly
- Assisted and ensured all back up data was save and restored for company service
- Scheduled and simplified all company's appointment, private folders, business mail and financial accounting records.
Candidate Info
3
years in workforce
1
year at this job
HS
Medical Billing And Insurance Coding
HS
High School Diploma
Medical Biller
Acted as a liaison between our behavioral health facility and insurance carriers (HMOs, PPOs AHCCCS, Medicaid and Medicare).
- Responsible for submitting electronic claims and paper claims to primary, secondary and third party insurance companies.
- Knowledge with prior authorizations and cash posting. Able to read and interpret EOB's.
- Ability to correct denial claims with correct information and resubmit claims through our clearinghouse Navicure.
- Average 40k in one month with steady increase of pending claim charges received. Pulled and worked A/R reports for Medical Billing supervisor.
Candidate Info
15
years in workforce
3
years at this job
AS
Associate of Science
Medical Biller
Pull hospital medical records for doctor consults, hospital visits and surgeries
- Register patients in EHR system
- Code patient procedures and activity
- Bill insurance companies and patients as applicable
- Follow up and conduct collections on outstanding balances and receivables
- Interface with patients and insurance companies
- Code office visits, hospital consults and a number of surgeries as part of the coding team
Candidate Info
17
years in workforce
2
years at this job
BA
Economics
Medical Biller
- Send inpatient and outpatient claims to insurance companies for our clients with emphasis on accuracy in coding.
- Work with insurance companies to handle any "problem" claims that have trouble getting paid.
- Foster a positive relationship between the doctors who are our clients and their patients.
Candidate Info
14
years in workforce
14
years at this job
HS
High School Diploma
License
Medical Biller
- Many various activities that included data entry, verifying insurances, follow ups, authorizations and many more.
- Assisted patients in payment collections through offering payment plans and financing.
- Communicated with a diverse group of people to assist in scheduling transports, billing matters, and any questions about the service.
Candidate Info
6
years in workforce
1
year at this job
Full Cycle Medical Biller
- Posting of large deposits from commercial insurance and private pay patients in electronic formats, paper EOBs, and daily correspondents.
- Assisted Accounts Receivable and Billing agents in locating payments and completing
- Team lead for work distribution between payment posting team and trained new and current employees on company policy and payment posting procedures.
- Cross-trained in order to assist other departments with special projects.
- Practice excellent customer service skills through email and direct calls from nursing
- Trained in handling HIPAA compliant information and maintain an organized work space
Candidate Info
4
years in workforce
1
year at this job
HS
High School Diploma
Medical Biller / Payment Poster
- Assist with posting EFT's, Mail, and Denials within the 48 hour period
- Knowledge of Excel, NextGen, as well as CPT Codes for ERA's
- Attend educational classes, as well as online training to further knowledge of company and annual updates.
- Deposit incoming mail accurately to insure minimal errors for faster productivity
- Makes sure to have quick replies and notes for consistent communication throughout department.
Candidate Info
6
years in workforce
1
year at this job
C
Medical Coding Specialist
Medical Biller
Patient Accounts Representative
- Answer phones, enter insurance cards, & check patient eligibility
- Bill office visits, labs, & procedures for a PCP facility with 8 doctors
- Enter payment & I am proficient with Allscripts computer software
Candidate Info
1
year in workforce
1
year at this job
AS
Applied Science
Medical Biller
- Bill insurance companies and patients for services received in the office.
- Input insurance companies' and patients' payments into the Practice Manager Software
- Contact patients and insurance companies to obtain or relay billing and/or insurance information
- Verify accuracy of billing data from Explanation of Benefits payments and Insurance companies to revise any errors.
Candidate Info
5
years in workforce
2
years at this job
HS
Medical
Front Office Assistant/medical Biller
- Prepare invoices for billing process.
- Bill HMO's, PPO's. Maintain confidential patient files.
- Answer questions from patients and insurance companies.
- Follow up with insurance carriers to ensure prompt payments.
- Schedule appointments and translate for Spanish speaking patients
Candidate Info
9
years in workforce
1
year at this job
Biological Studies
Certified Medical Billing/coding Specialist
Medical Terminology /anatomy
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
4
years in workforce
4
years at this job
C
Medical Billing And Coding
BS
Psychology
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
Business
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
8
years in workforce
1
month at this job
Medical Billing And Coding
Medical Billing And Coding
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
10
years in workforce
2
years at this job
HS
High School Diploma
C
Medical Biller
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
21
years in workforce
3
years at this job
AS
Health Information Technology
AS
Education
BS
Policy Studies & Statistical Analysis
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
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