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Medical Billing Clerk Resume Samples
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Candidate Info
years in workforce
years at this job
Liberal Arts
Computer Information Systems
Medical Billing Clerk
Controlled data by organizing files, documents, and archive in a comprehensive manner
- Ensured security and confidentiality of patient's information. Kept patient's records, payment schedules, and insurance updated into company database.
- Encrypted medical charges through the standard codes using ICD-9.
- Managed computer system; dealt with sending out bills to patients and insurance companies.
- Provided direct supervision and training to new employees.
- Earned recognition as Employee of the Month in 2002
Candidate Info
years in workforce
months at this job
Computer Network Operation
Medical Billing Clerk
- Performed processing functions necessary to ensure timely and accurate commercial insurance billing.
- Processed statements, keyed data, posted transactions, and verified accuracy of input to reports generated through the use of the APP Server and Accumedics.
- Researched and responded to patient inquiries regarding billing issues as necessary.
- Followed up on submitted claims; monitored unpaid claims, initiated tracers; resubmitted claims as necessary. Closed encounters using ICD 9 and CPT coding.
- Contacted and worked with all managed care, commercial and private insurances as well as Medicaid and Medicare for processing and verifying claims.
Candidate Info
years in workforce
year at this job
High School Diploma
Medical Billing Clerk
Prepared billing forms weekly for Primary care and Dental clinics for all insurances that we would be billing.
- Electronically submitted claims through the use of software systems. Printed paper claims for insurance companies who did not accept them electronically.
- Printed and mailed statements to clients and organization accounts monthly.
- Reviewed clients past due balances and sent to collections the ones that needed to go.
- Received and posted payments from clients, insurance companies, and organization accounts.
- Backed up front desk area for medical as well as Dental clinic by receiving clients, answering telephones and routing them to the appropriate place, scheduled appointments for clients, updated demographic information and determined client financial eligibility when they came in for their appointments.
- Ran necessary reports weekly and monthly to maintain accuracy.
- Completed necessary paperwork to get reimbursements for all drugs and vaccines given to clients.
Candidate Info
years in workforce
year at this job
Civil Engineering
Medical Billing Clerk
- Prepared invoices using ICD-9 and CPT/HCPCS coding for merchandize sold to clients.
- Resolved billing inquiries with private health insurance companies.
- Organized and maintained clients' records.
- Performed administrative tasks around the office: making copies, faxing documents, etc.
Candidate Info
years in workforce
years at this job
Certificate
Communications
Medical Billing Clerk
Accurately posted cash receipts to patient accounts and prepared daily deposits
- Resourced attendance discrepancies in a timely and professional manner with numerous agencies for accurate billing and payroll
- Calculated and distributed weekly payroll for up to 500 medical staff members throughout New Jersey
- Answered high volume of calls
- Accurate filing systems and data entry implemented
- Maintained the strictest confidentiality and adhered to all HIPPA guidelines and regulations
Candidate Info
years in workforce
years at this job
High School Diploma
Medical Billing Clerk
Monitored and managed patient account balances for orthotics and prosthetics practice
- Worked with various insurance companies to resolve denied claims
- Correspond with various hospitals to obtain and review patient medical records to assess the viability of claims appealed
- Work extensively with the company's medical billing system NextGen, to establish and update necessary of documentation related to maintenance activities performed on patient accounts
- Developed and maintained various internal reports and spreadsheets, for use by internal management in assessing the productivity and efficiency of the company's professional and administrative personnel
- Enter an of average 200 claims per day
- Appealed denied claims through Medicare C-Snap program.
Candidate Info
years in workforce
months at this job
Medical Billing And Coding
Medical Billing Clerk
Processed rejected claims and Medicaid secondary claims
- Performed office duties, including scanning, filing, and handling returned mail
- Provided medical records and reports for attorney requests
- Answered phones and assisted patients with billing inquiries
- Audited physician profiles in database
Candidate Info
years in workforce
years at this job
Education Center Branch
Medical
Education For Manual Medical Billing
Medical Billing Clerk
Verified Medicare and Medicaid insurance for pre-admissions and admitted patients.
- Enrolled patients in CATS system, researched for seconday insurance.
- Adhere to hospital policies and procedures for HIPAA requirements.
- Answered inbound calls for Carmark mail order pharmacy for specialty drugs.
- Enrolled and educated new patients on mail order procedures.
- Expedited specialty medication order for new patients and explained procedure for future orders.
Candidate Info
years in workforce
years at this job
Dietetics And Nutrition
Medical Billing Clerk
- Recorded data electronically for collection, storage, analysis, recovery, and reporting
- Arranged and maintained data for medical databases and registries
- Collected and recorded payments for healthcare services provided
- Completed insurance and other claim forms
- Utilized classification software to assign clinical codes for reimbursement and data analysis
- Protected patients; healthiness information for privacy
- Prepared, keyed in, edited, and proofread health check records
Candidate Info
years in workforce
years at this job
Associate of Applied Science
Medical Billing Clerk, Office Support
Entered patient information by utilizing medical software.
- Verified medical eligibility through insurance company
- Designed a volunteer referral form
- Trained new personnel on use of volunteer referral form. Maintained a volunteer data base with other departments to ensure that data entered into the system was coordinated and consistent.
Candidate Info
years in workforce
years at this job
Letters
Medical Billing Clerk
Resolve all insurance denials by appealing with medical records and/or correct billing errors when applicable.
- Contact insurance companies to follow up on payments utilizing aging reports.
- Requested face sheets and authorizations from hospitals for billing.
- Knowledgeable of Medicare and Medicaid and commercial insurance policies.
- Ensured that the payments are balanced and posted in respect to check totals.
- Answered all incoming phone calls from insurance companies, hospitals and patients.
- Proficient in MediSoft.
Candidate Info
years in workforce
months at this job
Medical Office Assistant
Medical Billing Clerk
Work directly with insurance company, healthcare provider, and patient to get a claim processed and paid.
- Prepared appeals for unpaid and underpaid claims.
- Answered patients' billing questions.
- Followed up on account receivables for collections on unpaid accounts and denied claims.
- Posted receipts, prepared patient monthly statements.
- Reviewed and work aging reports by spreadsheets to achieve productively requirement weekly.
Candidate Info
years in workforce
years at this job
Business Administration / Accounting
Business Administration / Criminal Justice
Medical Billing Clerk
Reviewed and entered patient demographic information into billing system
- Familiar with medical terminology and ICD 9/10 codes
- Entered diagnosis codes, insurance codes, policy information and denial codes
- Prepared paper claims for mail or fax
- Handled high volumes of claims and follow up claims in a timely manner
- Daily interaction with patients, insurance companies and law offices and initiated claims against estates by providing info necessary for probate court
- Filed all completed claims appropriately
- Able to understand medical terminology and shorthand
Candidate Info
years in workforce
years at this job
Psychology With A Collateral
Medical Billing Clerk
Provide anesthesia billing services in accordance to the rules and regulations of New Jersey health care.
- Accurately apply payments to patient accounts.
- Research and resolve incorrect payments, explanation of benefits rejections, and other issues with outstanding accounts.
- Provide tenacious follow up to ensure proper payments were fully collected.
- Submit claims to insurance companies with attention to detail and commitment to accuracy.
- Maintain the highest levels of patient confidentiality.
Candidate Info
years in workforce
years at this job
Associate of Science
Bachelor of Arts
Medical Billing Clerk
- Posted over 500,000 dollars worth of insurance charges
- Checked all information on patient, ailments, referrals, and insurance for Oncology and Psychology patients
- Utilized macros, modifiers, medical notes, paper charts, and electronic charts
- Used Medical manager, Mosaic, and Intergy medical programs
- Audited and post audited charts and charge entry reports
- Scheduled appointments, greeted patients, filed, answered phones, collected co-pay, used fax machines, and checked authorization
Candidate Info
years in workforce
year at this job
Computerized Accounting Specialist
Accounting
Medical Billing Clerk
Submit claims accurately to Medicare, Medicaid, and various other private insurance companies.
- File and retrieve medical billing documents, such as EOB's and insurance correspondence.
- Follow-up on billed claims, and re-bill in a timely manner if necessary.
- Handle billing questions in a polite and professional manner.
- Files, scans and coordinates patient's medical records as required, ensuring strict confidentiality is adhered to.
- Front desk reception, as needed, check in and out patients, collect co-payments, schedule appointments, and verify insurance benefits.
- Work closely with doctors and other staff members to ensure the highest quality care for all patients.
Candidate Info
years in workforce
years at this job
Medical Billing & Coding
Medical Billing Clerk
Billing to various third party insurance companies, No Fault, Workers Compensation, Medicare Billing
- Working on the accounts receivable report to reconcile outstanding debt
- Entering & Verifying patients authorizations
- Submitting appeals & grievance letters to insurance companies within a timely manner for any outstanding balances
- Reviewing paper EOB's as well as reviewing most current information regarding claims/ eligibility on several insurance web portals for the most up to date information
- Verifying patients eligibility
Candidate Info
years in workforce
years at this job
Computerized Medical Office Administration Coma
Medical Billing Clerk
Responsible for the maintenance of the patient's documents and their addresses.
- Maintained the patient's information, reports, income reports, and statistics with balancing the daily schedule.
- Developed the forms and manuals and procedure of organization
- Processed patient's billing, statements, reimbursement claims, post transaction, and data.
- Deals with the queries and respond to them by telephone or by writing.
- Responsible for the reports distribution, telephone, and generation of the bills.
Candidate Info
years in workforce
months at this job
High School Diploma
Medical Billing And Coding
Medical Billing Clerk
- Evaluated patient records for suitability, completeness, and correctness of health data
- Recorded data electronically for collection, storage analysis, recovery, and reporting
- Prepared financial statements and billing procedures
- Reviewed Health Insurance Portability and Accountability Act (HIPAA) policies and procedures
- Scheduled/Rescheduled and followed up on appointments, obtained reports, and made telephone contacts
- Handled all kinds of insurance claims including private, Medicare, and insurance fraud
Candidate Info
years in workforce
years at this job
Social Science
Medical Billing Clerk
- Billed insurance carriers for appropriate payments
- Entered and reviewed claims for completeness
- Adjusted and corrected denied claims and resubmit for payment
Candidate Info
years in workforce
years at this job
Bank
Medical Billing Clerk and Front Office
All scheduling patient appointments including surgery and all office procedure. I currently schedule four providers in office on a daily basis.
- Accounts payable, creating reviewing and submitting electronic claims. Posting payments, coinsurance and deductible amounts.
- Taking all co payments. Balancing cash drawers, making bank deposits. Investigate problem accounts and resolve for payment.
- Reviewing denied claims. Using proper modifiers and adjustments for each claim. Looking up insurance coverage including medicaid and medicare. Understanding and looking up icd9 and cpt codes. Processing paper if needed on a 1500.
- Insurance pre-cert calls made before procedures.
- Pay roll access.
Candidate Info
years in workforce
months at this job
High School Diploma
Medical Office Specialist
Medical Billing Clerk
Post Medicaid, Medicare, Private Insurance and patient payments. Research and resolve incorrect payment, EOB rejections and other issues with outstanding accounts.
- Monthly processing of patient statements. Answer and resolve patient billing inquires.
- Working on appeals and denials for all insurances. Pulling and working rejections reports within time limits given.
- Ability to communicate and work effectively with insurance companies, patient and coworkers.
- Ability to multi-task and prioritize daily responsibilities. Uphold the policies and procedures of the office.
- Abide by HIPPA regulations.
Candidate Info
years in workforce
years at this job
Business Management
Medical Billing Clerk
- Responsible for correct and timely filing of all third party insurance and patient billing
- Entered charges, payments and adjustments accurately and timely
- Researched and prepared appeals/reconsideration requests for third party payers
- Created and edited patient, physician, and payer demographics in billing system utilizing LIS, Harvest and Symphony
- Processed primary and secondary insurance claims with support documentation
- Resolved telephone inquiries from patients, payers, internal and external customers
- Prepared batch detail reports and completed and closed all monthly batches before month end closing
- Assisted in training and orientation of new personnel
Candidate Info
years in workforce
year at this job
High School Diploma
Medical Billing Clerk
Prepare and submit clean claims to various insurance companies either electronically or by paper.
- Provide timely follow up on appeals, denied and/or short paid medical claims on patient accounts.
- Perform various collection actions including contacting patients by phone, correct and resubmit claims to third party payers.
- Apply payments received from Medicaid, managed care insurances, and patients.
- Post payer denials and transfer invoice balances to the appropriate party as per Explanation of Benefit.
- Answer questions from patients, staff and insurance companies.
- Compile reports of all billing activities on a weekly and monthly basis.
Candidate Info
years in workforce
years at this job
Business Management
Medical Billing Clerk
- Handled the billing claims and resolves the denied claims.
- Prepared and distributed the customer's invoice and bills.
- Accountable for the analyzing, researching and customer service
- Managed the reconciliation of accounts receivable on a daily basis.
- Responsible for the maintenance of customer bills and reports.
- Maintained the patient's information, reports, income reports and statistics with balancing the daily schedule
Candidate Info
years in workforce
years at this job
Liberal Arts-business
Medical Billing Clerk
Gather and process information needed to complete medical insurance claims
- Taking inbound customer service calls and making outbound calls to the patients and healthcare providers, patient collections
- Investigate pending claims and resolve discrepancies
- Posting insurance company payments and patient payments on a daily basis
- Entering charges for surgeries, procedures and other services
- Utilize CPT, ICD-9 and HCPCS manuals to ensure accurate coding
Candidate Info
years in workforce
years at this job
Medical Billing Clerk
- Ensure patient charge batches are reconciled and scanned to correlate with clients records
- Ensure 1500 claim forms processed correctly and are submitted to payers with correct
- Create and batch daily deposit for clients and manage courier process for sending and receiving
- Responsible for monitoring and ordering supplies as needed including postage for outgoing mail.
- Provide back up to claims production manager by submitting 837P professional files and retrieving corresponding reports from multiple payers.
- Follow up as needed on claims with no activity for multi-specialty professional provider groups
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