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Candidate Info
years in workforce
years at this job
Data Processing
Medical Billing Specialist
All aspects of medical billing including coding, charge entry, transmission, correction and resubmission as required, posting of payments including patient/mail and ERA.
- Established guidelines for proper coding/billing for providers.
- Worked hand in hand with front office staff to ensure that the proper information was received for claims processing.
- Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary.
- Maintained and updated all files including insurance companies, diagnosis, procedure, fees/profiles.
- Ran, processed and ensured accuracy of patient statements on a bi-monthly basis.
- Worked collections which included mailing of correspondence, working with patients to establish promissory notes for payment and if necessary forwarded accounts to collection agency.
Candidate Info
years in workforce
years at this job
Medical Billing Specialist
Responsible for following up on claims, calling and collecting money from insurance companies.
- Resolved billing issues identified by insurance carriers and patients.
- Reviewed claim denials and payer requirements for corrective action and prevention in the future.
- Researched and replied in a timely manner to insurance, patient, and internal customer inquiries.
- Kept accurate records of all activity and conversations for each file.
Candidate Info
years in workforce
years at this job
Medical
Medical Manager
Medical Billing Specialist
Submitted detailed claims to insurance companies for several practicing health care providers
- Maintained the highest levels of accuracy and patient confidentiality
- Quickly identified and resolved medical billing, coding and insurance discrepancies
- Responsible for cash management, supply ordering, and customer service relations
- Reviewed patient bills for accuracy and completeness, and obtained any missing information
- Followed the guidelines and be in compliance with local, state or federal laws and regulations
- Reviewed accounts for possible assignment and made recommendations to the Billing Supervisor, also prepared information for the collection agency
Candidate Info
years in workforce
years at this job
Medical Billing And Coding
Medical Billing Specialist
Submitted claims to Medicaid/Medicare with attention to detail and accuracy.
- Posted payments to patient's accounts and verified medical insurance.
- Researched and resolved denials and EOB rejections within standard billing cycle timeframe.
- Arranged Medical files in numerical order and schedule appointments.
- Reviewed billing edits and provided insurance company with correct information.
Candidate Info
years in workforce
months at this job
Medical Billing Specialist
Identified and/or located patient, insurance carrier or third party responsible for payment
- Identified account discrepancies and issues that hindered claim payments
- Identified document and report payer trends
- Managed high call from both inbound and outbound call from 300-1000 per day
- Posed and updated account data to [company name] and client hospital systems to ensure accuracy
Candidate Info
years in workforce
years at this job
Child Development
Medical Billing Specialist
Specialized in radiation oncology billing.
- Promoted to a "Super biller" based on demonstrated ability to determine priorities, establish timelines, and effective manage workflow.
- Responsible for all providers and/or practices that required special accounts receivable clean-up.
- Selected to participate in a high-visibility project, which resulted in refunds in the hundreds of thousands of dollars.
Candidate Info
years in workforce
years at this job
Medical Assistant
Medical Billing Specialist
Utilized internet based medical billing software to work closely with healthcare providers to help manage their practices
- Received physicians charges via a super bill and submitted electronically to insurance carriers
- Responsible for all follow up on insurance claims to Medicare, Medicaid and commercial insurance.
- Answered all patient telephone inquiries regarding their bills and insurance questions
- Provided physicians with monthly reports of their receivables
Candidate Info
years in workforce
year at this job
High School Diploma
Medical Billing Specialist
Prepared and submitted medical claims from consultation and operative reports.
- Corrected and resubmitted claims denied by insurance company.
- Coding of inpatient and outpatient procedures from operative reports by using ICD 9 and CPT codes and applying modifiers when needed.
- Charge entry of daily office visits received from physicians.
- Electronic billing of commercial, HMO and managed care carriers.
Candidate Info
years in workforce
years at this job
Medical Billing Specialist
- Processed and audited workers compensation claims according to the various medical fee guidelines.
- Managed hospital bills by utilizing the Acute Care Inpatient and Ambulatory Surgical Center Guidelines.
- Handled provider and client appeal/reconsideration request.
- Applied PPO contract according to client terms.
- Maintained accurate records and resolve billing issues.
