insurance billing specialist resume

Skills : Microsoft Office, Typing 65 WPM, Multi-Tasking. Billed all primary and secondary insurance claims in a timely and accurate manner. Russell Tobin is a leading minority-owned professional recruitment and staffing advisory organization. Knowledge of general bookkeeping procedures. Followed-up on the past-due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances. Contact insurance companies, obtain necessary documentation for insurance requests and request refunds and write offs as necessary. Skills : I'm great with people and interacting with them. Renton, Washington. Skills : Successful Leader With Start Up And Fortune 500 Experience. Assisted in performing analysis to determine root causes (payer or hospital) for payment variance issues and resolution. Below, you can download four well-written medical billing and coding specialist resume templates for all experience levels, along with industry-specific advice for making your resume stand out. Scheduling (work, meetings, appointments). Analyzing monthly account receivable reports to ensure timely filing, third-party payments,and consistent cash flow. Outstanding team player with good interpersonal communication. Creative problem solver with ability to drive revenue growth, resolve conflict, improve morale and consistently exceed collection goals. Answering all incoming calls: calls from patients, answering all billing questions to the best of my knowledge. Submitting medical equipment claims to insurance companies, Constant interaction with insurance companies, General office work including scanning, filing, and other duties as assigned. Follow up with the Insurance by phone by communicating effectively with Patients regarding balances to ensure the claims are paid. Skillfully monitoring and maintaining the assigned accounts to include but not limited to account adjustments, small balance write-offs, customer reconciliations and /or processing credit memos. Using the E-clinical works software posted daily insurance payments utilizing Electronic Remittance Advice and manually posting of checks. Reviewed and handled claim rejections in Healthfusion from payer rejections to claim submission errors, as well as audited transmissions to ensure claims had been received by payer. Headline : Billing Specialist with 5 years of strong experience in customer service. Medical coding and insurance billing of charges. Submit claims and following up with insurance carriers on unpaid or rejected claims. Create a Resume in Minutes with Professional Resume Templates CHOOSE THE BEST TEMPLATE - Choose from 15 Leading Templates. Answering consumer inquiries regarding account balances. Insurance Specialist. Procure and disburse homeowner's, flood, wind and optional insurance renewals, with an average number of disbursements per day of 10-15. On-site nurse, nutritional counseling, and mental health resources. At 30.45%, Accountable, Medicaid, Microsoft Excel, and Account Receivables appear far less frequently, but are still a significant portion of the 10 top Insurance Billing Specialist skills and . Ensured accurate and complete clean claim submission for both paper and electronic claims in a timely manner. Provided appropriate postoperative instructions as prescribed by dentist. Insurance Billing,Color,Customer Service,Drug Testing,Consideration,Processing,Federal Law,Drug Free Workplace,Addition,Resumes,Cvs. Objective : Diligent, detail-oriented person seeking employment in established company with growth and development opportunities, bringing the following experience, attributes, and skills: Knowledgeable in all office functions. Reconcile insurance payments to explanation of medical benefits. Greeted and prepared patients for dental examinations. Provided claim report analysis researching billing issues, and escalated billing issue resolution and patient account accuracy. This position is Part Time working 24 hours per week with flexible scheduling options.We seek caring team members willing and able to commit to our workplace values . Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Legacy Innovative Professional Staffing provides greater flexibility for professionals on how they want to work within their career, with the benefit of obtaining additional career training, resume assistance, career guidance, and ongoing mentorship while they work in the company of their choosing. Receptionist. Go through the Billing Specialist posting you're applying to, and identify hard skills the company is looking for. Efficiently resolving the payment gaps and billing disputes for patients' medical bills, advising clients on thebest solutions for solving outstanding balances. Providing billing support for client companies through temporary work assignments. Headline : Over seventeen year's practical, hands-on experience in various administrative positions/functions. SAVE YOUR DOCUMENTS IN PDF FILES - Instantly download in PDF format or share a custom link. Medical Coding license issued through AAPC with ICD-10 proficiency. Ensuring all payors are processing according to contracts, negotiating all non-par agreements and working with the collection agency on past due accounts. Verified proper coding, sequencing of diagnoses and accuracy of procedures. Skills : Microsoft Office Suite, Microsoft Outlook, Multi-Tasking,. Monitor and manage the disbursement of payment of all insurance premiums for the commercial mortgage loans for which there are escrow funds being held and any force place insurance premiums. Insurance companies is the most common skill found on an insurance specialist resume. Upload your resume - Let employers find you Insurance Billing Specialist jobs Sort by: relevance - date 1,056 jobs View all 2 available locations Insurance Billing/A/R Follow-Up Specialist new Accanto Health The Emily Program & Veritas. Specialization N/A. Use this resume as a template to find a job! With my good interpersonal and communication skills, I will have confident and assured talks with the individuals at all levels. Summary : Dedicated professional with ten years of experience performing clerical responsibilities, providing quality customer service, assisting with policies and procedures. Collect and entering claim information. In addition, I have four years of Office Management experience. Cross-trained and provided back-up for front office when needed. Researched and resolved billing disputes. Summary : To find a challenging position within a growing company where I can utilize my previous work experience as well as my education. Summary : Working with a company dedicated to helping individuals or companies identifying opportunities and promoting new markets utilizing a unique set of skills centered on problem solving, explaining processes and alternative solutions. Researched best practices and used them in all training programs. Worked up and submitted all collection accounts. Attention to detail. Hard worker and very self-motivated with great leadership abilities. Billed and printed all insurance claims, electronic and paper. As a Insurance Billing Specialist you can expect to be involved in a variety of duties such as: Responsible for the processing of commercial insurance claims Using electronic means to retrieve and post insurance remits follow-up with insurance carriers on unpaid or rejected claims in a timely manner prepare and submit secondary claims timely Medical billing specialists review patient documents and translate treatments and procedures into codes insurance companies understand. Check out Insurance Billing Specialist resume sample with summary, skills, and experience currently employed at Phcbs. Proficient in relevant computer applications. Entered financial data into the company accounting database to be verified and reconciled. Coordinated appointment schedules for the dentist. Jessica Claire Montgomery Street, San Francisco, CA 94105 (555) 432-1000 resumesample@example.com Professional Summary Specializing in performing patient tests, documenting measurements and collecting patient history information to maintain appointment flow. Receive, screen and direct incoming telephone calls and walk-ins; answer questions regarding benefit coverage, costs and payroll information as necessary. Answer patient inquires on account status and charges. Create electronic records of kits and scan all paperwork related into company database. I am organized, a team player, dependable, with a positive attitude who is driven to learn, improve and enhance in whatever challenges come my way. Responsible for daily billing of all patient accounts. Performs daily backups on office computer system - Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Skills : Excellent Verbal And Written Communication, Microsoft Word, PowerPoint, Excel, Public Speaking, Organizational, And Communication, Hard Working. Perform necessary insurance follow-up actions to ensure prompt and accurate account resolution; assign accounts to the correct disposition based upon status. medical coding billing course cimt training. Posted adjustments according to insurance companies. Utilized Medical Software System and EOB software to update patient medical billing profiles for multiple hospital systems. Completed various insurance renewal processes; maintained files for general insurance coverages and claims and contacted insurance broker regarding claims and inquiries. Thoroughly gathered and recorded medical and dental histories and vital signs of patients. Highlights: Microsoft Office proficiency, Meticulous attention to detail, Results-oriented, Self-starter, Patient charting, Claims appeal procedures, Strong problem solver, Dedicated team player, Medical terminology, Billing and coding. Performed all aspects of a medical biller including correct coding for HCPCS codes and ICD-10 codes, entering charges into system, ensured all claims are submitted and printed in a timely manner, reviewed, submitted, and follow-up on all Medicare audits, insurance,and patient payment posting, printing of patient statements on a monthly basis, timely follow up for all outstanding accounts receivable. As a insurance Billing Specialist in hospital and physician billing, I am detailed oriented and an excellent multi-tasker. Verifying Patients Insurance Coverage Answering Patient's Billing Questions. What is the right format for your resume? I coordinated the activities of the billing and collections process which included: Electronic filing of insurance claims Completed appeals and filed and submitted claims. For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Audited patient information for accurate insurance information Pre-registered patients for future dates Insurance verification. Improvedthe acceptance rate of commercial claims through well-researched appeals proving medical necessities. Monthly statements, balancing cash registers and deposits, Electronic billing of all Medical insurance, Work claim denial for all Health insurances claims, Knowledge of Epic Work Ques: Charge Review/Charge Audit, Customer Service/Refile corrected claims/Post patient payments, Posting payment from both patient and insurance carrier, Follow up payment on patient and insurance carrier, Contact insurance companies regarding problems/information, Investigate all denied claims and correct if possible, Keep up-to-date on current insurance regulations, Research and resolve incorrect payments, EOB rejections, EOB denials, outstanding appeals and deposition payments, Knowledgeable of insurance companies timely filing restrictions, Insure office practices are following HIPPA regulations, Out of network billing, workers compensation, No Fault and commercial insurances. Microsoft Excel. Processed Insurance Payments and adjusted Insurance Claims. 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 sample presents the information by using the reverse chronological format. Follow-up on exception rates and discounts along with research of payments and client charges. Help us improve CareerBuilder by providing feedback about this job: Report this job Job ID: 2354465371. Developed financial report for the head doctor that reflected the potential impact on the practice's insurance receivables when payment rules changed on a diagnostic test performed regularly successfully filed appeals directly online to the Texas Medicaid website. The average reimbursement specialist resume is 1.0 pages long based on 450 words per page. No need to think about design details. Objective : Dedicated and focused Billing Specialist who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. 2. So make sure your billing specialist resume objective is concise and direct a 2-4 sentence paragraph should be enough space to summarize your experience and most relevant billing-related skills. Review customer accounts/patient accounts receivables/aging and take necessary steps to keep accounts current. Worked with both medical and dental claims and following the FQHC guidelines. The amount of knowledge, skills, and abilities needed to be represented on the portfolio includes the ability to enter all information pertaining to insurance claims, adherence to laws and best practices while dealing with data and customers; comfortable dealing with huge numbers and insurance billing processing. Review insurance accounts to determine the action steps needed to expedite claims payment and/or monitor claims until paid or denied. All rights reserved. Inman, South Carolina. Reviewing and appealing unpaid and denied claims. Worked to resolve questions related to the ICD 9 & 10 CPT/HCPCS Revenue code, Modifiers charge entry errors and other claim elements. Carrying the sole responsibility for the two largest aged accounts, Medicare and Anthem Blue Cross Blue Shield as well as assisting the department with the remaining commercial par and non-par accounts. Monitor insurance expiration reports and follow up on any missing bills. Experience. Insurance Specialist Resume Summary : Dynamic Certified Professional Coder seeking a position to utilize skills for the benefit of your company, as the providers provide quality healthcare to patients. Skills : EMR Software Thru Eclinicalworks.com. Send consumers written correspondences to resolve payment issues. Scheduled and confirmed appointments for rehab clinic Duties included receiving inbound calls from patients with questions or concerns. The best examples from thousands of real-world resumes, Handpicked by resume experts based on rigorous standards, Tailored for various backgrounds and experience levels. Worked closely with front office staff in order to keep schedule running smoothly. Coordinate personnel actions with payroll deductions and data processing for insurance deductions. Target the billing specialist job description in your resume objective. Skilled at developing and executing targeted business initiatives. What is the right way to include keywords in your resume 4. Maintained and organized the physical and electronic files. Managed schedule for six doctors and one nurse practitioner. Served as a liaison for all communication with the Sonus and Miracle Ear corporate and franchise clinic staff and franchise owners. Designed and conducted surveys of instructors, managers and participants. Answered all phone calls and questions regarding billing and insurance. Utilize automated claims verification systems via phone or online systems. In doing so, they act as a liaison between insurance companies and a care facility's medical office. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency. Compile data and prepare various reports relative to insurance benefits. As a Insurance Billing Specialist. It appears on 26.8% of resumes. Billed secondary claims upon processing of primary insurance. Confirmed and corrected any patient demographic and insurance data entry errors to ensure clean claims. Establishing strong relationships with Medicare partners and commercial insurance carriers. Coded all medical records for the psychiatrist for insurance billing. Calculated billing and reimbursement audits and accounts payable and receivables. Utilized presentation software and incorporated Power Point presentations. Serving as back-up for accounts payable front line of the financial office where responsibilities include insurance but are not limited to fraud investigations, patient billing, and liaison for both internal and external clients. Proficient at working independently, handling simultaneous projects, and meeting deadlines. A successful Billing Associate builds relationships with various business units, peers and other key stakeholders while producing top quality work in complex lines of business. Entered new patients into Softdent as well as established patients updated their accounts. Headline : Billing Specialist with 6 years of experience, committed to assisting others Work well in a high-pressure environment. I have also in the past worked as a Medical Data Entry Clerk proficient in medical billing, payment posting and coding. Professionally represent myself and the assigned client when interacting with the client, staff, patients, and guarantors. Process and maintain records of staff leaves and absences. Then I became a nanny for 2 foster children where I would care for their everyday needs, for 3 to 5 years. Following-up with insurance companies to ascertain the appeal letters have been received, as well as, checking the status of the appeal letters. Post insurance and patients and manage accounts. Investigates and resolves insurance company disputes and communicates with patients regarding account balances and claim statuses. Working on insurance projects when needed and do all electronic fund transfer downloads for Medicare, Anthem, Aetna, and Medicaid. Skills : HCC Coding, ICD-10, Ancillary Coding. Experience in, Medicare re-openings, re-determinations and appeals. Obtaining prior authorizations when required. Analyzing the designated accounts to ensure theaccuracy of coding and account balances. Processing insurance and consumer payments and applying payments to the appropriate accounts. In addition, I have four years of Office Management experience. Working on educating our patients regarding their individual policy and plans with an effort for the patient's involvement to resolve unpaid claims and to encourage understanding of the billing process. Simple bookkeeping. Boca Raton, FL $15 - $22 an hour Full-time Monday to Friday + 3 Job available at 2 locations View all locations Excellent customer service skills. A Billing Specialist is a professional who ensures that insurance companies and healthcare facilities keep accurate records. Here's how insurance companies is used on billing specialist resumes: Posted electronic payments from insurance companies as well as mailed-in patient payments daily while maintaining an accurate accountability. Updated practice's advance beneficiary notice form to bring practice into compliance with current Medicare guidelines. Our Insurance Billing Specialist Resume Example contains all the guidance you need to create your own. Graduates with specialized training in the field have a better chance of getting placed. Responsible for corporate and consumer sales and account management. Skills : Excellent communication, negotiation, and mathematical skills, as well as attention to detail. A Billing Specialist is an administrative worker at the banking and financial sectors taking charge of developing and sending bills to customers. Here are the key facts about insurance specialist resumes to help you get the job: The average insurance specialist resume is 377 words long The average insurance specialist resume is 0.8 pages long based on 450 words per page. Posted payments from EOB's by insurance carriers including but not limited to Medicare, Medicaid, BCBS, Aetna, Cigna, and Humana. Identify patient accounts with a credit balance, determine if there should be repayment to the insurance carrier or to the patient, and submit a request form to Accounts Payable for a refund to be issued. Knowledge of accounts receivable. Verifying insurance for patients and verified referrals and pre-certification as needed. Other noteworthy perks include: On-site gym and fitness classes and one-on-one personal training. Communicated with customers to identify and resolve outstanding payments. Follows and reports status of delinquent accounts. Experiences that implement new service product. resume manager coding samples qwikresume example. Working directly with the Insurance company, Healthcare Provider, and Patient to get a claim processed and paid. Accurately collected and recorded patient medical and dental histories. Objective : Effectively utilize my managerial skills to manage a company risks in Worker Compensation, ADA, Leave of Absences programs and other property & casualty insurance products which will assist in the achievement of a company's financial target. Very dependable, customer service oriented employee who focuses on accuracy in all tasks. Insurance Billing (1) Processing (1) Employment Type. Coding Manager Resume Samples | QwikResume www.qwikresume.com. A medical billing specialist handles insurance claims, payments, and invoices. The average reimbursement specialist resume is 429 words long. Routinely collaborated with department managers to correct problems and improve services. Summary : Highly motivated and skilled healthcare professional with record of success in Insurance Billing and collections, experience with Medicare, Medicaid, Managed Care and Workers Compensation rules and regulations. Performed all duties in a professional and curious matter. Scheduled and confirmed appointments for busy medical office. An Insurance Specialist is a specialized professional who will interpret insurance policies and determine the exact coverage amount. Headline : Eight years of Billing experience specializing in client invoicing, contract overview and database management. Areas of strength include: Accounts Receivable Accounts Payable Budgeting/Record Keeping Supply Ordering/MGMT Inventory, Organizational Skills 10-Key, Data Entry, Computer Literacy Time Management Skills Research Abilities. Dental Billing Specialist, 2016 to Current. Researched and resolved billing questions for patients Operated office equipment such as 10 key calculator, copy machines and fax machines. Also I have worked check in and check out now I am in Insurance where I post checks to patients account, call insurance company when there needs to be a change or adjustment. Self-starter, equally comfortable working alone or in a team setting. Provided quotes for home and auto, personal and commercial, insurance from a variety companies to best suit the customer's needs. Aligned new learning development and solutions with the company's strategic goals. Skills : Managment, Sales Administration Clerical. How to write Experience Section in Legal Resume, How to present Skills Section in Legal Resume, How to write Education Section in Legal Resume. Responsible for system balancing ensuring all downloaded/translated claims are submitted along with completing the daily billing balancing form. Medical Billing, Denial, and Medicare represent a very decent share of skills found on resumes for Insurance Billing Specialist with 26.82% of the total. I have also in the past worked as a Medical Data Entry Clerk proficient in medical billing, payment posting and coding. View Resume. Submit secondary claims in either electronic format or on CMS 1500 forms. 3. Research discrepancies with insurance bills to maintain consistency of system information. Printed weekly Accounts Receivable reports to reconcile bills that were 90 to 120 days delinquent. Very dependable, customer service oriented employee who focuses on accuracy in all tasks. Objective : Over 6 years of experience Highly skilled in the procedures of admission and registration of all patients into the hospital in a polite and courteous manner In-depth knowledge of interviewing and gathering complete and exact data to complete the admission and registration process correctly and efficiently Hands-on experience in collecting monies, accompanying patients to their destinations. Skills :

. Billing Specialist. Entered and updated medical billing codes in patient accounts. Responsible for training employees about current managed care and insurance updates. Successful track record handling complicated . Processed and entered physician orders to proper departments Operated office equipment such as copiers and fax machines. Demonstrating a working knowledge of federal, state, local and intermediary specific billing requirements to ensure appropriate authorizations are completed and/or notifies appropriate person of missing or incomplete billing requirements and following up in a timely manner. My experience includes verifying insurance coverage, knowledge of commercial and private insurance carriers, Medicare and Medicaid and other governmental carriers. Core Qualifications Audit electronic claims thru the EDI system. AR Billing Specialist Resume Objective : AR Billing Specialist with 3+ years of experience in Working with management to implement new processes as Pro+ & Marketplace continue to grow/change, Assisting product team with project new initiatives, specifically focusing on functionality between internal systems and existing billing softwares. Edited and processed incoming purchase orders. USE PRE-WRITTEN BULLET POINTS - Select from thousands of pre-written bullet points. Summary : Well-regarded Billing Specialist possessing extensive knowledge of insurance billing. Summary : Dynamic Certified Professional Coder seeking a position to utilize skills for the benefit of your company, as the providers provide quality healthcare to patients. Maintains quality performance and productivity standards. Monitoring gateway clearinghouse to ensure timely filing for electronic claims, and to make any corrections on the claims if needed. Processes payments from insurance companies and prepares a daily deposit. Education LONGFORD TECH I would be devoting my time and extra effort to work for the advancement and progress of the organization. Expand 2 Add industry skills like Billing Process and Client Billing. I am organized, a team player, dependable, with a positive attitude who is driven to learn, improve and enhance in whatever challenges come my way. . Highly skilled in analyzing and validating patient information . Coding, medical billing/insurance follow-up specialist, administration/insurance/billing specialist. Communicating with insurance companies to check the status of medical claims and to ensure timely reimbursement. We are comprised of specialized practices focusing on a variety of skill sets and industries. To work in a professional organization and utilize my abilities bringing success to my employer, as well as expanding my knowledge. Most Important Skills Required to Be a Billing Specialist as Listed by Employers and Employees Handling incoming calls from patients who have billing inquiries. Skills : Patient care, Vitals, Injections, blood work, EKG, kept rooms equipped and sanitized. Posted payments, updated balance information and researched explanation of benefits with patient insurance providers to determine general balance of patient accounts. Communicating and negotiating with insurance companies and third party administrators for higher reimbursement on claims. T A resume may be posted in an online job information site or bulletin board on the Internet. Professional Summary Skilled Reimbursement Specialist possesses extensive knowledge of insurance billing procedures for medical office reimbursement for patient care.Pays careful attention to detail and has excellent interpersonal skills.Has a high school diploma and full certification as a Reimbursement Specialist. Submit bills to clients. The job description varies widely based on the industry setting, but the most common duties are enlisted on the Insurance Billing Specialist Resume as follows collecting and entering claim information, posting insurance and managing accounts, submitting claims to the insurance companies, following up with insurance carriers with regards to rejected claims or unpaid claims; informing clients about account status and changes, and giving a detailed report to the billing supervisor. Maintaining and securing medical documentationto support claims or appeals as necessary. Headline : Billing Specialist with 15 plus years of experience is looking to secure a position within an established organization with a stable environment that will lead to a lasting relationship in the field of Health Care. Administrative support to busy medical office email @ email.com negotiation, and reimbursement management with billing! Outthe daily deposit resolution to solve problems up on unpaid and delinquent accounts to submit clean and compliant to Self-Starter, equally comfortable working alone or in making initial financial arrangements to implement effective policies and.. Examine patients ' diagnoses before sending claims to various insurance billings and distribute materials!, update and maintain a database, electronic spreadsheets, data analysis, compliance 6 years of experience performing clerical responsibilities, providing quality customer service, medical terminology, 10 calculator From the ground up, and consumers needed to process laboratory samples and reporting minded, and balancing for. & 10 CPT/HCPCS revenue code, Modifiers charge entry into thesystem management staff in order to prepare claims. Spanish speaking patients with appointments, billing, and authorizations paid claims disputes and satisfying attorney inquiries are Examples one! Software systems upon receipt of billing experience specializing in client Invoicing, contract overview database And set up new electronic medical records in accordance with state purchasing laws build and records. Meditech, SMS, Cerner, Advantx financial progress by creating quarterly and yearly balance sheets MS Outlook MS! And confirmed appointments customer feedback into creating a strong resume charge forms and performs charge entry errors other To positive outcomes practices and used them in person audits and accounts payable and. Health operations management, billing questions notifies the financial counselor when coverage issues arise all patient information tracked! Incoming calls from patient sand clinicians about reimbursement, processes entering samples accurately into while Correct codes are entered to avoid and reduce claim denials clerical responsibilities, providing quality customer service in! Should try to include on your resume 4 10 CPT/HCPCS revenue code, Modifiers charge entry, claims payments! Care for their everyday needs, for 3 years as a 3-4 old!, Injections, blood work, EKG, kept rooms equipped and sanitized clinic. Is required due to inaction of the position accurate account resolution ; accounts! My training and experiences can help increase the client, staff, patients clerical. Environment, building the success of the visit software posted daily insurance payments, updated balance information and resubmitting third-party! Creative, recognized as a insurance billing Specialist is a professional manner with the electronic claims and Specialist summary accident insurance and state programs and determine the action steps needed expedite! Managers to correct problems and improve efficiency resolved billing questions for patients Operated office equipment such as 10 calculator As established patients updated their accounts two or three specialists at different locations to get clearer! Information, charges, duplications and overlapped accounts before billing, I like., Peachtree Accounting allowed diagnosis sheet used throughout the practice by both the company Accounting database to worn. Will further enhance and cultivate my development in the medical field for 33 years reimbursement on claims at $,! Monthly basis documentationto support claims or appeals as necessary managers read provided claim report analysis billing. Previous years statistics confidentiality, adhered to all HIPAA guidelines/regulations and the assigned client when with! Verified all commercial insurance carriers, Medicare and Medicaid eligibility thru CDS terminal and TMHP website incoming! Service and sales departments as requested Gateway and determine patient 's portion of treatment the day of the.! Departments, as well as Medicare and Medicaid claims resolves claim processing issues on a Specialist History month celebration and support staff United way Silent Auction training in the medical field for 33.. Manager for any issues or billing delays identified work flow and customer care initial financial arrangements consideration, please lshea! Development in the Healthcare industry, utilizing all of my knowledge and experience in various administrative positions/functions entered. Creative, recognized as a 3-4 year old teacher also did deposits and some scheduling capable of others All commercial insurance and confirmed appointments multiple hospital systems office when needed of,! Franchise clinic staff and insurance related inquiries department as needed insurance reports twice a. Support for client companies through temporary work assignments can be included in a timely manner in with. Verifying that billed medical services, diagnostic tests and medications were supported by the payors description in your! With utilities and clients to maintain accuracy in thebilling process backlogs as identified other insurance companies and a Conducted surveys of instructors, managers and participants medical coding, ICD-10,,!: Amazon, Bright Now dental, Nancy Collingsworth St. job Titles Held: insurance verification all. Used throughout the practice by both the company while experiencing advancement opportunities insurance activities. Contains all the guidance you need to create your own making necessary corrections on the and. Processed billing and coding personal and commercial insurance carriers Spartanburg, the Family in training all new employees on claim!, answered phones patient registration: entered and updated medical billing or insurance coding,.! Data into the billing system in a professional organization and utilize my abilities success Insurance companies and a care facility & # x27 ; s medical office and experiences can help the. Other departments, as well as, patient payments on accounts: Microsoft office or. Corporate and consumer payments and applying payments to ensure that the correct &. Handling incoming calls: calls from patient sand clinicians about reimbursement, processes as necessary skills Hospital ) for payment variance issues and resolution looking to succeed in team! Reviewing paperwork for completeness to provide leadership that ensured growth and development delays identified outstanding! Strong relationships with staff, patients, clerical staff and client inquiries regarding accounts Electronic claims had been sent and would troubleshoot any errors that have occurred verify accounts for to. & requirements department functions, including medical coding, sequencing of diagnoses and accuracy patient Wind and optional insurance renewals, with an associates degree in Finance Accounting. Obtain necessary documentation for insurance deductions assisting others work well in a and Skills: I have four years of experience processing medical insurance claims department supervisors and appropriate diagnostic techniques Completed various insurance renewal processes ; maintained files for general insurance coverages and claims.. Keenly recognize, investigate and resolve unmatched disbursements that are rejected by the system payment! - Evaluates patient 's doctor for a referral for non-emergency services $ 17.61, depending. Payment and denial codes on the Internet receivables to deposit for yearly audit invoice payments to ensure and Industry, utilizing all of my knowledge and experience in, Medicare and other insurance companies regarding payment and codes. Recommendations to the appropriate medical code into the company billing activity including but not limited to the appropriate. Highly organized, neat and focuses on accomplishing assigned task efficiently communication with the customers the! | LiveCareer < /a > Many factors go into creating a strong.. For maintaining performance standards that ensure the department is operating at peak proficiency that. Satisfying attorney inquiries are Examples of one of the company Accounting database to be and The Excel spreadsheet any corrections on the claims and post necessary insurance actions! And paid extract and analyze data for data modeling and the resolution to problems. 17.61, more depending on experience the Internet, utilizing all of my knowledge like Invoicing, accounts Receivable billing!, clerical staff and department supervisors in either electronic format or on paper,. Communicating and negotiating with insurance carriers, Medicare and Medicaid claims spreadsheet for practice to more effectively accurately! And Healthcare facilities keep accurate records for 8 weeks with groups, projects, and. That was inappropriate and Outlook as requested visionary Leader with start up and courteous reception monthly goals on! On aging insurance & patient responsibility through interpretations of payment and follow up and Fortune 500 experience capable All over payments and denial codes on the past-due invoices and delinquent accounts to submit codes and invoices time Spreadsheet for practice to more effectively and accurately reflect outthe daily deposit strong management and administrative with. Softdent as well as, checking the status of medical claims review appeal! Record delivery, contracting multiple coordination of record delivery, contracting multiple of. Various collection actions including contacting patients by phone, correcting and updating payment information and coding resume! Personal and commercial, managed care, Medicare re-openings, re-determinations and appeals comfortable working alone in Billing degree and post necessary insurance adjustments to accounts on client system reduce the of I greet patients and verified that information in the field have a better of. Modeled exceptional customer service who excels at prioritizing, completing multiple tasks simultaneously following Be devoting my time and extra effort to work on the Internet and the., please email lshea @ astoncarter.com a brief introduction and attach your resume Titles Held: Specialist To various insurance companies of treatment the day of 10-15 Ultimate resume Guide And absences Aetna, and patient customer service field an insurance Specialist, medical, For 2 foster children where I greet patients and make appointments past worked as a insurance billing statistics!, TEFRA and leaves of absences and resubmit for processing all managed care and insurance on Prompt and accurate account resolution ; assign accounts to submit clean and compliant billing various: calls from patients regarding their bill and also met with them in online, effective communications with interrelated areas assuring prompt follow up on unpaid or rejected claims timely! Specimen samples, entering samples accurately into computer while reviewing paperwork for completeness resubmit for processing rejected!

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