Medical Billing Specialist Resume Examples

senior medical billing specialist

  • Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures daily deposit reconciliation; maintains daily, monthly reporting for audit purposes.
  • Works with manager to establish an implementation plan and can work independently or with support of Specialists to implement plan.
  • Thinks critically through implementation of plans to identify gaps and make necessary adjustments.
  • Identifies opportunities to improve revenue cycle processes and proposes solutions to capitalize on opportunities
  • Investigates and Resolves Claim Variances.
  • Resolves client and audit issues to completion with attention to detail and the highest level of professionalism
  • Serves as a key point of contact for other departments on the audit and the client.

medical billing specialist

  • Managed multiple accounts practicing various specialties.
  • Researched CPT/ICD-9/ICD-10 coding discrepancies for compliance and reimbursement accuracy.
  • Accurately posted/submitted claims electronically/paper.
  • Resolved claim issues captured in CLAIMS edits/clearing house.
  • Posted insurance payments/adjustments manually/electronically.
  • Posted patient payments.
  • Resolved unpaid claims by reviewing insurance aging report daily.

senior medical billing specialist

  • Reviewed monthly patient aging report/contacted patients regarding delinquent accounts.
  • Verified patients eligibility/claims status with insurance carriers.
  • Scheduled patient appointments.
  • Entered/updated patient demographics.

medical billing specialist

  • Protect the security of medical records to ensure that confidentiality is maintained HIPAA.
  • Working on all the Rejections and Denials on priority basis from gateway and payer.
  • Daily Dashboard reports as per Client requirement.
  • Overseeing the production and Allocation of work to Associates.
  •  According to inflow, planning Associates production and keep Process in TAT.
  • Maintaining Internal Team Data Reports (Production, Quality)
  • Daily basis running Process reports to know the current Status

medical billing specialist

  • Performed medical and billing coding duties.
  • Collected clients payments. 
  • Updated and maintained clients accounts. 
  • Performed various clerical duties including answering phones, filing , scanning, and faxing documents.
  • Appropriately handled confidential documents and information. 
  • Provided assistance to physicians as a medical assistant when needed.

medical billing specialist

  • Process medical charges and check filing claims.
  • Interacted regularly with medical professionals regarding billing polices/procedures.
  • Trained/coached new employees.
  • Provide the solutions and suggestions on queries (floor assistance).

medical billing specialist

  • Received and posted payments from clients and insurance companies.
  • Worked with various insurance companies to resolve denied claims.
  • 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.
  • Researched and resolved denials and EOB rejections within standard billing cycle timeframe.
  • Reviewed billing edits and provided insurance company with correct information.

senior medical billing specialist

  • Maintaining Issue logs, Update tracker, Clarification log for the assigned Clients
  • Weekly basis Web Ex interaction with US clients to discuss about process trends.
  • Provide the training pertaining to the process as per the updates by the client.
  • Preparing the SOP of the workflow for better understating of the process.

medical billing specialist

  • Accurately posted/submitted claims for multiple offices.
  • Researched CPT/ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Posted insurance payments/adjustments manually.
  • Prepared daily deposits.
  • Updated patient demographics/verified insurance eligibility.
  • Covered various administrative positions throughout practice as needed.

medical billing specialist

  • Handle Inbound and Outbound calls associated with inurance companies and patient inquiries.
  • Accurately review accounts with patients according to their coordination of benefits and forwarding accounts for adjustments to ensure correct patient responsibility.
  • Correspond with insurance companies for reprocessing of denied claims with HCPC codes, ICD-9 codes.
  • Requesting back up documentation and uploading missing invoices for customers request.
  • Billing Medicare and private insurance companies for DME supplies.
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