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Answerer incoming calls from patient sand clinicians about reimbursement, processes. What Does an Insurance Billing Specialist Do? Resolving theclaim errors on the billing system in a timely manner by reviewing claim error reports and taking appropriate action. 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. Developed training manuals, presentations and videos on numerous topics. Responsible for training employees about current managed care and insurance updates. Computer Literate Keyboarding 65 wpm. View Resume. Process incoming tasks from the Member Service Department, Follow up on premiums to be paid to insurance companies, also questions related to Private Mortgage Insurance,(PMI), determining if it was still required on the mortgage. Routinely collaborated with department managers to correct problems and improve services. On-site nurse, nutritional counseling, and mental health resources. Quality #17. Knowledge of office administration and procedures. Worked one on one with patients with financial shortcomings in order to come to a payment arrangement beneficial to both the patient and the practice. Russell Tobin is a leading minority-owned professional recruitment and staffing advisory organization. Extract and analyze data for data modeling and the development of detailed metrics. What is the right way to include keywords in your resume 4. Initiate accurate records and maintain records in a confidential, secure, complete, and accessible manner for future recipient oversight. Communicated with customers to identify and resolve outstanding payments. As a insurance Billing Specialist in hospital and physician billing, I am detailed oriented and an excellent multi-tasker. Insurance Specialist. Created first medicare LCD injections allowed diagnosis sheet used throughout the practice by both the billing department and technicians in all exam rooms. Insurance Billing Specialist Summary. The average reimbursement specialist resume is 1.0 pages long based on 450 words per page. Provided appropriate postoperative instructions as prescribed by dentist. Spoke with patients regarding questions about accounts and insurance related inquiries. 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. Processed and entered physician orders to proper departments Operated office equipment such as copiers and fax machines. A Billing Specialist is a professional who ensures that insurance companies and healthcare facilities keep accurate records. Billing insurance companies for laboratory services provided. Skills : . Our recruiters will be reaching out to prospective candidates. Billing all primary and secondary insurance claims in a timely and accurate manner, demonstrating the working knowledge of all appropriate billing forms, ub04, 1500 or state specified forms, utilizing the electronic billing systems. Aligned new learning development and solutions with the company's strategic goals. Ensured the timely and accurate submission of claims to payers. Microsoft Excel. Performed various collection actions including contacting patients by phone, correcting and updating payment information and resubmitting to third-party payers. Looking to succeed in a stimulating and challenging environment, building the success of the company while experiencing advancement opportunities. Reviewed aging report daily to ensure all individual rejections were worked before timely filing issue arises. Coordinated special events such as annual Black History Month celebration and Support Staff United Way Silent Auction. Analyzing the designated accounts to ensure theaccuracy of coding and account balances. It appears on 18.1% of resumes. Accurately collected and recorded patient medical and dental histories. facility. Highlights Microsoft Office proficiency Understands grammar Excel spreadsheets AR/AP Meticulous attention to detail Medical terminology Results-oriented Mail management Self-directed Meeting planning Time management Insurance eligibility verifications Professional and mature Dedicated team player Strong problem solver. Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing. I have recently started to work on the ICD-10 transition with cloud computing. I have also in the past worked as a Medical Data Entry Clerk proficient in medical billing, payment posting and coding. A highly productive asset with proven abilities to deliver on the spot results. 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. Community Health Association Of Spokane - Moscow, ID. Posting of medical insurance payments and client payments. Experience in, Medicare re-openings, re-determinations and appeals. Greeted and prepared patients for dental examinations. Documented patient data and medical records, and performed routine medical record audit to comply with insurance company requirements. Identified registration errors and flagged accounts using error tracking process. Downloadable Resume Examples No Experience Example #1 No Experience 2-3 years Example #2 2-3 Years 5-10 Years Example #3 5-10 Years 10+ Years Used electronic charge Capture Practices such as billing and account receivables (Clinix) system and medical billing clearinghouse accounts to submit codes and invoices on time. Reviewing and approving the daily balancing and closing reports of encounters processed. Skills : Microsoft Office, Administrative Assistant, Administrative Support, Administrative Duties, Accounts Receivable, Medical Terminology, Account Reconciliation, Accounting, Bookkeeping, Insurance Verification, Insurance, Customer Service, Call Center, Collections, Data Entry. Communicating with insurance companies to check the status of medical claims and to ensure timely reimbursement. Answering phones and assigning client referrals to appropriate counselor. 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. Research and resolve unmatched disbursements that are rejected by the system for payment. Monitor insurance expiration reports and follow up on any missing bills. Objective : Administrative Assistant -specializing in administrative support to busy medical office. Efficiently resolving the payment gaps and billing disputes for patients' medical bills, advising clients on thebest solutions for solving outstanding balances. Significantly reduced denials for skilled nursing facility charges by over 65%. Medical Coding license issued through AAPC with ICD-10 proficiency. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency. Experience making a presentation in front of groups. * Part Time Days - Flexible hours * Three Pillars Senior Living Communities, located in Dousman, WI, is hiring a Accounts Receivable Insurance Billing Specialist. Accounts receivables. Ensures accurate insurance benefit determinations through active investigation. Process insurance and client refunds on all over payments. Confirming if a person is a current patient at the medical office, confirming if a patient was seen by a primary care physician on a particular date, when a secondary insurance company calls about a primary EOB that is not legible or missing, provide the correct EOB information for the claim to be processed correctly. 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. Researched and resolved collections and billing disputes. Hourly compensation starts at $17.61, more depending on experience. Accounts Receivable Specialist 1 at Change Healthcare Canada. Submit bills to clients. Able to work independently. Answers questions from patients, clerical staff and insurance companies. Billed electronically to insurance companies, appealed claims and Pre-Authorizations. Responsible for the audit of patient and insurance refunds using the excel spreadsheet. Submit secondary claims in either electronic format or on CMS 1500 forms. a well-drafted medicare billing specialist resume indicates the following duties and responsibilities - obtaining referrals and pre-authorizations as required, checking benefits and eligibility for treatment, and hospitalization; reviewing patient bills for accuracy and completeness, preparing and reviewing claims using billing software; checking Uphold and reinforce policies and federal regulations such as HIPPA. Typically reports to billing supervisor or provider office manager. Monitor submitted claims for timely payment and follow up as needed. Answering consumer inquiries regarding account balances. Target the billing specialist job description in your resume objective. Insurance companies is the most common skill found on a reimbursement specialist resume. Maintain and process various insurance billings and distribute insurance materials to staff and department supervisors. 2022, Bold Limited. The sample presents the information by using the reverse chronological format. Committed to delivering high quality results with little supervision. Research and resolve Flood insurance requirement issues. My experience includes verifying insurance coverage, knowledge of commercial and private insurance carriers, Medicare and Medicaid and other governmental carriers. 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. Collected patient's portion of treatment the day of the visit. Companies Worked For: Amazon, Bright Now Dental, Nancy Collingsworth St. Job Titles Held: Billing Specialist, Insurance Agent, Manager. 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. A Proactive Approach. Processed payments, analyzed, evaluated, and managed changes to existing policies and maintained verbal and written correspondence with clientele and represented insurance companies. A good medical billing specialist will take a proactive approach to their job. For example, skills like Invoicing, Accounts Receivable (AR) and Customer Service are possible skills. 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. Best 20 Billing Specialist Resume Objectives Statements You Can Apply Excellent communicator with strong time management skills and solid history in the oil and gas industry, seeking for the position of a billing specialist with Adecco Staffing. Go through the Billing Specialist posting you're applying to, and identify hard skills the company is looking for. Accounts Receivable Insurance Billing Specialist starting at $20/hr! Worked with account specialists and managed care specialists identifying payer contracting reimbursement issues. Resolves claim processing issues on a timely basis by reviewing claim inventories and taking appropriate action. Proven ability to implement effective policies and procedures, to enhance productivity results, and increase process efficiencies. 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. Verifying that billed medical services, diagnostic tests and medications were supported by the patients' diagnoses before sending claims to carriers. Detail oriented for documentation. Processes payments from insurance companies and prepares a daily deposit. Ensured accurate and complete clean claim submission for both paper and electronic claims in a timely manner. Obtained precertification numbers from physicians' offices. Perform insurance deduction activities for personnel and reconcile data printouts. Receive, screen and direct incoming telephone calls and walk-ins; answer questions regarding benefit coverage, costs and payroll information as necessary. Upload your resume - Let employers find you Medical Insurance Billing Specialist jobs Sort by: relevance - date 11,063 jobs Medical Billing Appeals / Grievance Specialist National Billing Inst. It is possible to work as an Insurance Billing Specialist with an associates degree in related fields. 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. My experience includes verifying insurance coverage, knowledge of commercial and private insurance carriers, Medicare and Medicaid and other governmental carriers. Researched best practices and used them in all training programs. Investigates and resolves insurance company disputes and communicates with patients regarding account balances and claim statuses. Expertise includes verifying insurance coverage, records reviews and claims management. Outstanding team player with good interpersonal communication. Improvedthe acceptance rate of commercial claims through well-researched appeals proving medical necessities. Attention to detail. . Dealing solely with funded accounts to ensure payment was accurately submitted by pharmaceutical companies. Providing billing support for client companies through temporary work assignments. Nolan Santana. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Enter appropriate and necessary information into the claims filing software in order to prepare required claims to be sent electronically. Ensuring all payors are processing according to contracts, negotiating all non-par agreements and working with the collection agency on past due accounts. Weekly/monthly reporting on excel. Objective : Motivated and hardworking professional who accurately reviews insurance accounts receivable for assigned clients for the purpose of identifying and taking the steps needed to ensure prompt claims adjudication, until claims are either paid or denied. Resolution Specialist Obtain missing information from physicians, pharmacies, and consumers needed to process laboratory samples. My experience will be a great asset to your company. 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. Headline : Billing Specialist with extensive customer service knowledge and medical claim billing seeks employment with a company that offers room for growth and competitive pay. Organized the bidding process in accordance with state purchasing laws. City, State, Zip Code. Prepares and submits clean claims to various insurance companies either electronically or by paper. Posted charges, payments and adjustments. 10-key calculator, 10-key, 10 key calculator, 10 Key, accounting, back-up, Billing, calculators, charts, closing, Data Entry, dependable, Detail-oriented, documentation, fax machines, Filing, financial reports, forms, front office, Insurance, ISP, mailing, Medical billing, Medical terminology, office, office equipment, Strong organizational skills, copiers, copy machines, Coding, receiving, Team player, phones, Telephone Skills, Time management, website, websites, Resumes, and other information uploaded or provided by the user, are considered User Content governed by our, Cerificate for completion of CPC ISP PROGRAM: Indepentent Study Course in Education requirements vary from job to job, but a bachelors degree in Finance or Accounting will be preferred. Audited patient information for accurate insurance information Pre-registered patients for future dates Insurance verification. Running commercial, Medicaid, no-fault, worker's compensation insurance reports twice a month. 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. Key accomplishment: Decreased cash posting backlogs by processing refunds and account adjustments. Headline : Billing Specialist with 6 years of experience, committed to assisting others Work well in a high-pressure environment. After learning about how to write a professional reimbursement . For immediate consideration, please email lshea@astoncarter.com a brief introduction and attach your resume! Claim Appeal Procedures: follow-up & appealing of claims identified errors and re-filed denied/rejected claims. Graduates with specialized training in the field have a better chance of getting placed. 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. Skills : Customer Service, Medical Terminology, Money Handling, Phones, Accounts Receivable, Billing. 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 Job seeker resumes showcase a broad range of skills and qualifications in their descriptions of Insurance Specialist positions. Entered and updated medical billing codes in patient accounts. Confirmed and corrected any patient demographic and insurance data entry errors to ensure clean claims. The average reimbursement specialist resume is 429 words long. Responded to staff and client inquiries regarding CPT and diagnosis codes. Thoroughly gathered and recorded medical and dental histories and vital signs of patients. Maintaining and securing medical documentationto support claims or appeals as necessary. Acted professionally and patiently when addressing negative customer feedback. Partnering with outside skilled nursing facilities to resolve denied charges. Reconcile insurance payments to explanation of medical benefits. Very dependable, customer service oriented employee who focuses on accuracy in all tasks. 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. As a Insurance Billing Specialist. Summary : Provides leadership, instruction, and supervision of a focused team. This medical billing specialist resume is for your reference. Given below are major duties, tasks, and responsibilities that make up the billing specialist job descriptions. USE PRE-WRITTEN BULLET POINTS - Select from thousands of pre-written bullet points. 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. Please accept this letter and the attached resume as my interest in this position. Medical Records. Ready to act Right Now, for Tomorrow? Responsible for system balancing ensuring all downloaded/translated claims are submitted along with completing the daily billing balancing form. Auditing each bill for charges, duplications and overlapped accounts before billing, making any necessary adjustments and documenting appropriately. I have also in the past worked as a Medical Data Entry Clerk proficient in medical billing, payment posting and coding. Completed software updates and database back up. 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. Preferred experience with various billing systems, Internet;. Desired experience for insurance billing specialist includes: Travel to various office locations may be required Must have at least 3 years of operational billing/collecting experience in a medical setting Must know ICD10, CPT and modifiers Skilled in pin-pointing problem accounts and determining a plan of action Summary. What are some skills that can be included in a billing specialist resume? Summary : Dedicated professional with ten years of experience performing clerical responsibilities, providing quality customer service, assisting with policies and procedures. Insurance Billing Specialists process insurance claims for healthcare facilities. Accounts receivable. Submit claims and following up with insurance carriers on unpaid or rejected claims. Detail oriented quality focused professional billing specialist. Skills : Ten Key, Administrative Assistant, Typing, Accounts Receivable, CNA, Customer Service, Cerner, Star, Epic, Dimensions, EKG, EMR. Excellent customer service skills. Download Resume PDF Build Free Resume 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. Work with physician office coordinators in training office staff members in proper information gathering and data entry of the patient's information into the computer system. Verify accounts for accuracy to ensure that the correct codes are entered to avoid and reduce claim denials. T A blind mailing means sending information to potential employers who have not advertised a job opening. Skills : HCC Coding, ICD-10, Ancillary Coding. As a health care professional, I would like to work in support and favor of the esteemed organization I would be working for. Posted payments, updated balance information and researched explanation of benefits with patient insurance providers to determine general balance of patient accounts. Edited and processed incoming purchase orders. Patient Accounts Specialist IV Responsible for collecting co-pays, ensure claims are processed timely, register patients, verify insurance, investigate claims and problem solve, float from various departments, post charges, interact with internal and external customers. Obtaining prior authorizations when required. Maintains quality performance and productivity standards. The Billing Specialist Resume gives a list of certain core tasks such as receiving and sorting incoming payments, checking the debit account validity period, updating accounts receivables, issuing and posting bills, receipts and invoices; ensuring all clients are properly informed about outstanding debts and their deadlines, and creating a detailed report on all billing activities. Skills : Extensive knowledge on use of email, search engineknowledge and use of Microsoft Products: Outlook, Word, Excel. Followed-up on the past-due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances. Billing department functions, medical billing, charge entry, claims, payment posting, requisite patient information into billing software to streamline invoicing and account management, added modifiers, verified diagnosis, and coded narrative diagnosis. Designed and delivered power point presentation about ABN form at practice's annual company meeting to three physicians and seventy employees. Analyzing monthly account receivable reports to ensure timely filing, third-party payments,and consistent cash flow. Post insurance and patients and manage accounts. With my good interpersonal and communication skills, I will have confident and assured talks with the individuals at all levels. Scheduled and confirmed appointments for rehab clinic Duties included receiving inbound calls from patients with questions or concerns. **Description**PeaceHealth is seeking a Patient Account Specialist - CALL CENTER - REMOTE for a Per Diem/Relief, Day position. Worked closely with front office staff in order to keep schedule running smoothly. Reviewed status of waiting room on a routine basis to ensure that patients were being seen in a timely fashion. A medical billing specialist handles insurance claims, payments, and invoices. Assist management staff in compiling and analyzing productivity data. Billing Specialist job description. Coordinated interior design of College facilities, such as furniture purchases for offices, meeting rooms, and classrooms, carpet and window treatment selections, and paint color choices; and consulted with vendors. Task oriented, detail minded, and able to complete assignments to the fullest, while staying focused to make sound and thoughtful decisions. Skills : Microsoft Office, Data Entry, Demographics, Client Enrollment, And Fulfillment, Accounts Payable And Receivable, UB04 Claims, Invoicing. Successful track record handling complicated . Excellent interpersonal skills for interacting with supervisors, co-workers, patients & insurance carriers.  Skills : Medical Coding: CPT And ICD9, ICD10. Completed various insurance renewal processes; maintained files for general insurance coverages and claims and contacted insurance broker regarding claims and inquiries. Receiving Specialist Handling of all inbound shipments of specimen samples, entering samples accurately into computer while reviewing paperwork for completeness. Entering new client demographic and insurance information. Verifying Patients Insurance Coverage Answering Patient's Billing Questions. Audited hearing aid claims for quality and accuracy prior to submission. Currently Seeking Medical Billing and Coding Specialists in the Rochester, NY Area! Dental Billing Specialist, 2016 to Current. Skills : Microsoft Office, Typing 65 WPM, Multi-Tasking. Coordinate personnel actions with payroll deductions and data processing for insurance deductions. Prepared bank deposit and controlled cash box. Performed all duties in a professional and curious matter. We are a busy EMS billing company seeking qualified individuals to fill available openings in our Accounts Receivable Department as an ambulance Accounts Receivable Specialist. Appealed denied or suspended medical claims. Performed billing for commercial insurance, worker's compensation, MVA and VA, which included outreach clinics and mental health services, Updated patient's insurance in computerized registration system, Processed electronic billing through Premis, Posted daily cash and banking; performed record keeping in QuickBooks, Performed additional administrative duties, such as ordering supplies, inventory, mail distribution and scanning documents, Enter information necessary for insurance claims, Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form, Resolve issues with insurance companies on unpaid or rejected claims, Prepare appeal letters to insurance carrier when not in agreement with claim denial, May periodically create insurance or patient aging reports using the medical practice billing software, Understands managed care authorizations and limits to coverage such as the number of visits, Verify patient benefits eligibility and coverage. A Billing Specialist, or Billing Clerk, is responsible for overseeing the billing process for customers or patients. What is the right format for your resume? 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. Works well with challenges, in addition to providing exceptional service to customers and organization. Researched and resolved billing and invoice problems entered the appropriate medical code into the billing system followed up on unpaid claims and denials. Skills : I'm great with people and interacting with them. Identifies and resolves patient billing complaints. Medical Coding and Billing Specialist January 1999 to July 2016 Pacific Dental Services Oregon City , OR. Verifying of patient eligibility thru insurance websites as well as Medicare and Medicaid eligibility thru CDS terminal and TMHP website. 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 . Use this resume as a template to find a job! 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. Highly skilled in analyzing and validating patient information . To work in a professional organization and utilize my abilities bringing success to my employer, as well as expanding my knowledge. Are processing according to contracts, negotiating all non-par agreements and working with the individuals at all.! Documented patient data and medical records, and consistent cash flow for a per Diem/Relief, day position enter and! 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