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Billing Specialist Resume

3.00/5 (Submit Your Rating)

Houston, TexaS

PROFESSIONAL OBJECTIVES A performance driven and experienced billing specialist within the Pharmaceutical Industry.

PERSONAL STRENGTHS

  • Customer service skills
  • Interpersonal & communication skills
  • Ability to take on multitask roles
  • Ability to perform even under extreme work pressure
  • Ability to verify and examine billing statements and documents.

WORK EXPERIENCE

Billing Specialist (April 2007 - March 2010) Confidential (Houston Texas)

  • Managing and submitting accurate monthly billing statement to nursing home facilities
  • Submitting online claims to insurance companies through correct adjudication process
  • Submitting paper claims and online claims to Texas Medicaid, Commercial insurance and Medicare Part D Insurance.
  • Updating patients account information using the daily census information received from nursing homes.
  • Prompt response to telephone & electronic account inquires and complaints from patients, patients representative and insurance companies.
  • Receiving and processing credit card information for co-pays of commercial insurance and private pay patients.

Confidential , HOUSTON,TEXAS ENROLLMENT PROCESSOR JAN. 2007 - MARCH 2007

  • Processing daily Medicare enrollment applications.
  • Reviewing Medicare enrollment application for accuracy and completeness.
  • Entering Medicare enrollment application into database.
  • Contacting applicant to obtain missing demographic information

Intake/Patient Account Specialist. Confidential, Illinois. ( June 2006- November 2006)

  • Entering and registering patients’ demographic data into the computer system using document imaging.
  • Verifying patients insurance information through contacting insurance companies
  • Processing electronic prescription claims on a daily basis.
  • Research and resolve billing issues through contacting insurance company involved.
  • Online adjudication of prescription claims through resolving rejection errors.

IT Training Attended Document Imaging Microsoft office applications including word, excel, power point etc

Education Bachelors degree Bsc

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