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Billing Specialist Resume

3.00/5 (Submit Your Rating)

Houston, TX

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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 on 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 electronicprescription 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. ECONOMICS

REFERENCES
References are available on request

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