MEDICAL BILLER Resume Profile, TX - Hire IT People

PROFESSIONAL SUMMARY

Detail oriented medical biller and receptionist with substantial experience in medical billing and collections for various facilities. Full knowledge of medical terminology, insurance laws, and insurance codes highly experienced in reconciling and resolving insurance and patient account discrepancies. Skilled worker with professional etiquette and organizational talents necessary to build and maintain effective relationships with management, staff, and patients.

SKILLS

Billing and Collections	Insurance and Claim Processing
ICD 9 Coding Medical Terminology Inpatient and Outpatient CPT Coding Medical Data Entry and Payment Posting Credentialing	Various Practice Management Software Office Support phone, faxing, filing Excellent Interpersonal and Verbal Skills

WORK HISTORY

MEDICAL BILLER

Confidential

Enter billing claims for inpatient and outpatient charges for three medical clients
Meticulously identify and rectify inconsistencies, deficiencies and discrepancies in medical software programs
Verify patients' eligibility and claim status with insurance agencies
Reconcile claim denials with a collection rate averaging 95 per month
Obtain and verify prior authorizations for accuracy and claim completion
Research CPT and ICD-9 coding discrepancies for compliance and reimbursement
Accurately post and submit electronic and paper claims for processing and timely filing
Post and adjust payments from insurance companies
Compile monthly statements and track outstanding balances owed to medical facilities
Schedule appointments and provide administrative support

MEDICAL BILLER/MEDICAL ASSISTANT

Confidential

Billing of office procedures and surgeries performed
Disputed insurance claim denials
Assisted physician and nurse practitioner with office and medical procedures
Organized and maintained accurate patient records
Answered patient telephone call and communicated with physician to update patient status
Credentialing with health-care facilities and insurance companies

ADMINISTRATIVE SPECIALIST

Confidential

Educated patients to general office procedures
Scheduled appointments, greeted walk-in patients and directed emergencies per policies and procedures
Served as primary receptionist on incoming calls and primary contact for patient registration protocols
Generated route slips for all patients and oversaw check-out procedures
Worked closely with medical and nursing staff to assure smooth patient flow and reduce wait times

RECEIVING MANAGER

Confidential

Managed bridal consultants
Worked with receiving, invoicing and inventory
Developed customer service strategies to resolve conflicts and manage complaints

ADMINISTRATIVE SPECIALIST

Confidential

Served in an administrative role using knowledge of medical terminology and procedures
Scheduled appointments
Greeted and directed visitors as well as answered phones
Released medical records

OFFICE MANAGER/HIPPA OFFICER

Confidential

Managed office staff
Credentialing with health-care facilities and insurance companies
Performed administrative functions including accounts payable, receivables, payroll and daily deposits
Submitted outpatient treatment reports
Verified insurance coverage and resolved claim denials

TECHNICAL SKILLS

Microsoft Office Word, Excel	Medinformatix
Appian	Greenway

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Medical Biller Resume Profile

TX

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