An Insurance Biller submits medical claims to the insurance companies and payers including Medicaid and Medicare. This job is crucial for the financial cycle of health care providers. A well-drafted Insurance Biller Resume indicates the following duties and responsibilities – obtaining referrals and pre-authorization needed for procedures; checking eligibility and benefits verification for treatments, reviewing patient bills for accuracy and completeness; preparing and reviewing and transmitting claims using billing software; following up on unpaid payment for accuracy; calling insurance companies for the discrepancy in payments; identifying and billing secondary insurances and appealing denied claims.
Those seeking this job role should mention on the resume the following skills – solid understanding of billing software and electronic medical records; the ability to multitask and manage time effectively; strong verbal and written communication skills; and outstanding problem-solving abilities. A degree is sufficient to enter this occupation.
Summary : As an Insurance Biller, Responsible for accurate data entry of demographic, insurance, and scheduling for the clinic patient encounters. Experience in establishing and maintaining effective working relationships with patients, physicians, staff, Central Billing Office associates.
Skills : Detail Oriented, Customer Service.
Description :
Prepared and submitted hospital and hospital-based physician claims to third-party insurance carriers either electronically or by hard copy billing.
Secured, needed medical documentation required or requested by third party insurances.
Followed up with third-party insurance carriers on unpaid claims till claims are paid or an only self-pay balance remains.
Processed rejections by either making account private and generating a letter of rejection to the patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
Worked with physicians or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
Posted third-party insurance remittance vouchers.
Monitored claims for missing information and authorization/control numbers.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Insurance Biller Resume
Objective : As an Insurance Biller, responsible for submitting claims to the appropriate intermediaries and ensuring that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations.
Skills : Insurance Verification, Communication Skills.
Description :
Successfully completed a tiered training program mastering performance measurements within each tier.
Called insurance companies to verify claim status and appropriately note all accounts within FACS and the hospital system.
Analyzed all information provided on accounts to determine a course of action for account resolution.
Used the hospital system to access claims and then bill those claims with the insurance company if not on file.
Established professional business relationships/contacts with the facility business office staff and offer assistance to the business office as needed with accounts.
Worked accounts with urgency as defined by department standards to bring them to closure expediently.
Verified patient's eligibility and claims status with insurance agencies.
Experience
2-5 Years
Level
Junior
Education
GED
Insurance Biller Resume
Summary : Seeking an Insurance Biller position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Good Customer Service, Computer knowledge, Problem Solving Skills.
Description :
Entered data into Financial Data Processing System according to the company's policies and procedures.
Posted details of daily transactions, charges, and payments.
Performed daily reports to verify accuracy and balance closing packet daily.
Performed daily balance; reconciled billing ensuring completeness and accuracy of data on accounts and code documents according to company's procedures.
Reproduce daily EOBs and checks.
Reviewed all charges and notes for the accuracy of billing.
Transmitted daily charges electronically to Insurance companies including complete daily summary reports.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Insurance Biller Resume
Headline : Motivated and highly productive Insurance Biller professional with a research background. Detail-oriented with strong skills in multi-tasking and efficient management of day-to-day office operations. Adept at building and maintaining effective working relationships with co-workers and clients through outstanding interpersonal skills.
Skills : Verbal and Written Communications Skills, Budget Making, Time Management Skills.
Description :
Researched each account with the contract and/or fee schedule to be sure the claim was paid correctly.
Checked eligibility and claimed status by phone and by the web portal.
Updated accounts with correct insurance information and adjusting any necessary balances.
Wrote appeal letters for denial on a claim. Promoted to insurance biller, top collector, and employee action committee.
Resubmitted and appealed claims as required, review claims, and make corrections as needed.
Resolved problems on accounts daily.
Re-filed accounts with new insurance information.
Experience
5-7 Years
Level
Executive
Education
Diploma
Insurance Biller Resume
Objective : To obtain a part-time Insurance Biller position with an emphasis on Sales Support/Office Management utilizing extensive experience and skills. Productive in contributing effectively towards the objectives of a team, and able to share knowledge, ideas, and information.
Skills : Accounting and Bookkeeping, Customer Service.
Description :
Responsible for following up on denials, rebilling claims, correcting CPT, and Diagnosis codes.
Responded to the clinic and patient inquiries regarding third-party billings and coverage.
Provided pre-verification services to clinics and patients and performs collection activities for third party and direct patient receivables.
Billed and collected secondary insurance.
Able to prepare and maintain the confidentiality of sensitive information.
Demonstrated knowledge of billing procedures, medical terminology, anatomy, physiology, IDC-9, and CPT coding.
Analyzed and submited corrected claims on accounts with late charges or credits.
Experience
2-5 Years
Level
Junior
Education
BS In Insurance
Insurance Biller Resume
Summary : As an Insurance Biller responsible for providing services to the facility which will include but not limited to accurate billing, daily bill selection, printing claims, secondary claims. Good communications with collections staff for prompt rebill.
Skills : Customer Service Support, Computer knowledge, Problem Solving Skills.
Description :
Maintained all aspects of billing procedures, including, adherence to requirements from all inter-hospital departments for both hard copies.
Appropriately resolved customer issues, complaints, and questions.
Provided customer service by telephone to answer any queries from patients regarding their accounts.
Recommended refunds to be made due to patient or insurance overpayments & forwarded to the Billing Director for approval.
Reviewed uninsured and residual patient account balances and established monthly payment arrangements.
Compiled and submitted claims to insurance companies based on data provided by the medical coders with a goal of zero errors.
Completed account follow-up daily, maintaining established goals, and notifies the business office supervisor, when necessary, of issues preventing the achievement of such goals.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Insurance Biller Resume
Summary : Highly qualified Insurance Biller with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and would excel in the collaborative environment on which your company prides itself.
Skills : Problem Solving Skills, Communication Skills.
Description :
Billed hospital claims for inpatient and outpatient charges.
Performed follow-up/collections and worked refunds/credits on accounts.
Able to perform a job with little supervision.
Worked claims daily in a timely manner in order for claims to process for payment.
Maintained strict confidentiality, have a strong work ethic, very dependable, attention to detail, very organized, fast learner, able to multi-task, have good judgment, able to work well alone or with others.
Verified the accuracy of billing data and revise any errors. Prepared itemized statements, bills, or invoices and record amounts due for items purchased.
Called insurance companies and patients to collect outstanding balances.
Experience
7-10 Years
Level
Management
Education
High School Diploma
Insurance Biller Resume
Objective : A detailed-orientated Insurance Biller professional with the ability to successfully manage full lifecycles of client meetings and programs. Highly organized with excellent interpersonal and customer service skills, problem-solving, thrives under pressure, is an enthusiastic and dedicated employee with uncompromised integrity, strong work ethic.
Skills : Good Customer Service, Computer Knowledge.
Description :
Efficiently answered multi-line phone and processed a high volume of order requests from nurses, doctors, and pharmacists.
Precisely processed third party prescriptions and managed the adjudication review.
Verified patient data and billing information.
Verified accuracy and completeness of information on prescription and refill requests.
Regularly completed paperwork and entered prescription and insurance billing information into patient profiles.
Maintained proper pharmacy and general safety procedures and standards, including department cleanliness.
Billed claims to all commercial insurances including blue cross blue shield, workman's compensation, and government agencies.
Experience
0-2 Years
Level
Entry Level
Education
GED
Insurance Biller Resume
Summary : Highly regarded Insurance Biller with 15 + years experience in credit, collection, and receivables management. Proven ability with devising business strategies pertinent for advancing client services and increasing corporate revenue stream.
Skills : Knowledge of Medical Terminology, Tea Work.
Description :
Responsible for daily operations of charge entry, cash posting, banking, precertification, customer service, billing, insurance follow-up, collections, and invoicing for four cardiologists.
Reviewed complicated claims for benefit level, third party liability, overpayments, and coding issues.
Performed month-end financial reporting and data analysis, extracting data for spreadsheet creation.
Maintained complete and accurate account documentation.
Answered patient claims and billing inquiries.
Researched and resolved account discrepancies in a timely manner.
Experience
10+ Years
Level
Senior
Education
Certificate In Billing
Insurance Biller Resume
Summary : To utilize experience as an Insurance Biller, including standard billing, collections, and areas of specialization. To ensure timely billing and reimbursement of claims to insurance carriers.
Skills : Good Customer Service, Computer knowledge, Problem Solving Skills.
Description :
Billed accounts to the proper insurance carriers for payment using the Smarter Computer System.
Processed all late charges, adjustments, & allowances on accounts that are subject for approval by the Billing Director.
Processed all electronic claims within an assigned alpha split & made corrections where ever necessary.
Screened accounts for early collection efforts.
Followed up on unpaid accounts to confirm if payers received the claims.
Identified missing requirements of submitted claims with various provider service representatives.
Prepared attachments for secondary insurances for accurate billing.
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