The most sought-after skills for the post include the following – courteous, the ability to interact well with patients mainly relating to matters of medical claims and payment plan; well-versed in using accounting and booking techniques; data entry skills; and proficiency to multitask. To become one, a high school diploma is needed to the least. However, possessing an associate’s degree provides a competitive edge for this job.
Objective : Efficient Billing specialist offering 3+ years of experience in clerical functions. Seeking a position where one can utilize skills and experience in your company with room for advancement and professional growth.
Prepared and submits hospital and hospital-based physician clean claims to Medicare either electronically or by hard copy.
Secured needed medical documentation required or requested by Medicare or other insurances.
Followed up on all unpaid claims till claims are paid or an only self-pay balance remains.
Processed rejected claims by Medicare by fixing any billing errors and resubmitting claims.
Worked with medical record staff to ensure that diagnosis/procedures are reported correctly.
Maintained confidentiality of all information.
Worked on aging reports and keep them up to date and accurate.
Worked with Invision software and E-Premis web application.
Experience
2-5 Years
Level
Junior
Education
Insurance/Medical Billing
Insurance Billing Clerk Resume
Headline : Have experience working in the insurance claims processing field & medical billing industry. Excellent interpersonal and organizational skills with attention to detail. Extensive experience in fast-paced professional environments.
Skills : Medical Billing, Accounts Payable, Insurance, Insurance Verification.
Description :
Verified referrals and authorizations.
Scanned Endoscopy center charges to outside billers along with all hospital charges.
Worked Superbills for all four doctors, verified balances due by either pt or insurance companies.
Verified referrals and PCCM referrals are still good.
Entered office charges into Medisoft system, verified eligibility, and benefits, co-pays, deductibles.
Refiled secondaries when necessary.
Assisted receptionists by picking up telephone overflow.
Verified pre-procedure benefits for all doctors.
Experience
5-7 Years
Level
Executive
Education
Certification in Billing
Insurance Billing Clerk Resume
Summary : Seeking a full or part-time position with a company that offers benefits and a chance for advancement. Excellent knowledge of collection and claims procedure with strong communication skills, utilized in resolving customer queries.
Answered patient calls regarding insurance and account issues.
Submitted medical records for workers comp patients.
Processed insurance claims via an electronic clearinghouse, insurance coding, work insurance denials, and rejections.
Worked with patients regarding bills and set up payment arrangements/collections.
Filled in at physician's offices when needed, working at the front desk.
Answered and directed phone calls to the right person, and talk to patients over the phone about their insurance and billing questions.
Experience
7-10 Years
Level
Management
Education
Diploma in Medical
Insurance Billing Clerk Resume
Summary : A highly motivated and goal-oriented individual experienced in performing a variety of clerical tasks. Seeks to work in a professional organization and utilize abilities bringing success to the employer, as well as expanding the knowledge.
Skills : Medical Records, Medical Billing, and Coding, Customer Service, Data Entry, Secretarial, Inventory Management, Medical Assisting.
Description :
Posted transactions, adjustments, and payments into ledgers.
Verified accuracy of information input for correct billing, and correct errors needed.
Prepared patient statements and invoices.
Followed up on patient billing and insurance statements.
Submitted claims including monitoring unpaid claims, initiating tracers, and resubmitting claims.
Made an appeal process for insurance companies.
Prepared accounts for collections to agencies.
Submitted both electronic and paper claims.
Researched and respond by writing and telephone to patient inquiries regarding billing issues and problems.
Experience
7-10 Years
Level
Management
Education
BA in Business Management
Insurance Billing Clerk Resume
Headline : Insurance Billing Clerk with 6+ years of experience, skilled at organizing complex projects, defining project priorities, and delegating tasks. Self-motivated and assertive. Demonstrated record of high-performance standards, including attention to schedules, deadlines, budgets and quality work.
Skills : MS Office Suite, Budget Management, Team management, Data Entry.
Description :
Prepared and reviewed insurance-claim forms and related documents for completeness.
Posted and attached information to the claim file.
Paid small claims.
Contacted insured and other involved persons to obtain missing information.
Transmitted claims for payment and further investigation.
Provided customer service, such as giving limited instructions on how to proceed with claims and providing referrals to auto repair facilities and local contractors.
Posted and attached information to the claim file.
Organized and worked with detailed office and warehouse records, using computers to enter, access, search, and retrieve data.
Experience
5-7 Years
Level
Executive
Education
A.A.
Insurance Billing Clerk Resume
Summary : Seeking to acquire a competitive position within the company which will allow utilizing existing skills and acquires new skills that will allow for professional growth. Skilled in accurately preparing weekly and monthly reports within tight deadlines.
Processed billing and follow-up on accounts generated through the hospital informational system.
Performed excellent telephone communication skills in order to effectively follow-up with insurance companies, patients, or other third-party payers.
Used coded data to produce and submit claims to insurance companies.
Worked directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
Reviewed and appealed unpaid and denied claims.
Verified patients' insurance coverage and answering patients' billing questions.
Handled collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and follow up with patients if or when there is a lapse in payment.
Experience
10+ Years
Level
Senior
Education
MS in Psychology
Insurance Billing Clerk Resume
Summary : A detail-oriented and responsible professional in performing complex clerical operations possessing 11+ years of experience as an Insurance Billing Clerk. Seks to find a full or part-time position with a company that offers benefits and a chance for advancement.
Answered patient calls regarding insurance and account issues.
Submitted medical records for workers comp patients.
Processed insurance claims via an electronic clearinghouse, insurance coding, work insurance denials and rejections.
Worked with patients regarding bills and set up payment arrangements/collections.
Filled in at physician's offices when needed, working at the front desk.
Answered and directed phone calls to the right person, and talk to patients over the phone about their insurance and billing questions.
Experience
10+ Years
Level
Senior
Education
Diploma in Medical
Insurance Billing Clerk Resume
Objective : To obtain an Office/Clerical position in which customer service, bookkeeping, personal, clerical, and general office skills will contribute to greater office efficiency and productivity, has an exceptional ability to prioritize tasks to meet goals and objectives.
Skills : Medical Billing, Accounts Payable, Insurance Verification.
Description :
Collected and applied for patient account payments.
Submitted claims to various insurance companies either electronically or by paper.
Prepared and reviewed patient statements.
Reviewed delinquent accounts and call for collection purposes.
Processed payments from insurance companies.
Investigated rejected a claim to see why it was denied.
Answered all patient or insurance telephone inquiries pertaining to assigned accounts.
Experience
2-5 Years
Level
Junior
Education
Diploma
Insurance Billing Clerk Resume
Objective : A creative, critical, and curious young professional with the ability to energize individuals and organizations to be the best they can possibly be. Seeking a position where experience will be further developed and utilized.
Skills : Microsoft Office, Microsoft Excel, HIPPA Compliance, Administrative Support, Attention To Detail.
Description :
Reviewed claims in SSI for accuracy and make required changes for proper billing.
Reviewed CCI and OPPS to ensure proper modifiers and fees are being used.
Maintained data entry requirements by following data program techniques and procedures.
Entered all service codes and diagnosis codes accurately into the system.
Located doctors' NPI and taxonomy numbers and update claims.
Contacted work comp companies to verify the patient still has an active case, gather information, and bill accordingly.
Managed and filed patient paperwork and intake notes in physical and digital records.
Experience
2-5 Years
Level
Junior
Education
BS in Business
Insurance Billing Clerk Resume
Summary : An experienced professional looking to work as an Insurance Billing Clerk and help the management in monitoring revenue and keeping records of money owed by customers. Demonstrated track record of success working with diverse client populations in one-on-one and group settings.
Skills : Medical Terminology, Medical Reimbursement Policies, HCFA and UB04, ICD9, ICD10, and HCPC Coding, Word, Outlook, Excel.
Description :
Filed all-party insurance claims, and assisted patients if needed in filing their claims.
Completed clerical functions necessary to update the account with the correct information needed to submit the claim.
Reviewed all claims prior to the claim being submitted.
Telephoned third party insurance companies for verification of insurance coverage.
Assisted in the initial filing of Medicaid/Medicare claims.
Completed a monthly report of all accounts, and called insurance companies to check the status of payments if necessary.
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