An Insurance Billing Specialist is a professional who will process insurance claims for various sectors. The job description varies widely based on the industry setting, but the most common duties are enlisted on the Insurance Billing Specialist Resume as follows – collecting and entering claim information, posting insurance and managing accounts, submitting claims to the insurance companies, following up with insurance carriers with regards to rejected claims or unpaid claims; informing clients about account status and changes, and giving a detailed report to the billing supervisor.
The amount of knowledge, skills, and abilities needed to be represented on the portfolio includes – the ability to enter all information pertaining to insurance claims, adherence to laws and best practices while dealing with data and customers; comfortable dealing with huge numbers and insurance billing processing. It is possible to work as an Insurance Billing Specialist with an associate’s degree in related fields.
Summary : Possess excellent problem solving and communication skills to complete assigned task Client-focused professional with strong work ethics. Works well with challenges, in addition to providing exceptional service to customers and organization.
Skills : Microsoft office.
Description :
Reviewed & correct all billable claims in the appropriate billing software programs in accordance with specific payor guidelines & requirements.
Billed secondary claims upon processing of primary insurance.
Accurately applied insurance & patient payments on accounts, researched and resolved incorrect payments posted on accounts.
Followed up on aging insurance & patients accounts, resubmitted claims as necessary and knowledgeable in timely filing restrictions.
Reconciled accounts in determining the correct insurance & patient responsibility through interpretations of payment and denial codes on the EOB sent by the payors.
Reviewed and resolved non covered charges according to procedures, and reviewed write off charges that was inappropriate.
Worked to resolve questions related to the ICD 9 & 10 CPT/HCPCS Revenue code, Modifiers charge entry errors and other claim elements.
Worked efficiently with minimal supervision and exercising independent judgment and stated guidelines.
Experience
10+ Years
Level
Senior
Education
Certificate
Insurance Billing Specialist/Manager Resume
Headline : Over seventeen year's practical, hands-on experience in various administrative positions/functions. Highly organized, neat and focuses on accomplishing assigned task efficiently. Goal oriented professional who enjoys interacting with people. Self-starter, equally comfortable working alone or in a team setting.
Skills : Microsoft Office.
Description :
Review daily pending insurance claims for accuracy of patient information and coding.
Review claims that were rejected by Gateway and determine the reason for rejection.
Correct claims rejected by insurance carriers and submit them in an electronic format or on paper.
Submit secondary claims in either electronic format or on CMS 1500 forms.
Monitor submitted claims for timely payment and follow up as needed.
Identify patient accounts with a credit balance, determine if there should be repayment to the insurance carrier or to the patient, and submit a request form to Accounts Payable for a refund to be issued.
Answer patient questions concerning the status of their insurance claim and the final resolution of the claim.
Work with physician office coordinators in training office staff members in proper information gathering and data entry of the patient's information into the computer system.
Experience
5-7 Years
Level
Executive
Education
Diploma
Insurance Billing Specialist/Analyst Resume
Summary : Dedicated professional with ten years of experience performing clerical responsibilities, providing quality customer service, assisting with policies and procedures.
Skills : Insurance Billing, LCD Knowledge, ICD-10 Knowledge, Data Entry, Phone Etiquette, Customer Service Skills, Microsoft Word, Microsoft Excel, 10-Key, Cash Handling, Insurance Verifications, Claims Processing, Payment Adjustments, Insurance Website Knowledge.
Description :
Prepares and submits clean claims to various insurance companies either electronically or by paper.
Answers questions from patients, clerical staff and insurance companies.
Identifies and resolves patient billing complaints.
Prepares, reviews and sends patient statements - Evaluates patient's financial status and establishes budget payment plans.
Follows and reports status of delinquent accounts.
Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
Performs daily backups on office computer system - Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
Processes payments from insurance companies and prepares a daily deposit.
Experience
7-10 Years
Level
Management
Education
Diploma In Medical
Sr. Insurance Billing Specialist Resume
Summary : Provides leadership, instruction, and supervision of a focused team. Task oriented, detail minded, and able to complete assignments to the fullest, while staying focused to make sound and thoughtful decisions. Consistently recognized for excellent performance and leadership.
Skills : Account Management, Billing, Powerpoint, Word, Peachtree Accounting.
Description :
Assisted Clinics and Customer Service for claims submitted to Blue Cross Blue Shield.
Contacted insurance company to verify what additional information is needed in order to process claim correctly.
Billed all primary and secondary insurance claims in a timely and accurate manner.
Resolves claim processing issues on a timely basis by reviewing claim inventories and taking appropriate action.
Ensured accurate and complete clean claim submission for both paper and electronic claims in a timely manner.
Communicated timely and in a professional manner with the Billing Manager for any issues or billing delays identified.
Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science
Jr. Insurance Billing Specialist Resume
Objective : Over 6 years of experience Highly skilled in the procedures of admission and registration of all patients into the hospital in a polite and courteous manner In-depth knowledge of interviewing and gathering complete and exact data to complete the admission and registration process correctly and efficiently Hands-on experience in collecting monies, accompanying patients to their destinations.
Skills : Medical Billing Medical Coding Payment Posting !ICD-9-CM,.
Description :
Utilized Medical Software System and EOB software to update patient medical billing profiles for multiple hospital systems.
Posted payments, updated balance information and researched explanation of benefits with patient insurance providers to determine general balance of patient accounts.
Entered and updated medical billing codes in patient accounts.
Interpreted, evaluated and resolved complex administrative and patient customer service issues.
Assisted in identifying and escalating patients' insurance payments in a timely manner.
Processed and completed daily workload of claims assigned, reported backlogs as identified.
Identified registration errors and flagged accounts using error tracking process.
Updated approximately 4600 patients' accounts weekly.
Experience
2-5 Years
Level
Junior
Education
Medical Billing And Coding
Insurance Billing Specialist III Resume
Headline : Eight years of Billing experience specializing in client invoicing, contract overview and database management. In addition, I have four years of Office Management experience. Very dependable, customer service oriented employee who focuses on accuracy in all tasks.
Resolution Specialist Obtain missing information from physicians, pharmacies, and consumers needed to process laboratory samples.
Send consumers written correspondences to resolve payment issues.
Assisting other areas of the billing department as needed.
Receiving Specialist Handling of all inbound shipments of specimen samples, entering samples accurately into computer while reviewing paperwork for completeness.
Create electronic records of kits and scan all paperwork related into company database.
Experience
5-7 Years
Level
Executive
Education
BS
Insurance Billing Specialist II Resume
Summary : Highly motivated and skilled healthcare professional with record of success in Insurance Billing and collections, experience with Medicare, Medicaid, Managed Care and Workers Compensation rules and regulations. Creative problem solver with ability to drive revenue growth, resolve conflict, improve morale and consistently exceed collection goals.
Skills : Microsoft Office.
Description :
Responsible for daily billing of all patient accounts.
Ensured the timely and accurate submission of claims to payers.
Responsible for editing and billing all electronic and paper claims for commercial, managed care, Medicare and Medicaid claims.
Maintained electronic billing system, including importing, exporting, and balancing claims from the billing system.
Compiled and produced production and balancing reports for the billing functions according to departmental procedures.
Worked with account specialists and managed care specialists identifying payer contracting reimbursement issues.
Assisted in performing analysis to determine root causes (payer or hospital) for payment variance issues and resolution.
Experience
10+ Years
Level
Senior
Education
Criminal Justice
Insurance Billing Specialist I Resume
Summary : Seeking a position in the Healthcare industry, utilizing all of my extensive skills in the Medical and Dental Field.
Skills : Extensive knowledge on use of email, search engineknowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, Internet;.
Description :
Completed and submitted insurance claim forms to various insurance companies, Pre-Authorizations for the proposed treatment, and reviewed estimates with patients.
Processed Insurance Payments and adjusted Insurance Claims.
Billed electronically to insurance companies, appealed claims and Pre-Authorizations.
Balanced production and Account Receivables.
Entered new patients into Softdent as well as established patients updated their accounts.
Collected patient's portion of treatment the day of the visit.
Scheduled appointments, answered phones, pulled charts for scheduled patients and confirmed appointments.
Experience
10+ Years
Level
Senior
Education
Diploma In Medical
Insurance Billing Specialist/Executive Resume
Objective : Technically sophisticated, accurate, and focused professional with the attention to detail and organizational skills necessary to generate revenue for the medical practice. Able to keenly recognize, investigate and resolve discrepancies to facilitate medical claims review and appeal processes.
Skills : Microsoft Office, Typing 65 WPM, Multi-Tasking.
Description :
Working directly with the Insurance company, Healthcare Provider, and Patient to get a claim processed and paid.
Prepare and submit Claims to various insurance companies either electronically or by paper.
Reviewing and appealing unpaid and denied claims.
Follow up with the Insurance by phone by communicating effectively with Patients regarding balances to ensure the claims are paid.
Review EOBs to resolve incorrect denials or underpayments.
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Experience
2-5 Years
Level
Junior
Education
Business Administration
Insurance Billing Specialist Lead Resume
Objective : Front Office Medical Assistant, and Medical Biller with experience supporting multiple physicians in a busy medical office. Expertise includes verifying insurance coverage, records reviews and claims management.
Insurance Biller Reviewed patient's accounts to ensure a paid in full balance.
Posted adjustments according to insurance companies.
Printed weekly Accounts Receivable reports to reconcile bills that were 90 to 120 days delinquent.
Contacted insurance companies to request payment.
Verified all commercial insurance coverage, worker's compensation insurance, accident insurance and state programs and determine patient's responsibility if applicable.
Obtained precertification numbers from physicians' offices.
Maintained current list of facility insurance contracts and payment schedules.
Experience
2-5 Years
Level
Junior
Education
Business Management
Insurance Billing Specialist Resume
Headline : Seeking a job position as a medical coder to use my experience and further my knowledge and experience in coding.
Skills : HCC Coding, ICD-10, Ancillary Coding.
Description :
Billed and printed all insurance claims, electronic and paper.
Entered all insurance payments and client payments.
Worked up and submitted all collection accounts.
Balanced all accounts receivables to deposit for yearly audit.
Helped start and set up new electronic medical records program from the ground up, and was a database administrator.
Coded all medical records for the psychiatrist for insurance billing.
Answered all phone calls and questions regarding billing and insurance.
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