The Medical Biller is accountable for transferring patient’s information and insurance data, initiate payment process and procedures. The Medical Biller also maintains a patient’s confidentiality, handles personal information and inputs patient data into the relevant software accurately. The job duties typically seen on the Medical Biller Resume include – ensuring the accuracy of patient information, requesting for missing patient record, reviewing referrals and authorizations, following regulations and guidelines, transferring insurance claims, developing and maintaining tracking system, updating and reviewing accounts and resolving billing discrepancies.
Skills and qualifications in the following areas are preferred for this role – knowledge of insurance guidelines, familiarity with billing software, customer interaction skills, knowledge of bookkeeping and accounting, knowledge of medical terminologies, and the ability to multitask. The minimum level of education for this post is the high school diploma with plenty of work experience or an Associate’s degree in healthcare administration.
Summary : Detail-oriented Medical Biller with 10 years of experience in managing billing processes, resolving claims, and ensuring compliance with regulations. Proven track record in optimizing revenue cycle management and enhancing patient satisfaction.
Managed billing operations, ensuring accurate charge entry and timely submission of claims to insurance providers.
Communicated effectively with patients to clarify billing inquiries and explain insurance coverage details.
Processed insurance and patient payments, maintaining accurate records of transactions.
Conducted follow-ups on outstanding accounts receivable, maximizing revenue recovery for the practice.
Utilized CPT and diagnosis codes for accurate billing, ensuring compliance with industry standards.
Assisted front desk operations, enhancing patient experience through efficient service.
Performed administrative tasks, including filing and correspondence, to support billing functions.
Experience
10+ Years
Level
Senior
Education
AAS-MB
Medical Biller I Resume
Summary : Results-driven Medical Biller skilled in coding and billing for various specialties. Successfully improved claim approval rates by 25% through meticulous attention to detail and effective follow-up on outstanding claims.
Skills : Windows OS, Accounting Software, Medical Coding, Claims Processing, Insurance Verification
Description :
Managed surgical billing reports to ensure timely submissions and accurate reimbursements.
Reviewed explanations of benefits for errors and denials, ensuring correct payment adjustments.
Submitted appeals for denied claims, adhering to AMA guidelines and contractual agreements.
Communicated with insurance carriers to verify claim statuses and resolve discrepancies.
Developed spreadsheets to track incorrectly paid claims, facilitating corrections for proper reimbursements.
Conducted thorough reviews of charge reports to identify and rectify billing errors prior to submission.
Coordinated with surgical schedules to confirm patient insurance benefits and necessary authorizations.
Experience
7-10 Years
Level
Executive
Education
AAS-MB
Medical Biller/Collector Resume
Summary : Detail-oriented Medical Biller with over 10 years of experience in claims processing, patient billing, and insurance verification. Proven track record of improving billing accuracy and reducing claim denials.
Verified and created claim numbers by effectively communicating with various insurance companies.
Conducted thorough audits of customer files to ensure medical necessity and compliance with coverage criteria.
Contacted patients regarding unpaid and underpaid accounts, resolving issues efficiently.
Reviewed medical records for completeness and organized files in both alphabetical and numerical order.
Input charges into billing systems weekly, collecting payments from patients for office visits.
Determined prior authorizations for medications and outpatient procedures, ensuring timely approvals.
Collaborated with providers and medical professionals on billing and documentation policies and regulations.
Experience
10+ Years
Level
Senior
Education
AAS-MB
Medical Biller II Resume
Summary : Experienced Medical Biller with a strong background in insurance verification and patient billing. Achieved a 20% reduction in billing errors, enhancing overall efficiency and patient satisfaction in previous roles.
Skills : Medical Management Info, Meditech Software, MediSoft Billing, Data Management, Healthcare Terminology
Description :
Assign and audit diagnostic and procedure codes for Medicaid and Medicare claims.
Oversee chart completion, coding accuracy, and patient information privacy compliance.
Collaborate with patient accounts to resolve billing discrepancies and claim denials.
Review medical documentation to ensure clarity and adequacy for coding purposes.
Contributed to successful JCAHO inspections by maintaining compliance with standards.
Recognized for excellence in records management, enhancing JCAHO survey outcomes.
Maximized reimbursements through precise coding and regular audits of provider documentation.
Experience
7-10 Years
Level
Executive
Education
AAS-MB
Senior Medical Biller Resume
Summary : Dedicated Medical Biller with a focus on compliance and accuracy. Successfully managed high-volume billing operations, reducing claim rejections by 40% through thorough documentation and proactive communication with payers.
Managed billing for Medicare, Medicaid, and commercial insurance, ensuring compliance with regulations.
Entered patient demographics, verified diagnosis codes, and maintained accurate electronic health records.
Analyzed billing and claims for accuracy, submitting claims to appropriate insurance carriers and resolving issues.
Followed up on denials and unpaid claims, enhancing cash flow and reimbursement rates.
Processed physical and electronic check payments through integrated systems, ensuring accurate posting.
Generated monthly AR reports to identify trends and manage denials, appeals, and refunds.
Verified patient eligibility, obtained prior authorizations, and managed single case agreements.
Experience
10+ Years
Level
Senior
Education
AAS-MB
Medical Biller Specialist Resume
Summary : Detail-oriented Medical Biller with 10 years of experience in claims processing, insurance verification, and revenue cycle management. Proven ability to enhance billing accuracy and reduce claim denials through meticulous attention to detail.
Accurately completed claims paperwork and documentation, ensuring compliance with regulations.
Maintained and updated electronic medical records, enhancing data accuracy and accessibility.
Verified patient eligibility and claims status with insurance providers to expedite processing.
Conducted thorough research on CPT and ICD-10 coding discrepancies to ensure reimbursement accuracy.
Reviewed patients' insurance coverage and deductibles to inform billing practices.
Posted surgeries and hospital visits accurately for assigned insurance carriers.
Generated and analyzed monthly aging reports to follow up on overdue payments.
Experience
10+ Years
Level
Senior
Education
AAS-MB
Jr. Medical Billler Resume
Objective : Detail-oriented Medical Biller with 5 years of experience in claims processing, billing, and collections. Proven track record in resolving discrepancies and ensuring timely payments. Committed to delivering exceptional service and accuracy.
Processed and submitted insurance claims, ensuring compliance with regulations and accuracy.
Managed accounts receivable, reducing outstanding balances by 25% through effective follow-up.
Investigated and resolved billing discrepancies, improving patient satisfaction.
Verified patient insurance coverage and collected necessary information for claims.
Implemented office policies to streamline billing and payroll processes.
Posted patient charges and generated claims for electronic submission.
Processed over 1,000 claims monthly, achieving a 98% approval rate on first submission.
Experience
2-5 Years
Level
Junior
Education
AAS-MB
Senior Medical Biller Resume
Summary : Skilled Medical Biller with a comprehensive understanding of medical coding and insurance policies. Enhanced billing accuracy and efficiency, contributing to a 30% decrease in accounts receivable days in previous positions.
Processed and submitted medical claims to insurance companies, ensuring compliance with regulations and accuracy in coding.
Reviewed and corrected billing discrepancies, resulting in a 15% reduction in denied claims.
Managed patient accounts, including payment posting and follow-up on outstanding balances.
Collaborated with healthcare providers to gather necessary documentation for claims processing.
Conducted regular audits of billing practices to ensure adherence to industry standards.
Maintained up-to-date knowledge of insurance policies and coding guidelines to optimize billing efficiency.
Provided exceptional customer service by addressing patient inquiries regarding billing and insurance coverage.
Experience
10+ Years
Level
Management
Education
AAS-MB
Medical Biller/Customer Service Resume
Summary : Accomplished Medical Biller with a proven ability to resolve billing discrepancies and improve patient communication. Increased patient payment rates by 20% through effective follow-up and education on billing processes.
Managed clinical and facility billing processes, including UB-04 submissions.
Adjusted patient accounts, posted charges, followed up on payments, and printed statements.
Prepared itemized statements and invoices, accurately recording amounts due for services rendered.
Reviewed documents to compute fees and charges, ensuring accuracy in billing.
Performed bookkeeping tasks, maintaining records of costs and services.
Typed and processed billing documents, ensuring compliance with regulations.
Verified patient insurance coverage and eligibility, authorizing claims as needed.
Experience
10+ Years
Level
Senior
Education
AAS-MB
Medical Biller II Resume
Summary : Detail-oriented Medical Biller with expertise in claims processing and revenue cycle management. Recognized for reducing billing cycle times by 25% and improving overall operational efficiency in fast-paced environments.
Ensured accuracy and compliance of insurance payments with contractual agreements.
Managed timely completion and submission of billing, collections, and accounts receivable.
Processed commercial insurance, MCOs, and patient billing efficiently.
Reviewed patient bills for accuracy, ensuring all necessary information was obtained.
Maintained communication with clinic staff regarding billing and patient account issues.
Reduced claim denial rates by 15% through meticulous coding and documentation review.
Implemented new billing software, increasing processing efficiency by 30% within six months.
Experience
10+ Years
Level
Senior
Education
AAS-MB
Jr. Medical Billing Assistant Resume
Headline : Dynamic Medical Billing professional with 7 years of experience in processing claims, managing accounts, and ensuring compliance with healthcare regulations. Adept at optimizing billing procedures and enhancing patient communication to facilitate timely reimbursements and improve overall patient satisfaction.
Managed patient financial accounts and coordinated payment collection effectively.
Executed daily medical billing tasks, completing HCFA 1500 claim forms and submitting to insurance companies.
Maintained accurate documentation in electronic medical records for all patient interactions.
Assigned appropriate codes to medical services, ensuring compliance with coding standards.
Submitted claims to insurance providers and Medicare to secure payment for services rendered.
Communicated with insurance companies to resolve outstanding claims and inquiries.
Reviewed and corrected HCFA 1500 forms for electronic and paper resubmission.
Experience
5-7 Years
Level
Executive
Education
AAS
Medical Billing Assistant III Resume
Headline : Accomplished Medical Billing Assistant with 7 years of extensive experience in claims processing, patient billing, and compliance assurance. Expert in enhancing revenue cycle efficiency and resolving discrepancies to maximize reimbursements, while ensuring adherence to industry regulations.
Executed precise claims processing while enhancing patient satisfaction and ensuring compliance with regulations.
Performed data entry and administrative support, including managing multi-line phone systems and document handling.
Assisted billing managers with accounts receivable, patient inquiries, and collection efforts to optimize cash flow.
Maintained detailed spreadsheets and conducted research on unpaid claims, liaising with insurance companies for resolution.
Generated and distributed weekly and monthly performance reports to stakeholders.
Established and maintained an organized filing system for all billing documentation.
Provided empathetic support to patients regarding billing concerns, following HIPAA guidelines.
Experience
5-7 Years
Level
Executive
Education
AAS
Medical Billing Assistant/Representative Resume
Summary : Proficient Medical Billing Assistant with a decade of experience in streamlining billing operations and enhancing claim resolution processes. Adept at ensuring compliance with healthcare regulations and improving patient billing experiences. Committed to optimizing revenue cycles and minimizing claim denials through effective follow-up and attention to detail.
Skills : Medical Billing Specialist, Communication Skills, Analytical Skills, Financial Reporting, Medical Terminology
Description :
Coordinated with insurance companies and healthcare providers to ensure timely claim processing and payment.
Followed up on outstanding claims to expedite resolution and minimize delays.
Provided assistance to patients and clerical staff regarding billing inquiries and issues.
Addressed and resolved patient billing complaints efficiently.
Assessed patient financial status to establish manageable payment plans.
Monitored and reported on delinquent accounts to enhance collection efforts.
Contacted customers to relay important account information and updates.
Experience
7-10 Years
Level
Management
Education
AAS
Medical Billing Assistant Resume
Headline : Dedicated Medical Billing Assistant skilled in medical coding and insurance verification. Successfully streamlined billing processes, resulting in a 20% reduction in claim denials and enhanced cash flow for healthcare providers.
Efficiently process and follow up on submitted claims and unpaid claims to ensure timely resolution.
Accurately apply payments upon receipt and manage patient reimbursements from insurance and third-party payers.
Regularly monitor accounts receivable balances to assess collection capabilities and address outstanding payments.
Analyze aging reports, appeal denials, and rectify discrepancies based on EOBs and other correspondence.
Interpret various insurance EOBs, including Medicare, to ensure correct payment posting.
Utilize Cerner Works Medical Software to correct payment posting errors and maintain accurate billing records.
Collaborate with healthcare providers to resolve billing inquiries and enhance overall patient satisfaction.
Experience
5-7 Years
Level
Executive
Education
AAS
Medical Billing II Resume
Headline : Accomplished Medical Billing professional with 7 years of expertise in claims processing, insurance verification, and revenue cycle optimization. Proven ability to enhance billing accuracy and reduce claim denials through effective communication and thorough follow-up. Committed to improving operational efficiency and patient satisfaction within fast-paced healthcare environments.
Managed insurance collections for unpaid and denied claims, ensuring timely resolution.
Filed corrected claims and submitted appeals to insurance companies as necessary.
Processed correspondence, posting rejections, and sending medical records as required.
Handled Bankruptcy notices and Attorney requests efficiently.
Accessed various insurance websites for claims information and submitted appeals online.
Provided daily reports to management on client performance metrics.
Processed payments for clients, ensuring accuracy and compliance.
Experience
5-7 Years
Level
Executive
Education
AAS
Medical Billing Resume
Summary : Accomplished Medical Biller with a decade of experience in optimizing billing processes and ensuring compliance within the healthcare sector. Skilled in claims management, revenue cycle enhancement, and patient communication, resulting in significant reductions in claim denials and increased reimbursement efficiency.
Skills : Accounts Receivable, Revenue Cycle Management, HIPAA Compliance, Data Entry, Attention to Detail
Description :
Followed up with insurance companies to resolve rejected claims, enhancing approval rates.
Performed comprehensive clerical duties related to insurance claims, including filing and documentation.
Responded to inquiries from patients and insurance carriers, providing exceptional customer service.
Cross-trained to assist front desk operations, improving patient scheduling and registration processes.
Conducted regular audits of billing processes to identify and rectify discrepancies.
Collaborated with healthcare providers to ensure accurate coding and billing practices.
Experience
10+ Years
Level
Senior
Education
AAS
Insurance Biller Resume
Summary : Accomplished Insurance Biller with a decade of experience in optimizing billing processes and enhancing claim resolution. Proven expertise in managing revenue cycles, ensuring compliance, and improving patient interactions for successful reimbursements.
Accurately entered data into financial systems, adhering to company policies and procedures.
Posted daily transactions, charges, and payments, ensuring financial accuracy.
Conducted daily reconciliations to verify billing accuracy and balance financial reports.
Reviewed accounts for completeness, ensuring compliance with billing standards.
Generated and distributed daily EOBs and payment checks.
Audited billing entries for accuracy and compliance with regulations.
Transmitted daily charges electronically to insurance companies, including comprehensive summary reports.
Experience
7-10 Years
Level
Management
Education
AAS
Insurance Biller Resume
Summary : Dynamic Insurance Biller with a decade of comprehensive experience in optimizing billing workflows and managing complex claims. Adept at enhancing revenue cycles while ensuring compliance and accuracy. Known for significantly reducing billing errors and improving patient communication to facilitate timely reimbursements.
Skills : Analytical Problem Solving, Accounts Receivable, Revenue Cycle Management, HIPAA Compliance, Data Entry
Description :
Billed hospital and outpatient claims accurately, ensuring compliance with insurance regulations.
Conducted follow-up collections and managed refunds and credits on accounts efficiently.
Worked independently to meet tight deadlines while maintaining high-quality standards.
Processed claims daily to expedite payment cycles and improve cash flow.
Maintained confidentiality and demonstrated a strong work ethic with exceptional attention to detail.
Verified billing data accuracy, preparing itemized statements and invoices with precision.
Communicated with insurance companies and patients to resolve outstanding balances promptly.
Experience
7-10 Years
Level
Management
Education
AAS
Insurance Biller Resume
Summary : With a decade of experience in insurance billing, I specialize in streamlining billing processes and enhancing claim resolutions. My expertise in revenue cycle management has led to significant improvements in billing accuracy and reduced claim denials. I am committed to ensuring compliance and fostering positive patient interactions for timely reimbursements.
Skills : Effective Patient Communication, Billing Software Proficiency, Medical Terminology, Billing Software, Electronic Health Records
Description :
Billed accounts accurately to appropriate insurance carriers using the Smarter Computer System.
Processed late charges, adjustments, and allowances subject to approval by the Billing Director.
Managed electronic claims processing, ensuring timely submission and corrections as needed.
Conducted early collection efforts by screening accounts for follow-up.
Followed up on unpaid claims, confirming receipt with payers.
Collaborated with provider representatives to identify and rectify missing claim requirements.
Prepared documentation for secondary insurance claims to ensure accurate billing.
Experience
7-10 Years
Level
Management
Education
AAS
Medical Insurance Biller Resume
Headline : Accomplished Medical Insurance Biller with 7 years of expertise in managing billing operations and ensuring compliance with healthcare regulations. Proven ability to enhance revenue cycle efficiency and minimize claim denials through meticulous coding and effective communication with payers.
Skills : Medical Coding and Billing, Workflow Optimization, Technical Skills, Adaptability
Description :
Accurately entered procedure and diagnosis codes into billing software to ensure compliance and precision.
Reviewed and submitted patient statements, ensuring timely and accurate billing.
Provided administrative support for billing operations, enhancing workflow efficiency.
Minimized patient wait times by managing patient flow effectively during practice hours.
Conducted insurance verification to confirm patient eligibility and benefits.
Generated reports to track billing performance and revenue cycle metrics.
Collaborated with healthcare providers to resolve billing discrepancies and patient inquiries.
Experience
5-7 Years
Level
Executive
Education
AAS
Medical Insurance Biller Resume
Objective : Seasoned Medical Insurance Biller with 5 years of specialized experience in claims processing and revenue cycle management. Adept at minimizing claim denials and optimizing reimbursement through precise coding and effective communication with payers. Committed to upholding compliance standards while enhancing patient satisfaction and operational efficiency.
Processed and coded medical claims for various insurance providers, ensuring compliance with regulations.
Tracked and resolved missed appointments, improving office efficiency.
Collected patient payments both in-office and via phone, enhancing cash flow.
Maintained meticulous records of deceased charts for compliance and auditing.
Managed accounts receivable, following up with patients and insurers for timely payments.
Organized and safeguarded confidential patient documentation in line with HIPAA standards.
Collaborated with medical and administrative staff to enhance billing processes and patient interactions.
Experience
2-5 Years
Level
Executive
Education
AAS
Medical Insurance Biller Resume
Headline : Accomplished Medical Insurance Biller with 7 years of specialized experience in claims processing and revenue cycle management. Expertise in ensuring compliance with regulations and optimizing billing accuracy to enhance reimbursement rates. Demonstrated ability to streamline operations and improve patient satisfaction through effective communication and follow-up.
Skills : Proficient Typist, Accurate Data Entry, Accounts Receivable, Revenue Cycle Management, HIPAA Compliance
Description :
Managed patient demographics and performed accurate charge entries for billing.
Utilized ten-key proficiency and data entry skills to ensure precise billing information.
Resolved coding conflicts and clarified information by collaborating with medical staff.
Ensured timely and accurate submission of insurance claims for maximum reimbursement.
Conducted follow-ups on outstanding claims to expedite payment processing.
Maintained compliance with healthcare regulations throughout billing processes.
Assisted in training staff on billing procedures and software usage.
Experience
5-7 Years
Level
Executive
Education
AAS
Physician Billing Resume
Objective : Results-oriented Physician Billing professional with 5 years of experience in claims management and revenue cycle optimization. Skilled in resolving discrepancies and ensuring compliance, leading to enhanced billing accuracy and reduced claim denials. Committed to delivering exceptional service and improving financial outcomes for healthcare providers.
Skills : Microsoft Office Suite, Analytical Skills, Medical Coding, Insurance Verification, Claims Processing
Description :
Managed collections for self-pay accounts, ensuring timely payments.
Processed payments in office and via phone, maintaining accurate records.
Posted self-payments to the database, ensuring efficient tracking.
Communicated with patients regarding outstanding balances and payment options.
Generated cash deposits for the bank, ensuring accuracy and compliance.
Understood and communicated copay, coinsurance, and deductible information.
Assisted in training new staff on billing protocols and procedures.
Experience
2-5 Years
Level
Executive
Education
AAS
Physician Billing Resume
Objective : Proficient Physician Billing specialist with 5 years of experience in managing billing operations and optimizing revenue cycles. Expertise in claims processing and denial resolution, consistently achieving improved accuracy and timely reimbursements. Passionate about enhancing patient interactions and ensuring compliance within healthcare billing practices.
Managed billing processes for multiple physician practices, ensuring accurate claim submissions and timely follow-ups.
Conducted thorough denial management, collaborating with insurance companies to resolve discrepancies.
Assisted patients with billing inquiries and payment arrangements in a high-volume clinic environment.
Performed charge entry and billing duties, maintaining high accuracy in patient accounts.
Updated and verified patient financial information to ensure compliance and accuracy.
Provided exceptional customer service, treating patients and their families with respect and professionalism.
Collaborated with healthcare providers to streamline billing workflows and improve efficiency.
Experience
2-5 Years
Level
Executive
Education
AAS
Physician Billing Resume
Headline : Accomplished Physician Billing professional with 7 years of experience in managing billing cycles, ensuring compliance, and optimizing revenue collections. Adept at reducing claim denials and enhancing patient satisfaction through effective communication and precise coding practices. Committed to improving operational efficiency and maximizing reimbursements in dynamic healthcare environments.
Skills : ICD-10 Coding, Medical Terminology, Billing Software, EHR Systems, Claim Denial Management
Description :
Managed billing processes, ensuring accurate coding and compliance with healthcare regulations.
Posted payments and charges, maintaining detailed records of transactions.
Reviewed and validated incoming data, correcting discrepancies to facilitate prompt payments.
Documented actions taken on accounts and resolved patient inquiries regarding billing issues.
Processed patient accounts in accordance with institutional policies and procedures.
Collaborated with healthcare providers to ensure timely reimbursements and accurate claims.
Utilized billing software to enhance operational efficiency and track payment statuses.
Experience
5-7 Years
Level
Executive
Education
AAS
Physician Billing Resume
Objective : Proficient Physician Billing expert with 5 years of experience in managing billing processes and enhancing revenue cycle efficiency. Skilled in resolving claim discrepancies and ensuring adherence to compliance standards, which has led to improved accuracy and reduced denials. Passionate about optimizing patient interactions and fostering a transparent billing environment.
Skills : Medical Billing Software, Data Analysis and Reporting, Healthcare Coding and Billing, Conflict Resolution, Documentation Skills
Description :
Managed comprehensive billing processes, ensuring timely submission of claims to various payers.
Conducted thorough reviews of patient accounts to identify discrepancies and resolve issues efficiently.
Maintained compliance with healthcare regulations and standards, enhancing billing accuracy.
Coordinated with insurance providers to secure approvals and process refunds as necessary.
Utilized expertise in medical terminology to facilitate effective communication between patients and providers.
Analyzed billing data to identify trends and opportunities for improvement in revenue cycle management.
Implemented new billing software, increasing efficiency by 25% and reducing processing time.
Creating an account is free and takes five seconds.
You'll get access to the PDF version of this resume template.
Choose an option.
Sign up with Google
Sign up with Facebook
Sign up with Linkedin
This helps us make sure you're human and prevents spammers from abusing our services.
By continuing, you agree to our Privacy Policy and Terms.
Unlock the Power of Over 10,000 Resume Samples.
Take your job search to the next level with our extensive collection of 10,000+ resume samples. Find inspiration for your own resume and gain a competitive edge in your job search.
Get Hired Faster with Resume Assistant.
Make your resume shine with our Resume Assistant. You'll receive a real-time score as you edit, helping you to optimize your skills, experience, and achievements for the role you want.
Get Noticed with Resume Templates that Beat the ATS.
Get past the resume screeners with ease using our optimized templates. Our professional designs are tailored to beat the ATS and help you land your dream job.
