Medical Billing Assistant Resume Samples

Description :

1. Collect delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
2. Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining the appropriateness of pursuing legal remedies; testifying for the hospital in court cases.
3. Maintains Medicare bad-debt cost report by tracking billings; monitoring collections; compiling information.
4. Initiates claims against estates by monitoring deaths and unpaid accounts; informing the legal department to act on probate and estate issues; following-up with the clerk of court.
5. Maintains work operations by following policies and procedures; reporting compliance issues.
6. Maintains quality results by following standards.
7. Protects office's value by keeping collection information confidential.

Experience

7-10 Years

Level

Management

Education

Nursing

Description :

1. Responsible for entering patient demographics and insurance information to create patient files for all Physical Therapy practices.
2. Answered phone calls and solved billing issues from patients, physician's offices and insurance companies.
3. Worked with Workman's Compensation companies to ensure timely filing of claims.
4. Photocopied and mailed chart notes per HIPPA regulations to requesting entities, i.e., attorneys, physicians and insurance companies.
5. Responsible for follow up and re-billing of corrected primary and secondary claims on balances due from BCBS, Medicare, Medicaid, Tricare, Workman's Compensation and all Private insurance companies.
6. Maintained and updated patient files with changing demographics and new insurance information.
7. Posted patient payments using Brickell Medical Accounting Software.

Experience

7-10 Years

Level

Management

Education

Medical Assistant

Description :

1. Maintain patient financial accounts and arrange for the collection of payment.
2. Handle day-to-day medical billing procedures by completing HCFA 1500 claim forms and billing insurance companies for reimbursement of services rendered by Physicians.
3. Document everything done to a patient in patient's electronic medical record.
4. Assigning proper codes to medical tests, treatments, procedures and other clinical activities.
5. Submitting claims to Insurance companies or Medicare in order to receive payment for services provided to a patient by a Physician.
6. Contacting insurance companies for information regarding outstanding claims.
7. Correcting HCFA1500 forms and resubmitting filing claims electronically and paper.
8. Maintain reports and EOB's from insurance companies.

Experience

5-7 Years

Level

Executive

Education

Associates In Business

Description :

1. Providing accurate claims processing, prompt responses, and clear communication; increasing client reimbursements and patient satisfaction.
2. Data entry, general office administrative support such as answering multi-line phones and sending faxes.
3. Provided support to billing managers with accounts receivable, patient issues, and collections.
4. Followed instructions to create and maintain meticulous spreadsheets, performed research projects, and contacted insurance companies to gain information about unpaid claims.
5. Prepared, tracked, and sent weekly and monthly reports and data to clients.
6. Maintained a comprehensive filing arrangement.
7. Demonstrate patience and care when addressing patient questions/concerns while adhering to all HIPAA guidelines and regulations.

Experience

5-7 Years

Level

Executive

Education

Associate Of Science

Description :

1. Using coded data to produce and submit claims to insurance companies.
2. Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
3. Reviewing and appealing unpaid and denied claims.
4. Managing the facility's Accounts Receivable reports.
5. Entered patient data into the medical database Sorted and filed patient records.
6. Responsible for assisting the Medical Billing department with all aspects of medical billing for hospice company including private insurance, Medicare and Medicaid.
7. Using HomeWorks to update payment information, post payments, verify patient information, superbill physician charges, etc.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Accurately applied payments to patients account.
2. Researched and resolved incorrect payments, EOB rejections, and other issued with outstanding accounts.
3. Posted and reconciled insurance and patient payments.
4. Reviewed billing edits and provides insurance providers with corrected information.
5. Provided tenacious follow-up to ensure proper payments were fully collected.
6. Inputted patient demographics and registration to patient accounts.
7. Involved and responsible for several aspects of medical billing.
8. Enter medical claims, revise quality assurance applications, and manage claim denials.

Experience

2-5 Years

Level

Junior

Education

Certificate In CCS

Description :

1. Verify the accuracy of billing data and revise any errors.
2. Operate typing, adding, calculating, or billing machines.
3. Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered.
4. Keep records of invoices and support documents.
5. Resolve discrepancies in accounting records.
6. Type billing documents, shipping labels, credit memorandums, or credit forms, using typewriters or computers.
7. Operate telephone switchboard to answer, screen, or forward calls, providing information, or taking messages.
   

Experience

7-10 Years

Level

Management

Education

Systems Technology

Description :

1. Working directly with the insurance company, healthcare provider and patient to get a claim processed and paid.
2. Responsible for following up with the insurance companies.
3. Answers questions from patients, clerical staff and insurance companies.
4. Identifies and resolves patient billing complaints.
5. Evaluates the patient's financial status and establishes budget payment plans.
6. Follows and reports the status of delinquent accounts.
7. Contact customers to obtain or relay account information.

Experience

7-10 Years

Level

Management

Education

Medical

Description :

1. Verified Patient insurance and entered new patients into the GE Centricity System.
2. Worked closely with the doctor in ensuring nurses had proper credentialing.
3. Posted payments in the check payments systems from commercial insurance providers and Medicare.
4. Handled Medicaid and Medicare payment adjustments.
5. Ensured all ICD-9 and CPT codes were entered correctly.
6. Daily record of the provider's meetings with patients and worked EOB's.
7. Maintained medical records, data entry, processed insurance claims.
8. Completed monthly Medicare and Medicaid billing.

Experience

7-10 Years

Level

Management

Education

Certification In Medical

Description :

1. Process and follows up on submitted claims and unpaid claims in a timely manner.
2. Apply payments promptly when payments are received.
3. Prepare and process patient reimbursements to ensure receipt of payments from insurance/third parties/patients.
4. Routinely monitor and assess the collection ability of AR balances.
5. Work Aging Report Accounts Analyzes, works, and appeals denials from EOB's and correspondence daily.
6. Read & interpret various insurance EOB's including Medicare.
7. Knowledge of Cerner Works Medical Software Corrects payment posting errors.

Experience

5-7 Years

Level

Executive

Education

Diploma In Medical