Medical Billing Coordinator Resume Samples

Description :

1. Identified and marks log/track sheets of hospital admittance, outpatient services, direct admits.
2. Submited billing information counts records to ensure reconciliation with the Emergency Dept.
3. Answered phone calls and handle inquiries.
4. Collected previous day's patient charts, sorting in date and time order.
5. Reconciled missing or suspended list with required lag time.
6. Collected critical care charges of procedures, such as procedures performed in ICU/hospital and obtains/pull charts, demographic, and insurance information.
7. Maintained a copy of billing information.

Experience

7-10 Years

Level

Management

Education

Certificate In Billing

Description :

1. Responsible for resolving the conflicts and billing claims.
2. Made the procedure easy for the patients and clients for payments.
3. Selected, assigned and audited diagnostic and procedure codes to patient records.
4. Managed chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
5. Worked collaboratively with the patient account department to ensure accurate billing and resolve claim denials and medical-necessity issues.
6. Reviewed medical documentation and consult with healthcare providers when documentation is inadequate/unclear for coding purposes.
7. Responsible for performing all insurance and self-pay follow-up to include actively resolving a collector work file (ATB), working claim denials and other mail.

Experience

2-5 Years

Level

Executive

Education

CPT In Anatomy

Description :

1. Responsible for all aspects of medical billing and accounts receivable for a busy orthopedic practice.
2. Specified duties included posting charges for office visits and surgical procedures, entering payments, reviewing accounts for appeals to insurance companies, electronic claim submission and follow-up.
3. Contacted insurance companies daily for appeals follow-up and precertification.
4. Approximated 30% of claims were for worker's compensation.
5. Audited charts for E&M coding guidelines.
6. Maintained collection and dunning processes for accounts over 60 days.
7. Set up payment schedules for patients when needed.

Experience

2-5 Years

Level

Executive

Education

Associate Of Arts

Description :

1. Coordinated with headquarters and clients regarding processing claims.
2. Recorded maintenance of practices (updating of the problem list, Compiling work status & Payments).
3. Assigned a daily tasks to team members and verification of work processed by the team.
4. Provided daily, weekly and monthly reports to a manager.
5. Provided reports of unpaid claims to senior management.
6. Scheduled rebilling of unpaid claims.
7. Communicated system requirements with the development team.
8. Responsible for managing attrition and absenteeism in the team.

Experience

7-10 Years

Level

Management

Education

HRM

Description :

1. Directed work with bank vendors to assure proper balancing and posting of multiple insurance agencies.
2. Kept daily records of accounting and process all pertinent records.
3. Examined transactional inconsistencies using complex audit trails.
4. Prepared documentation with proper coding according to the accounting procedures and policies.
5. Checked entries, balances, and audit account for proper and accurate coding.
6. Maintained statistics, databases, and adhere to client contracts.
7. Generated journal entries, monthly reports and financial statements with time for month-end close.
8. Prepared correspondence, records, and reports monthly.

Experience

10+ Years

Level

Senior

Education

Medical

Description :

1. Recorded and filed patient data and medical records.
2. Identified and corrected errors on denied/rejected Insurance claims.
3. Interpreted operative reports applying appropriate ICD-9, CPT-4 codes.
4. Printed and reviewed monthly AR's.
5. Completed and submitted insurance claim appeals.
6. Posted charges, payments, and adjustments.
7. Submitted refund for insurance claims paid in error.
8. Submitted and received IEHP P4P (Paid for performance program).

Experience

5-7 Years

Level

Executive

Education

Medical

Description :

1. Oversaw daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
2. Examined patients' encounter forms to verify diagnosis codes, and reconcile codes against services rendered.
3. Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.
4. Followed up on the past due to invoices and delinquent accounts to reduce the number of unpaid and outstanding balances.
5. Documented patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.
6. Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.
7. Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
8. Performed insurance verification, pre-certification, and pre-authorization.

Experience

7-10 Years

Level

Management

Education

Business Management

Description :

1. Responsible for resolving billing conflicts and issues to make procedures and treatments at ease for patients, clients, and medical staff to achieve the goal of payments.
2. Recruited able staff and trained employees using the SAGE Intergy medical billing software and proper billing policies and procedures.
3. Responded to specific escalated patient calls, visits and taking action and provided action on complaints.
4. Prepared patient bills, kept a record of bills, prepared all financial reports on a weekly, monthly, and quarterly basis.
5. Evaluated accounts and maintained patient accounts.
6. Implemented all proper procedures and treatments using ICD-9/CPT to patient accounts to ensure accurate billing of patients.
7. Customized patient accounts to obtain an 80% reimbursement from patient responsibility accounts.

Experience

5-7 Years

Level

Executive

Education

Academics

Description :

1. Processed and mailed over $500,000 in claims Run end of day and month accounts receivable.
2. Resolved or clarified codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
3. Protected the security of medical records to ensure that confidentiality is maintained.
4. Reviewed records for completeness, accuracy, and compliance with regulations.
5. Retrieved patient medical records for physicians, technicians, or other medical personnel.
6. Assigned the patient to diagnosis-related groups (DRGs), using appropriate computer software.
7. Entered data, such as demographic characteristics, history, and extent of disease, diagnostic procedures, or treatment into computer.

Experience

10+ Years

Level

Senior

Education

Medical Billing

Description :

1. Posted payments on Lytec based on EOBs from insurance companies.
2. Appalled incorrect payments made by insurance.
3. Notified patients of overdue accounts.
4. Set up payment arrangements with patients so that they can meet their obligations.
5. Sent past due accounts to collections.
6. Ran monthly reports for the manager.
7. Increased profits of hundreds of thousands of dollars.

Experience

5-7 Years

Level

Executive

Education

Diploma In Billing