Medical Billing Manager Resume Samples

Medical billing managers take charge of the day-to-day activities of the medical billing section of an organization. Typically overseeing the team of employees involved in medical billing, these managers shoulder various other tasks such as – monitoring medical bill payments, ensuring that the patients are eligible for services, applying appropriate charges for insurance or personal billing, dealing with insurance companies, negotiating contracts, overseeing staff in payments and collections, scheduling financial counseling, monitoring budget, ensuring accuracy, bill coding, and other billing operations. In case of any disputes with regards to unpaid bills, these managers should resolve or escalate the issues appropriately.

Medical billing managers should possess billing software knowledge, strong computing skills, and presentation and training skills. They should have a good understanding and knowledge of insurance claims and contract reviewing skills. A college degree is a typical requirement for this job post, but many of the successful Medical Billing Manager Resume display a Master’s degree with proficiency in MS Office and QuickBooks.

Medical Billing Manager Resume

Headline : To use creative talents, organizational and managerial skills as an asset to the company that employees. Have a solid work ethic, and perform with a high level of customer service excellence. Technical skills include MS Windows, MS Office.

Skills : Proficient, Communication skills, Technical skills.

Description :

    1. Managed all aspects of the medical billing company with a total employee. Customer relations and monthly reviews of their accounts.
    2. Scheduled patients for appointments, including outpatient procedures and special testing Verified insurance information and obtained referral and precertification.
    3. Manage day to day activities including task assignments, goal setting, and training for 6 employees Developed an internal tracking system to monitor employee absences.
    4. Streamlined daily operations by implementing efficient ways to utilize resources, such as digitizing reports to a paperless system Act as a liaison between clients, patients.
    5. Monitor and evaluate clearinghouse rejection reports Reduced first-time claim submission errors to zero Accurate postings of paid claims.
    6. Analysis of daily revenue report for the practice Responsible for accounts receivable Credentialing Insurance posting and balancing.
    7. Worked with patients on issues related to their bills, claims, and requests in person or phone Posted charges and payments to the patient ledgers.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma


Medical Billing Manager/Executive Resume

Objective : Highly trained and experienced in all facets of medical office procedures, from management to reception. Experienced in the full-cycle billing process, as well as electronic medical records.

Skills : EMR, Ms-office.

Description :

    1. Implemented the ERA process, electronic claim submission of TX Workers compensation claims.
    2. Managed time and attendance along with vacation, sick and personal time for my employees on a weekly basis.
    3. Facilitated prescribing, PQRS, Meaningful Use, testing for 5010 transaction code sets, upcoming changes compensation rules.
    4. Implemented new processes for patient collections and turning accounts over to Collection Company.
    5. Review of daily processes for account managers, coding and billing of surgical claims and custom DME.
    6. Responsible for contract set-up and implementation with new insurance carriers Responsible for managing the daily operation of all front desk staff.
    7. Created and implemented a New-Hire training manual for company use Train all newly hired administrative staff Perform HR functions Involved in hiring practices.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Medical


Medical Billing Manager/Representative Resume

Summary : Spent the last 6 years running the billing department in a multi practitioner chiropractic office. In that time, implemented two new software programs and did most of the training of the office staff in there use.

Skills : CPT, medical terminology, SOAP ware and Acom PC medical software.

Description :

    1. Reviews and analyzes a wide variety of medical record information, such as diagnostic, operative medical procedures for coding and abstracting purposes.
    2. Codes a wide variety of outpatient procedures and diagnoses according to the International Classification of Diseases, Current Procedural Terminology.
    3. Organizes and prioritizes all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements and hospital targets.
    4. Enters appropriate patient information into the computerized inpatient and/or outpatient medical record databases.
    5. E-Clinical Works and EMR entry-level to send claims, payment postings, rejections, and appeals Proficient in ICD 9 and CPT coding.
    6. Reviewed billing edits and provided insurance providers with corrected information Provide tenacious follow-up to ensure proper payments.
    7. Responsible for all medical billing, medical collections, accounts payable, accounts receivable, medical records, and office operations.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
B.A

Medical Billing Manager/Co-ordinator Resume

Summary : To offer skills as a Medical Billing Manager/Certified Professional Coder, as it pertains, to physician billing and revenue cycle management. Increase receivables and maintain revenue stream.

Skills : Microsoft Office, Outlook Email and Calendar, EMR, Medicaid Portal.

Description :

    1. Work closely with the Intake Coordinator and all Program managers, Administrative and LCSW and MHC counseling staff.
    2. Overseeing the submission and follow-up of medical claims for all programs including Medicare, Medicaid, Third Party Payers, by the report, oversee EDI 837's, 835's, eligibility reports, unbilled reports, etc.
    3. Supervise the refund process, and work closely with compliance, quality control department. Analyzes month-end billing for all agency programs.
    4. Maintains customer relations with provider representatives, department of mental health.
    5. Department of alcohol and substance abuse (OASAS) and department of health (NYSDOH) Maintain knowledge of current Medicare and Medicaid.
    6. Manage all aspects of billing and coding Process payments Issue patient and insurance refunds Lead and attend monthly and weekly meetings with staff.
    7. Billed Medicare and Private Insurance for Durable Medical Equipment and Home Health care Maintained up to date knowledge.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Medical

Medical Billing Manager/Supervisor Resume

Summary : A professional position in the Health Care and Accounting environment with increasing responsibilities conducive to the abilities have demonstrated in the field during the last thirty two years.

Skills : Microsoft Office, Billing, Office Manager, Accounts Receivable.

Description :

    1. Responsible for billing and claims processing for five physicians specializing in Internal Medicine, Gastroenterology, and Cardio Pulmonary Disease.
    2. Supervise staff in the handling of services and charge records.
    3. Process claims of all types, including Commercial Insurance, Medicare, and Public Aid, HMO, PPO.
    4. Transmit Medicare and Blue Cross Blue Shield claims via "EMC" and commercial via "NEIC".
    5. Identify overdue accounts requiring collection activity, evaluated, and initiated the most effective procedures.
    6. Supervise the billing department and processes, interviews, new hire training, Paychex payroll, and several other management duties.
    7. Direct all aspects of daily billing operations including diagnosis and procedure coding, charge entry, payment posting, cash flow management.
    8. Worked directly with physicians regarding coding, documentation and insurance changes.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Consultant
Education
Education
Associate

Medical Billing Manager Resume

Headline : Extensive knowledge of Medicare, Medicaid, Tricare and commercial carriers. Held Supervisor position for over 12 years. Full cycle biller for following specialties: Allergy and Asthma, Pain Management, OB-Gyn.

Skills : Medical Billing,Ms-office.

Description :

    1. Tracking of employee daily production and determining areas of production for improvement.
    2. Supervising 18 billing personnel and training employees in day to day billing duties.
    3. Insurance claims reconciliation from insurance aging report and unpaid explanation of benefits.
    4. Assisting patients with an explanation of benefits, billing questions and establishing payment plans.
    5. Determining correct CPT and HCPCS codes for various procedures/drugs/supplies and investigating medical documentation for correct ICD-10 coding.
    6. Working with Medicare, Medicaid, Medicaid HMO's, Tricare and all commercial insurance companies.
    7. Work closely with insurance companies to assure payments are received in a timely manner; Maintain contact with clients and patients.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
CPC

Medical Billing Manager III Resume

Summary : Accomplished Medical Billing Manager with over twenty-two years of experience in the Medical field. Recognized for ability to build relationships with key personnel and help keep the Medical office running smoothly.

Skills : Medical Billing, Medical coding, Medical terminology, Medical Manager.

Description :

    1. Utilizing web portals for maximum information for each Carrier/Payer which includes but not limited to upcoming changes updates.
    2. Communicating with each staff member and Doctors. Obtained credentialing for the physician with all insurances Obtained physician's NPI number.
    3. Ensure correct billing management and process flow per our contractual agreements, and coding guidelines.
    4. Changing the master files and working with ITS, our medical software team and our clearinghouse Navicure.
    5. Verified insurance coverage, entered charges, electronically submitted claims, posted payments, appeal denied claims.
    6. Prepare practice deposit communicate with a collection agency, supervised front desk operations, and wrote up new policies, motor vehicle cases.
    7. Responsible for handling all of the billing issues of the office Filed medical claims to Private Insurances as well as Medicare and Medicaid. 
Years of Experience
Experience
10+ Years
Experience Level
Level
Management
Education
Education
Lomb Zyoptix

Medical Billing Manager I Resume

Objective : Dedicated medical billing specialist, manager, and IT support coordinator, who is recognized as a resource for billing solutions including A/R management, Collections, Accounting.

Skills : Medical Terminology, Online Claim Submission, Medical Billing.

Description :

    1. Manager all aspects of medical claims filling for private practice for mental health services.
    2. Set up and managed the detox center patients. Completed utilization reviews and concurrent reviews for patients to stay in the program.
    3. Audit claims for proper adjudications per the contract, and the DRG used for claim Post payments for EOB's that are received.
    4. Updated spreadsheets and track payments in a bank account. Write appeals for wrongfully denied claims.
    5. Manage employees Make employee's schedules and keep track of the time of request Enter daily charges Code encounter forms.
    6. Denied and outstanding claims Perform error correction on claims Resolve insurance claim rejections/denials.
    7. Enter and update patients account information File primary and secondary claims on paper/electronically File Workers compensation.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
High School

Medical Billing Manager/Director Resume

Summary : To attain a challenging position that will effectively exercise and prove skills and past experience while allowing professional growth.

Skills : Physician and Hospital Billing, Collections, Reimbursement, AP/AR.

Description :

    1. Assure proper work distribution and coverage, job descriptions, training and evaluation of staff; manage time-off requests.
    2. Processed payroll for the department in conjunction with HR noting changes in employee behavior and work performance.
    3. Developed Standard Operating Procedures and Compliance Plan for Outsourced Billing Company based on OIG Standards.
    4. Developed Training Manuals on billing software EclinicalWorks (ECW), and billing processes based on OIG Standards and individual client protocols.
    5. Developed uniform appeal letters, processes and timelines for carrier denials and underpayments.
    6. Collaborate with Certified Medical Coder and client's clinical staff to develop protocols and processes based on Mission Statement and compliance.
    7. Create and Submit Clean Claims Payment posting, both ERA and manual Insurance Follow-up Work denied and rejected claims Patient Statements.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Medical

Associate Medical Billing Manager Resume

Headline : Outstanding ability to multi-task in order to exceed department goals Familiar with Microsoft Office, Quick Books, various Tax Preparation Software, e-Clinical works, Next Gen and Micro MD medical billing software.

Skills : Communication skills, Ms-office.

Description :

    1. Assumed responsibility for the full cycle accounts, processed charges daily on billing software for both locations.
    2. Responsible for provider Enrollment and setting up appointments to visit with health insurance companies.
    3. Processed all the claims and monitor payments for services, collected and posted payments and made a bank deposit on a regular basis.
    4. Handled data entry and general ledger work as well as bookkeeping and general clerical tasks.
    5. Updated the new systems Process all charges on charge entry format Research all denied claims Processed all outstanding charges from insurance carriers.
    6. Set up new practices Operated financial computer systems and furnished senior company executives with A/P liability summaries and cash flow reports.
    7. Handled the processing, distribution, accuracy verification and maintenance of invoices, interfacing extensively with a nationwide network of vendors and suppliers.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Management

Jr. Medical Billing Manager Resume

Objective : A professional position in the Health Care and Accounting environment with increasing responsibilities conducive to the abilities have demonstrated in the field during the last thirty two years.

Skills : Ms-office, Clinical skills.

Description :

    1. Responsible for billing and claims processing for five physicians specializing in Internal Medicine, Gastroenterology, and Cardio Pulmonary Disease.
    2. Supervise staff in the handling of services and charge records.
    3. Process claims of all types, including Commercial Insurance, Medicare, and Public Aid, HMO, PPO and Workman's Compensation plans.
    4. Transmit Medicare and Blue Cross Blue Shield claims via "EMC" and commercial via "NEIC".
    5. Identify overdue accounts requiring collection activity, evaluated, and initiated the most effective procedures.
    6. Handled cash register and invoices Provided patient financial counseling Submitted bills for reimbursement to health care providers.
    7. Assigned managerial role of all office billing within 4 months of hire Submitted claims to insurance companies and post payments to accounts Managed denials.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Associate

Medical Billing Manager Resume

Objective : To expand role as a Medical Billing Manager/Certified Professional Coder, as it pertains, to physician billing and revenue cycle management. Increase receivables and maintain revenue stream.

Skills : Ms-office, Hard work, Good patience.

Description :

    1. Work closely with the Intake Coordinator and all Program managers, Administrative and LCSW and MHC counseling staff.
    2. Overseeing the submission and follow-up of medical claims for all programs including Medicare, Medicaid, Third Party Payers.
    3. Supervise the refund process, and work closely with compliance, quality control department.
    4. Analyzes month-end billing for all agency programs. Ensured claims were entered and submitted within 48 hours of the patient visit.
    5. Maintains customer relations with provider representatives, department of mental health.
    6. Enter daily charges, A/R follow up, payment posting, referrals, month-end reports, rejections, electronic transmissions.
    7. Credentialed providers with new insurance carriers and maintained existing contracts Followed up on accounts receivable and payable Interacted with patients.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Medical