Medical Billing Representative’s job description is to collect accounts, maintain invoice and generate revenue for the services rendered at the healthcare facility. Typical duties commonly seen on the Medical Billing Representative Resume include – balancing submitted claims on day to day basis, overseeing accruals, preparing invoice, reconciling billings with A/C’s receivables, billing audits, assessing unpaid claims, applying payments and adjustments, updating patient demographics, assessing and resolving denied claims, and maintaining financial records on third-party insurance, government and patient billing.
A good knowledge of laws governing medical billing and insurance claims, solid knowledge of medical terminologies, proficiency with billing software, staying updated with latest medical billing software and attention to detail are some of the common qualifications seen on successful resumes. Education requirements vary based on employer and industry preference, however, most of the employers want an Associate’s degree and prior billing and collection experience.
Objective : A highly recommended, responsible, and disciplined customer service representative; that is proficient in prioritizing, organization, and problem management. Possesses a solid track record for delivering results and collaborating with a broad variety of personnel to complete tasks on a timely basis. Excellent verbal and written communication skills and the ability to interact professionally with diverse groups.
Skills : Microsoft Word, Microsoft Excel, Microsoft Outlook, Internet Savvy, PowerPoint, Photoshop, Windows.
Description :
Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal remedies; testifying for the hospital in court cases.
Initiates claims against estates by monitoring deaths and unpaid accounts; informing legal department to act on probate and estate issues; following-up with clerk of court.
Maintains work operations by following policies and procedures; reporting compliance issues.
Maintains quality results by following standards.
Protects hospital's value by keeping collection information confidential.
Experience
2-5 Years
Level
Executive
Education
Bachelor Of Science
Jr. Medical Billing Representative Resume
Objective : Highly motivated RHIT with over a decade of experience in the healthcare industry. Possesses a high level of proficiency in computers and considerable knowledge of electronic health records with an emphasis on data analysis. Maintains a high standard of professionalism in every aspect of a career and stays well organized, no matter how busy the day is. Exceptional communicator with extensive training in effectively connecting with various personality types and cultural diversities.
Skills : Epic, OnBase, Medical Record Analysis, Computer Skills, Microsoft Office, Medical Terminology, Medical Records, Medical Billing, Data Entry, Spreadsheets, Database Management, Communication Skills, Training, Inventory Management, Data Analysis, Banking.
Description :
Responsible for completing billing forms, initiates billing transactions with 3rd party payers and managers the payment cycle and follows up on claims and responsible for processing all Medical Assistance claims.
Enters new patient entry and changes in Brightree and responsible for sending and receiving medical records.
Responsible for posting accounts receivables and responsible for answering rehab billing questions and responds to requests for additional information from health plans and other payers.
Responsible for claims & benefit research as well as responsible for customer information entry.
Responsible for verifying insurance coverage and must have knowledge of CPT and ICD10 coding.
Help answer phones and provide assistance when possible; help redirect calls.
Responsible for working closely with Rehab Department and managing rehab billing approvals.
Responsible for sending rehab prior authorization requests.
Experience
2-5 Years
Level
Junior
Education
BS in Health Care
Jr. Medical Billing Representative Resume
Headline : Dedicated Customer Service Representative/Data-Entry Specialist motivated to maintain customer satisfaction and contribute to company success. Strong organizational skills Time management Active listening skills Microsoft Office proficiency Courteous demeanor Self-directed Energetic work attitude Excellent communication skills Adaptive team player Computer-savvy HIPAA compliance Medical billing Claims appeal procedures.
Skills : Microsoft Office, Excel, Curris Software, LTC software.
Description :
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Performed full-cycle medical billing in a fast-paced medical billing company.
Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.
Submitted refund requests for claims paid in error.
Completed appeals and filed and submitted claims.
Thoroughly reviewed remittance codes from EOBS/AR's.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Experience
5-7 Years
Level
Executive
Education
Medical Assisting
Medical Billing Representative III Resume
Summary : Over 14 years of experience in the medical billing field with experience in billing, insurance verification, payment posting, and refunds. Train new and current employees to enable them to reach productivity goals. Proven ability to solve problems, communicate and manage the workload as needed. Excellent time management and task prioritization.
Skills : Microsoft Office, Excel Speadsheets, Powerpoint, Internet Research, Internet Marketing, Sales, Customer Service, Management.
Description :
Maintained maintenance of patient's account information, insurance, and medical claims.
Processed patient's billing statement, reimbursement claims, and posted transactions and data.
Followed up with insurance companies on unpaid or underpaid claims and issued appeals as needed.
Thoroughly researched patient accounts to ensure all data was accurate and insurance companies paid according to contract.
Maintained strong rapport with management staff and developed training material to assist staff member in working accounts accurately.
Improved revenue by 40% by identifying trending issues and corrected aged claims for reprocessing and payment.
Posted and reconciled insurance and patient payments.
Researched and resolved incorrectly paid claims and any additional issues.
Experience
7-10 Years
Level
Management
Education
Automotive Management
Medical Billing Representative II Resume
Summary : Medical billing and Insurance clerk with 14 years experience. Familiar with commercial and private insurance carriers. Expertise includes ICD9 and CPT coding. Patient-focused skilled at medical billing, coding, and office management. Reliable multitasker with anesthesia and pain management coding experience.
Skills : Microsoft Office, Medisys Software.
Description :
Recorded and filed patient data and medical records.
Carefully reviewed medical records for accuracy and completion as required by insurance companies.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Retrieved physician correspondence from dictation service and made edits when necessary.
Accurately entered procedure codes, diagnosis codes and patient information into billing software.
Consistently ensured proper coding, sequencing of diagnoses and procedures.Quickly responded to staff and client inquiries regarding CPT codes.
Acted as liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
Experience
7-10 Years
Level
Management
Education
High School Or Equivalent
Jr. Medical Billing Representative Resume
Objective : Responsible for Securing outstanding balance payments for care of hospital employees by establishing payroll deductions; obtaining signatures for automatic transfers, Secures obstetrical payments by interviewing and obtaining information from pre-delivery patients; establishing payments due prior to delivery; sending monthly statements.
Skills : Microsoft office, Bookkeeping, Medical Billing, Medical Coding, Customer Service, Account Management, Accounts Receivable, Sales, Administrative Skills.
Description :
Accurately applied payments to patient accounts.
Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts.
Monitor, analyze and reviewed my teams productivity.
Provided coaching and development feedback, as well as professional development Completing performance evaluations and developing short and long term goals for my staff.
Paid close attention to daily operations, recommending and creating improved courses of action when necessary.
Implemented employee of the month program to boost morale.
Reviewed billing edits and provided insurance providers with corrected information.
Monitored, analyzed and reviewed teams productivity, as well as conduct monthly evaluations.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Science
Medical Billing Representative/Specialist Resume
Objective : Self-motivated customer service-focused professional seeking to leverage both experience and education as a medical billing review specialist. Detail-oriented quality-focused professional billing specialist with a successful track record handling various tasks. Highly experienced and proficient in reviewing medical bills, reviewing medical insurance, filing claims, customer service, collections, and resolving account disputes. Dedicated to maintaining strict patient confidentiality.
Skills : Microsoft Office, Powerpoint, Medical Records, Medical Billing, Communication skills, Customer Service, Customer Relations.
Description :
Enter patient demographics and medical insurance into the GPA system for billing.
Sort and log medical bills in ascending order to give to coder to code work.
Responsible for researching the patient's medical insurance if all information wasn't available.
Work in Windopath entering patient's demographic for bills to process and entered stain specimens procedure codes for charges and enter CPT codes for specimens.
Address envelopes to mail out letters for request for information from patients.
Answer the phones to assist patients with calls pertaining to their accounts.
Make outbound calls to providers and/or insurance companies for missing information.
Experience
2-5 Years
Level
Junior
Education
Medical Office Administration
Asst. Medical Billing Representative Resume
Objective : Highly- motivated bi-lingual (Spanish) medical biller, a customer service representative with strong analytical and interpersonal skills. Experienced in identifying and resolving issues and complaints. Proactively responds to a variety of inquiries. Able to adjust to a high-pressure environment and a strong team player.
Skills : Excellent written and verbal communication skills,.
Description :
Prepares and submits clean claims to various insurance companies either Electronically or by paper.
Experienced in medical terminology, CPT codes, ICD 9, UB04 & HCFA1500.
Knowledge of insurance guidelines especially Medicare and state Medicaid Answers questions from patients, clerical staff and insurance companies.
Review patient bills for accuracy and completeness and obtain any missing information.
Knowledge of insurance guidelines especially Medicare and state Medicaid.
Follow up on unpaid claims within standard billing cycle timeframe.
Check each insurance payment is for accuracy and compliance with contract discount.
Call insurance companies regarding any discrepancy in payments if necessary.
Experience
2-5 Years
Level
Junior
Education
General Studies
Medical Billing Representative I Resume
Summary : Detail-oriented, energetic, quality-focused, professional billing specialist. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments, while resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality.
Skills : Certified Medical Administrative Assistant, Certified Clinical Medical Assistant.
Description :
Improved revenue for most recent provider over 50% with same patient load.
Spearheaded and orchestrated collections totaling 2 million dollars of past denied claims from insurance companies and patients over a one year span.
Manage the billing department to insure a 90% high volume of receivables Ensure claims are entered and submitted with 24 hours of receipt.
Accurately apply payments to patient accounts.
Post and reconcile insurance and patient payments.
Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
Insures accuracy of insurance claims, while verify correct ICD-9, ICD-10 and CPT codes for a variety of coding specialties for the practice.
Experience
10+ Years
Level
Senior
Education
Medical Office Administration
Medical Billing Representative/Supervisor Resume
Headline : Major strengths include extensive knowledge of Medicare and Social Security assistance and HIPAA as well as HMO, Medicare Supplement, and PPO policies. Strong leadership skills, experience as a team player, and ability to pay attention to detail.
Skills : Customer Relations, Billing Skills.
Description :
Focused efforts on increasing cash and reducing bad debt.
Apply payments and denials to third party carriers in all media types Interpret Explanation of Benefits for appropriate follow up action.
Complete refunds/adjustments to customer's accounts, while providing necessary back-up information in order to maintain accuracy.
Contacted Third Party carriers to follow up on denied claims.
Analyze and apply denials Process and review claims Perform screen scrapes.
Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues.
Make have contact with insurance carriers, clients, patients and/or other outside resources.
Experience
5-7 Years
Level
Executive
Education
Medical Assistant
Medical Billing Representative/Analyst Resume
Objective : Experienced, diversified, professional specializing in medical collections, customer service, medical billing, and insurance verification, and medical administration to contribute to institutional advancement.
Skills : Customer Service, Medical Terminology,Insurance Verifications, Medical office support, use of EMR and Medical Manager,Microsoft tools, Medical Transcriptions, Time Management , Data Entry.
Description :
Applied collections techniques to recover payments on outstanding delinquent accounts.
Follow-up and documented on delinquent accounts to obtained payments.
Verified insurance coverage on the patient from the various insurance companies.
Performed accounts reconciliation on delinquent accounts.
Received and documented correspondence information from the patients, insurance carriers.
Discussed and resolved denied and rejected claims with insurance companies in order to receive payments.
Performed payments posting, charge entries and adjustments on daily Excel spreadsheet.
Prepared patient's billing statements and ensure that it is send in a timely fashion.
Experience
0-2 Years
Level
Entry Level
Education
Medical Billing & Coding
Medical Billing Representative Resume
Summary : Medical Terminology, HCPS, MediSoft, and Medical Billing Microsoft Windows 2010 (Word, Excel, Access), Typing - 40 W.P.M. Excellent communication skills, various phone systems, SAP, and ISP.
Skills : ICD-9, CPT, HIPPA, Medical Terminology, HCPS, MediSoft And Medical Billing.
Description :
Prepares and handle billing for accounts to ensure timely reimbursement.
Ensures that all claims are submitted within 48 hours of print date.
Review and correct edit report for claims submitted electronically.
Identifies insurance requirements need to ensure payer requirements are met.
Review bills for correct products, correct codes, physician information and correct billing format for payer.
Responds to written customer inquiries regarding account status with five days of receipt.
Respond to verbal patient inquires within 24 hours.
Ensures that all changes to bills are documented in billing system to ensure future reimbursement.
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