A Patient Billing Specialist acts as a bridge between healthcare providers, patients, and insurance companies. The job responsibilities are listed on the Patient Billing Specialist Resume as – handling transferring patient information, submission of claims to insurance companies, ensuring that the payments for medical services are received in a timely manner, obtaining and reviewing referrals and authorizations treatments, conforming to patient benefits and insurance eligibility; following and adhering to all regulations and guidelines set by state programs; updating billing software with rate changes, developing and maintaining track systems of incoming and late payments; monitoring and solving financial discrepancies; and handling all patient or insurance telephone inquiries.
The basic education and experience required for the role include – knowledge of business and accounting processes, strong excellent verbal and written communication skills, familiarity with CPT and the latest coding guidelines; comfortable working in a team environment, and multitasking skills. A degree is commonplace among job applicants.
Summary : To pursue an occupation in the medical/clerical field with the opportunity for advancement as well as growth.
Skills : Strong communication, Including writing, Speaking and Active listening.
Description :
Answered in-coming calls from patients, doctors, insurance companies.
Generated and bill claims to insurance companies including Medicare and Medicaid.
Adjusted and monetary posting, handling bankruptcies and deceased patient accounts.
Corresponded with collection agency.
Researched and reported any problems with outstanding accounts.
Assisted patients with any questions pertaining to their bills/accounts.
Ensured claims are submitted correctly on HCFA-1500 claim forms.
Handled all credit card payments.
Made calls to doctor offices, insurance companies, and patients for research and follow up.
Experience
10+ Years
Level
Senior
Education
Computer Programming
Patient Billing Specialist Resume
Summary : To obtain a challenging and responsible position in the medical field with the opportunity for advancement within a progressive organization, where I will do my best to meet the goals and expectations of my employer.
Able to verify insurance through insurance portals or through phone Able to enter Medicaid supplemental/incentive payments through the use of the customer ledger using Allscripts PM Program.
Scheduled appointments using PM, verify patient demographics, verify patient insurance eligibility, determine whether patient was to be seen, or had pending exclusions to verify.
Verified claim statuses through portals or over the phone.
Entered payments off of electronic remittance notices (EOB) and applied to patient vouchers/ledgers.
Able to appeal claims through electronic clearinghouse portals or through phone.
Able to assist patients with any questions regarding balance, billing questions, or process payments using online merchant service.
Able to assist clinics with insurance questions and/or patient balances with knowledge of insurance requirements such as copays, deductible amounts, or co insurance information.
Able to assist patients in resolving patient concerns.
Experience
7-10 Years
Level
Management
Education
Medical Billing And Coding
Patient Billing Specialist Resume
Objective : Patient Billing Specialist is responsible for creating, maintaining, and improving the patient billing process within a healthcare organization. This includes creating and implementing customer service policies, processes, and procedures for billing processes. This includes using data to improve the process and to reduce the cost of customer care.
Skills : Data Entry, Typing.
Description :
Implemented patient billing solutions that maximize reimbursement from Medicare or Medicaid.
Identified common problems with patient billing processes and recommend solutions to improve overall quality of care delivered by the healthcare provider organization.
Created an online patient portal that enables patients to access their account information.
Made payment requests online while they are in the hospital or clinic.
Created automated tools that enable patients to make payments on time or at all when their credit card is not accepted by a payment processor through the portal.
Used analytics software to help identify fraud trends, identify high risk patients, and inform treatment recommendations to reduce costs related to patient care.
Built a strong reputation for integrity and ethical.
Experience
2-5 Years
Level
Executive
Education
Associate Of Applied Science
Patient Billing Specialist Resume
Objective : To obtain a full time, daytime Patient Billing Specialist position, which is both challenging and rewarding, where I can utilize my experience to promote health and wellness for others.
Skills : Microsoft Word, Excel, Brightree, Noble, etc...
Description :
Posted all charges and copayments for physician practice.
Verified charges are coded with appropriate modifiers when required to assure claims are sent to insurance company clean.
Generated unapplied credit report and post payments accordingly.
Reconciled accounts receivable report.
Liaised between physician practice and collection agency.
Generated patient statements on a weekly basis and verify accuracy.
Met with patients to discuss payment plans when needed.
Processed all patient payments.
Worked with insurance companies in obtaining prior authorizations and eligibility/benefit information for all diagnostic testing and outpatient surgeries.
Experience
2-5 Years
Level
Junior
Education
Vocational In Medical Programs
Patient Billing Specialist Resume
Objective : To secure employment with a well-established organization that will lead to a lasting career. I possess strong organizational skills, an educational background, and the ability to work well with people.
Skills : Great customer service skills, Including interpersonal conversation, Patience and empathy.
Description :
Prepared and submitted clean claims to various insurance company either electronically or by paper.
Answered questions from patients, clerical staff and insurance companies.
Identified and resolved patient billing complaints.
Prepared, reviewed and sent patient statements Evaluated patient financial status and establishes budget payment plans.
Followed and reported status of delinquent accounts.
Reviewed accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agencies.
Performed daily backups on office computer system Performed various collection actions included contacted patients by phone, corrected and resubmitted claims to third party payers.
Processed payments from insurance companies and prepares a daily deposit.
Participated in educational activities and attends monthly staff meetings.
Experience
0-2 Years
Level
Entry Level
Education
High School Diploma
Patient Billing Specialist Resume
Headline : Have 8 strong years of Patient Billing Specialist experience .Very customer focused and adapt to change very well. Always maintain a positive attitude and love helping my team.
Skills : Proficient In Microsoft Office Products: Word, Excel, Power Point, Outlook.
Description :
Received emails or tickets from a special inbox regarding issues with patients bills.
Reviewed patient account to make sure all allocations have been complete.
Adjusted patients accounts according to Explanation of Benefits with insurance company that was billed for procedures.
Used online tool for each insurance company to receive a copy of the explanation of benefits or explanation of denials.
Applied any discounts to patients ledger.
Made all necessary adjustments or agreements to reflect explanation of benefits.
Sent an explanation in email to explain what was reviewed and if the issue has been resolved.
Offered assistance in other areas of revenue cycle process to help make all departments run effectively and efficiently.
Experience
5-7 Years
Level
Executive
Education
Medical
Patient Billing Specialist Resume
Objective : Patient Billing Specialist is responsible for the effective delivery of service and value to patients in a timely and cost-effective manner. This includes identifying, prioritizing and defining the patient needs, developing an accurate and timely clinical/financial history, billing for services as prescribed, collecting payment information from patients, writing and reviewing patient bills, and in some cases also working with billing departments to ensure billing accuracy.
Skills : Good problem-solving and Critical thinking skills.
Description :
Determined charges for services requested, collect deposits or payments, or arrange for billing.
Referred unresolved customer grievances to designated departments for further investigation.
Reviewed insurance policy terms to determine whether a particular loss is covered by insurance.
Contacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
Resolved customer service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
Compared disputed merchandise with original requisitions and information from invoices and prepare invoices for returned goods.
Contacted customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
Experience
2-5 Years
Level
Junior
Education
GED
Patient Billing Specialist Resume
Headline : Clinical Practice Manager with 22 years of management experience and a total of 27 years in the healthcare industry including private practice and hospital settings. Especially effective at developing productive and efficient teams. Strong skills in budget planning and strategic objectives, driving successful clinical outcomes and clinic policy and protocol development.
Responsible for collecting payments from patients on their active invoices.
Prepared and summited claims to insurance companies electronically and hard copy.
Answered calls from patients, insurance companies and doctor offices.
Took patient complaints.
Set up payment arrangements for patients who cannot afford paying total balances.
Corrected and resubmitted claims to third party payers.
Maintained confidentiality by adhering to HIPAA regulations.
Experience
5-7 Years
Level
Executive
Education
Criminal Justice
Patient Billing Specialist Resume
Headline : Excited to find a challenging and rewarding position in the Hospitality Industry where my skills, knowledge, and experience can be utilized at an organization that has room for professional growth and encourages career advancement.
Skills : Excellent customer relations, Exceptional time management, Keen eye for details and phenomenal organizational skills.
Description :
Assisted patients, providers, and insurance companies in the accurate processing of all patient accounts.
Worked with providers and insurance companies to resolve any discrepancies in the billing process.
Utilized all necessary systems to perform claims submission on behalf of patients.
Contented improvement and growth within daily processes have allowed me to learn other lateral functions within my department.
Learned both Bankruptcy proceedings and Patient Correspondence in a backup capacity as needed.
Able to learn at a fast pace and thorough work ethic.
Generated financial statements and reports.
Experience
5-7 Years
Level
Executive
Education
Marketing
Patient Billing Specialist Resume
Objective : Educated Office professional seeking full time employment related to the clerical field. High degree of organizational skills, outstanding Customer Service record and well versed in multiple computer programs. Also, competent in filing, alpha-numeric filing, written and oral communications skills and Patient or Customer Confidentiality.
Skills : In-depth knowledge of industry best practices.
Description :
Submitted professional and facility claims to insurance companies for payment both electronically and on paper.
Updated and corrected insurance information provided by patients via insurance websites, and telephone services.
Updated payment information in patient accounts.
Followed up on delinquent payments with insurance companies.
Investigated and corrected any errors prior to and after claims are submitted to payers.
Explained and answered questions regarding the billing process.
Responsible for collection of new and existing accounts, administering all phases of credit activities within established guidelines.
Monitored and followed up with assigned accounts for payment on past due or delinquent balances.
Researched, troubleshooted and resolved problems related to receivables, serves as a reference resource for less experienced employees in resolving problems.
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.
