A Physician Billing is a medical biller who is responsible for calculating and collecting payments for medical procedures and services. The job description entails updating patient data, developing payment plans, and preparing invoices. Other accountabilities are listed on the Physician Billing Resume as – ensuring that patients are billed quickly and accurately; preparing and submitting billing data and medical claims to insurance companies, ensuring the patient’s medical information is accurate and up to date, preparing bills and invoices, and documenting amounts due to medical procedures, and services; collecting and reviewing referrals and pre-authorizations, monitoring and recording late payments, and examining patient bills for accuracy and helping patients develop patient payment plans.
Apart from proven work experience, the following skills are expected from job applicants – a solid understanding of billing software and electronic medical records, the ability to multitask, and manage time effectively; and excellent verbal and written communication skills. A bachelor’s degree in health care administration or accounting is commonly listed on job resumes.
Headline : To secure and obtain a challenging career that will enable me to utilize and build upon existing skills, expand my knowledge and offer professional growth in the medical field, Experienced with UB-04/HCFA 1500 billing and knowledgeable of governmental, managed care and commercial payor regulations is required.
Skills : Microsoft Word, Outlook And Excel.
Description :
Payment posted for all payors including electronic and Manuel processing.
Researched credits on accounts, issue refunds to appropriate party.
Resolved or assisted inquiries related to billing.
Responsible for maximizing department revenue by implementing and managing strategies to improve accounts receivable.
Responded timely and accurately to all incoming correspondence and inquiries from payers, patients and other appropriate parties.
Analyzed and researched claim denials to identify appropriate resolution.
Consulted with claim processors of third-party payor regarding disputed or denied claims, providing copies of requested documents as needed to facilitate timely reimbursement of charges.
Experience
5-7 Years
Level
Executive
Education
GED
Physician Billing Resume
Objective : Seeking employment with a company where I can use my talents and skills to grow and expand the company, Experienced in reviewing and coordinating refunds for patients and/or insurance carriers is helpful, following-through, assume responsibility and use good judgment, prioritizing workload and meet specific goals and objectives, maintaining professionalism in stressful situations, working as part of a team.
Skills : Business Management, Administrative Assistant.
Description :
Collected all the information necessary to prepare insurance claims and bill patients.
Entered patient demographic and insurance information into the medical claim software.
Entered patient encounter information.
Interpreted and processed (post) Explanation of Benefits (EOB's).
Researched, corrected, and re-submitted rejected and denied claims.
Billed patients for their responsible portions.
Answered patient questions regarding charges.
Experience
2-5 Years
Level
Junior
Education
Associate's
Physician Billing Resume
Objective : Physician Billing is Performing follow-up duties including working systematic and other assigned accounts, updating spreadsheets and work-lists, making written and telephone inquiries, resubmitting rejected or denied claims, resolving credit balance accounts, and verifying correct payments/adjustments from all third party payors via telephone, electronic transactions, website interactions.
Skills : MS Office, Creative Skills, Written test.
Description :
Responsible for collections of self pay accounts.
Accepted payments in office and over phone.
Posted self payments to database.
Contacted patients regarding their overdue accounts.
Responsible for creating cash deposits for bank.
Prepared appeals to denied claims.
Understood Copays, Coinsurance, & Deductibles.
Experience
2-5 Years
Level
Executive
Education
BA In Accounting
Physician Billing Resume
Objective : Physician Billing with 7 years of experience in Performing billing duties including obtaining required data and submitting clean claims, satisfying pre-edit errors, correcting charges, and researching billing delays for all responsible parties and third party payors, Will access and maneuver across numerous payer websites and other electronic systems/processes.
Skills : Claims Processing, Medical Terminology, Billing, Filing, Customer Service, Excel, Epic, PowerPoint, Team Building, Cash Handling, Call Center.
Description :
Adhered to all HIPAA guidelines/regulations.
Received a promotion from one department to the current position I hold now.
Entered physician charges into the billing system for billing.
Recorded and filed patient data and medical records.
Precisely completed appropriate claims paperwork, documentation and system entry.
Verified patient’s insurance and acts as a liaison with patients regarding hospital charges.
Obtained insurance authorizations and pre-certification for surgery and imaging.
Experience
2-5 Years
Level
Executive
Education
BA In Accounting
Physician Billing Resume
Objective : To find a well-established and stable place of employment with friendly co-workers that will allow me to use my abilities to the fullest. I am interested in the chance to learn and grow with a company that can see the potential I have to offer.
Solely responsible for verification, organization, and distribution of all Medicare Physician Billing rebill request/ Bad Debt claims submitted by third party insurance payers.
Resolved escalated mathematical issues presented by Patients and customer service department.
Held accountable for Medicare and Home professional Physician, billing claims.
Detected Accounting, billing, coding and registration error Trends while follow-up on claims with corrections and missing Insurance payments.
Trained new department employees on: day to day operate Ones, interoffice and external correspondence.
Corrected CPT4/ICD coding error, built and maintained a beneficial rapport with insurance companies.
Assisted with ombudsman issues and resource specialist To follow up with denied claims and process to review Claim for possible payment or denial Committee member to use critical thinking and brain Storm solutions on pilot deb code program for productivity program.
Experience
2-5 Years
Level
Executive
Education
BS
Physician Billing Resume
Summary : To obtain a position as a Physician Billing, and to utilize my skills with the opportunity for growth and advancement, Interacts with internal departments as well as external payers and third party vendors via written and verbal communication and electronic interchanges.
Used coded data to produce and submit claims to insurance companies.
Worked directly with the insurance company, healthcare provider to get a claim processed and paid.
Reviewed and appealed unpaid and denied claims.
Verified patients' insurance coverage.
Prepared the appropriate claims documents required by each insurer Submit, organize and track all insurance claims filed by the health care provider.
Followed-up until payment is received, and manage collections activities when necessary.
Created reimbursement claims and transfer to third-party payers Maintains strictest confidentiality.
Experience
7-10 Years
Level
Management
Education
Diploma
Physician Billing Resume
Objective : To secure a long term Physician Billing position that will be both challenging and rewarding, Assumes the submission of a clean claim and securing complete and accurate payment in the shortest timeline possible, Experienced in hospital or physician billing, follow-up, customer service or credit/collection is required.
Skills : Medical icd9 & cpt coding, Familiar with computers, copiers, Faxing etc.
Description :
Responsible for follow-up and denial management of five physician practices including updating patient insurance information, researching CPT procedure codes and ICD-9 diagnosis codes by using various reports and Perfect Care medical billing software.
Lesioned between physician office, insurance companies and patients.
Maintained office filing system.
Assisted patients with payments or insurance companies in a fast-paced, busy office environment.
Assisted with charge entry and billing when needed.
Updated patient financial information to guarantee accuracy.
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Experience
2-5 Years
Level
Executive
Education
MA
Physician Billing Resume
Headline : Broad-based background and experience specializing in multi-level production planning and procurement in diverse industries such as medical, consumer products, biotechnology and computer software. Training and experienced in demand planning software (Demand Solutions), Materials Resource Planning (MRP) and Perfect Care Medical Billing software. Proficient in Microsoft Excel, Word, Outlook, PowerPoint, excellent organizational and communication skills.
Skills : ICD-9, ICD-10, CPT.
Description :
Experienced in preparing and maintaining records.
Highly experienced in posting deposits payments and posting charges for payment.
Strong knowledged of anatomy and medical terminology.
Experienced with data entry, computer software, and other office and administrative duties.
Daily operated of processing patient accounts in accordance with the departmental and institutional policies and procedures.
Reviewed and insured the validity of incoming data, correcting information as needed and processing the account for payments.
Documented action taken, answered inquiries involving individual accounts, and researched problem accounts to assure payments.
Experience
5-7 Years
Level
Executive
Education
B.A. In Psychology
Physician Billing Resume
Headline : Enthusiastic with excellent people skills and dedicated work ethic. Strong attention to detail and extensive knowledge of Medicare, Medicaid, Managed Care and Private Pay. Specialist with 12 years experience in a fast-paced, multiple client medical billing company. Familiar and up to date with the latest billing guidelines and policies for multiple payers.
Skills : Proficent In ICD10, CPT4, Medical Terminology, 10 Key, Medical Processing Systems,.
Description :
Performed duties and responsibilities in a manner consistent with corporate values.
Completed workqueues for the surgical practices
Assisted physician billing department with gathering various information needed for collection of bills such as patient information, doctor referral letters, and copying of medical records.
Followed up with surgeons to ensure all encounters are closed and coded appropriately.
Acted as a liaison between coders and surgeons
Ensured completion of all forms and collects complete billing information.
Acted as a liaison to the Physician’s by following up on all concerns regarding patient billing matters.
Experience
5-7 Years
Level
Executive
Education
BS In Physical Education
Physician Billing Resume
Objective : To obtain a position as a Physician Billing in a clinic/ hospital where I can utilize my computer and medical knowledge and offer opportunities for growth, communicating verbally and preparing written communications for patients, patient's families, physicians, third party payors, collection agencies, attorneys and other hospital staff is required.
Skills : Windows XP, Microsoft Excel , Medical Terminology , Data Entry, And Other Office Administrative .
Description :
Coordinated pertinent information of patient’s medical record for submission to the physician billing service.
Lifted a minimum of 10 lbs., pushes and pulls a minimum of 15 lbs. and stands a minimum of 1 hour a day.
Adhered to the standards identified in the Medical Center's Organizational Competencies.
Reviewed and coordinated refunds for patients and/or insurance carriers.
Extensive insurance followed-up with a wide variety of payers, including Medicare, Medicaid, Blue Cross and major commercial carriers.
Utilized your high-level understanding of medical accounts receivable to identify and work with insurance carriers.
Knowledged of medical terminology and physician billing processing.
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