YOUR NAME
123 Any Street
Any Town, USA 55555
(555) 555-5555
123email@anyprovider.com
OBJECTIVE
Highly skilled,
knowledgeable, and proficient Medical Biller bringing
extensive, specialized experience working in medical
billing, collections, patient accounts management, and
customer care capacities throughout hospital and
independent medical billing environments. Key
qualifications:
Medical Billing
* Recognized for a proven
ability to efficiently process medical claims for major and
private insurance carriers including HMO/PPO, Blue
Cross/Blue Shield, Medicaid/Medicare.
* Highly skilled with a
demonstrated knowledge of medical terminology, ICD-9/CPT
codes, No Fault, and Worker’s Compensation claims.
* Keenly recognize,
investigate and resolve discrepancies leveraging extensive
experience going through appropriate channels to facilitate
medical claims review and appeal processes.
* Process in excess of 60
healthcare claims per day for ABC Administrators, a
third-party administrator of health benefits, in areas of
surgical, dental, mental health, and physical therapy cases.
* Respond to inquiries from
providers on a broad scope of coverage issues pertaining to
eligibility, coordination/explanation of benefits, and
payment schedules
* Carefully research and
review individual/group claims exercising a strong working
knowledge of major medical plans and leading healthcare
networks
* Proficiently utilize the
RIMS program and collaborate with Claim Review Department to
expedite the resolve of claim discrepancies and insufficient
information.
* Acted as Professional
Relations Representative for between the main office and
three regional locations to ensure the timely and accurate
processing of insurance claims.
* Trained and supervised
personnel on accident insurance claim processing and
approval procedures.
Company, Town, XX Date - Date Medical Biller / Collections Associate
* Implemented an efficient
follow-up system to expedite the recovery of 30-day
outstanding payments from non-responsive insurance carriers.
* Reconciled outstanding
balances and incidents of returned claim checks from
Medicaid/Medicare.
* From a group of 20 medical
billers and collection associates, was most frequently
requested by physicians and attorneys to expedite the
location and processing of patient charts.
* Gained a reputation for
accuracy and timely responses to requests, most frequently
requested associate by physicians and attorneys offices to
locate and process charts.
Company, Town, XX Date - Date Office Manager / Medical Biller
* Managed the main office,
overseeing administrative functions for a busy oral and
maxillofacial surgeon specializing in reconstruction
surgery, dental implants, and facial trauma.
* Supervised a staff in the
areas of recruitment, training, supervising, and performance
evaluations.
* Coordinated appointment scheduling and confirmations,
processed bi-weekly payroll, and handled accounts payable
and receivable functions.
* Processed computerized medical and dental billing for
1,200 patients under private, No Fault, and Worker’s
Compensation insurance plans.
* Followed up with insurance carriers and patients to
expedite the recovery of payment obligations.
* Handled contracts, monitored inventory, and authorized the
purchase of equipment and supplies.
* Coordinated conferences, seminars, and luncheon meetings,
as well as agenda planning, guest list creation,
registration confirmation, travel arrangements, and menu
planning.
* Developed slideshow presentations and assisted during
lectures on cutting-edge medical procedures.
EDUCATION
College, Town, XX Degree Name, Major, Date
COMPUTER SKILLS
MS Word, Excel and
PowerPoint; Patient Management System (PMS)
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