Billing & Collections Resume Sample

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Muhammad Johnson
274 Sammie Green,  Boston, MA
+1 (555) 472 0765

Work Experience


Billing & Collections Manager
03/2018 - PRESENT
New York, NY
  • Performs various functions within the Business Office department with accuracy and within allotted time frames
  • Backup for running D & B credit reports in Director’s absence for CFO to approve/deny
  • Uses, protects, and discloses DaVita Medical Group patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Oversees the staffing, training, support, performance and monitoring of the collections department
  • Supervises accurate and timely follow up of primary and secondary claims
  • Evaluates multiple account receivable databases and assigns to staff to ensure all databases are worked to increase collections and eliminate timely filing denials
  • Identifies payment and denial trends and communicates to Director of Billing and Collections
  • Works closely with Supervisor of Billing to communicate billing issues impacting payment on initial submission
  • Maintains current working knowledge of CPT and ICD-10 codes, required modifiers and encounter data
Billing & Collections Representative
03/2013 - 11/2017
Boston, MA
  • Draft reports/data analyzer
  • Assist in special projects as directed
  • Manage staff who act as educators/auditors and charge capture liaisons / resources to physicians; residents; advanced practice practitioners; their clinical support staff and the Epic Revenue Integrity Team
  • Acts as a liaison between Epic Revenue Integrity Team, CPS Charge Capture and Billing & Collection staff. Applies expert knowledge of Epic charge capture functionality and clinic operations to effectively, efficiently and accurately assist in the charge capture of professional services
  • In coordination with Government Program Manager provide counsel and guidance on government policies and programs that impact charge capture of professional services provided within 3 separate Clinical practices
  • Applies education, Epic training and work experience to improve the performance of the Charge Capture Quality Assurance, Education team as well as the Charge Capture Team
  • Collaborate with practice leaders and Compliance Teams to identify and address gaps in provider understanding of CPT and ICD-10 coding and documentation guidelines
  • Manages, leads, facilitates and participates in quality improvement teams / committees and workgroups enhance accurate and timely professional services charge capture. Develops and maintains strong relationships with departments in the areas of coding / billing procedures. Stays abreast of billing and collections systems utilized by all practices
  • Identify areas of risk for Clinical Practices and work in tandem with CPS, MCP/CSG and CP Compliance Offices to mitigate
Billing & Collections Intern
11/2009 - 02/2013
Chicago, IL
  • Applies knowledge of third-party payer guidelines in reviewing denied claims to ensure appropriate use of modifiers and CPT/ICD-10 codes
  • Responsible for creation of month end and ad hoc account receivable reports as well as other reporting schedules
  • Communicates system, credentialing and claim formatting issues to the Director of Billing and Collections
  • Provide external/internal customer service via phone and email to members, participants, and all branch team members
  • Credit card updates/corrections
  • Reconciliation of daily deposits
  • Duplicate member merges
  • Bank draft returns, NSF’s, and collections

Education


Strayer University - Virginia Beach Campus
2004 - 2009
Bachelor's Degree in Accounting

Professional Skills


  • Exhibit professionalism, have excellent communication and negotiation skills, organizational skills, as well as an ability to work independently
  • Superior analytical skills and strong math skills
  • Excellent organizational skills detail oriented, ability to prioritize and multi-task and meet deadlines
  • Strong proficiency in MS Excel and Word required. Strong data entry skills
  • Proven analytical, critical thinking, and decision making skills
  • Strong computer skills including internet research
  • Excellent word and excel skills to intermediate standard

How to write Billing & Collections Resume

Billing & Collections role is responsible for research, microsoft, training, finance, credit, database, auditing, security, insurance, travel.
To write great resume for billing & collections job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Billing & Collections Resume

The section contact information is important in your billing & collections resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Billing & Collections Resume

The section work experience is an essential part of your billing & collections resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous billing & collections responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular billing & collections position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Billing & Collections resume experience can include:

  • Basic mathematical, analytical, and problem solving skills
  • Delivers information effectively in a variety of written formats including reports, letters, memos, email, etc
  • Proficient and accurate data processing skills
  • Medical billing management experience including setting up and monitoring KPIs for staff
  • Experience using Microsoft Excel (data entry, reviewing reports, sort / filter and open / edit / saving documents)
  • Experience working denials and submitting appeals

Education on a Billing & Collections Resume

Make sure to make education a priority on your billing & collections resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your billing & collections experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Billing & Collections Resume

When listing skills on your billing & collections resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical billing & collections skills:

  • Strong people management and team working skills essential
  • Demonstrates skillsin troubleshooting collections problems
  • Excellent Microsoft Office skills, specifically Excel
  • Self-motivated, ability to multi-task, and prioritize effectively
  • Excellent written and verbal communication and presentation skills are essential
  • Strong analytical skills and extremely detail-oriented

List of Typical Experience For a Billing & Collections Resume

1

Experience For Billing & Collections Manager Resume

  • BA/BS in accounting or in business with an emphasis in Accounting and proven Accounts Receivable and Collections experience
  • Experience in Hospital Billing and / or Collections
  • Trouble-shoots issues with all accounting-related systems and/or testing new functionality related to billing, call center, collections, and related matters
  • Other special projects involving efficiency in billing and collection processes
  • Review customer accounts receivable balances researching possible reasons or issues resulting in non-payment
  • Make necessary financial class changes for secondary billing or patient billing
  • Monitor customer accounts to identify outstanding debts and contact clients as necessary regarding overdue payments
2

Experience For Billing & Collections Representative Resume

  • Responsible for billing and collection operations for the enterprise
  • Identifies routine payer, provider, or technical issues and escalates to Billing and AR Manager
  • Work with FICO FP&A and Client Relationship teams to resolve invoicing or revenue issues in a timely and professional manner
  • 8-5 with OT available
  • Create, copy, edit, send, and save within Microsoft Word (creating and editing documents), Microsoft SharePoint (work within and navigate), and Microsoft Outlook (open and send emails and meeting requests)
  • Experience and working knowledge of Microsoft Excel (create spreadsheets, pivot tables and formulas, data entry, reviewing reports, sort / filter and open / edit / saving documents)
  • Strong understanding of UB’s and Remittance Advise (RA’s)
3

Experience For Billing / Collections Clerk Resume

  • Understanding of medical terminology, diagnosis codes, denial codes, ICD10 Codes and calculating fee schedules
  • Read and understand EOB’s (Explanation of Benefits)
  • Build and lead a high performance team. This requires setting expectations with team, reviewing their work, coaching and training team members. Mentor staff members to ensure proper understanding of department’s goals, methodology, and approach
  • Develop annual budget and quarterly updates for Billing and Collections department. Manage department to ensure budget is met
  • Researching, conducting root cause analysis, and/or resolving ‘Not In Good Order’ transactions, while communicating directly with clients and business partners regarding action(s) that are needed to resolve
  • Responsible for keeping current with changes in their respective payer’s policies and procedures
  • Using the Company’s Billing system, responsible for filing medical claims and statements for all third-party payers, including insurance companies, PPOs, HMOs, Medicare, CCAH, Medi-Cal, Tricare, workers’ compensation carriers, and other payers
  • Verify accuracy of accounts. If an error in an account is detected during the collection process, the employee shall fix the error or report it to the appropriate person (e.g. Team Leader or Billing & Collection Department Manager) and document it in the account
4

Experience For Billing Collections Manager Resume

  • Proven track record for improving billing process efficiencies and solving problems
  • Responsible for Flatiron’s end-to-end customer invoicing and collection process, including managing a billing & collection analyst
  • Self-starter with the ability to think creatively, focus on efficiency, and work independently to meet deadlines
  • Comply with all applicable Federal, State and local laws, regulations, and requirements as well as Axelacare Health Solutions’ policies and procedures in all aspects of job performance
  • Develop strong relationships with customers’ accounts payable contacts/buyers to pursue past dues, repayments and resolve issues with a high level of customer service
5

Experience For Billing / Collections Representative Resume

  • Identify and prioritize outstanding balances based on aging buckets assigned for collections
  • Demonstrates a thoroughknowledge of collection practices and re-billing
  • Informing management of operational issues, including but not limited to those impacting the customer, vendor, or the company
  • Following up on payments, calling on past due open invoices and chargeback’s
  • Reconciling customer accounts as assigned
  • Oversees the direction of the resolution specialists and ensures they are meeting and exceeding goals. Implements changes to meet goal
  • Consistently meetsdaily deadlinesby working accounts on daily work list
6

Experience For Billing & Collections Coordinator Resume

  • Manage difficult customer issues while working in a fast paced environment
  • A mpn bsp Reviews Accounts Receivable daily
  • Verifies payments and understands appeals
  • Supervises and coordinates workflow activities to maximize performance metrics and quality
  • Conducts and/or participates in team meetings
  • Remains visible and approachable to all employees on the team, as well as other team leadership
  • Ensure customer arrangements recorded in the company’s financial systems reflect revenue recognition requirements
  • Handles special projects, as assigned.
  • Knowledge of order entry processes
7

Experience For Billing & Collections Supervisor Resume

  • Proactively evaluate people, process and technology improvement to enhance Biologics’ ability to improve customer satisfaction
  • Reports metrics, maintains departmental performance targets and benchmarks, develops policies and procedures, training programs, and billing related customer service activities
  • Hands on familiarity with multiple e-billing systems such as LPS, BlackKnight, Equator, etc
  • Advanced proficiency in Microsoft Outlook, Excel and Word
  • Prepares batches from the EMR for upload into the claims clearinghouse
  • Updates/corrections information identified via rejections from the clearinghouse or other payer edits (ex. Medicare Return to Provider) and retransmits until payer acknowledges receipt
  • Follows up with payers using online tools or the phone to check the status of claim and escalate as necessary to push each one toward timely resolution
8

Experience For Manager, Patient Billing & Collections Resume

  • Identifies, researches, and resolves issues related to eligibility, authorization, coordination of benefits, timely filing, etc., leveraging peers or manager as needed to ensure timely resolution
  • Posts cash and/or facilitates the posting of electronic remittance advices in a timely fashion and performing related reconciliation steps to ensure everything is in balance
  • Investigates balances remaining after payment (i.e,. payment variances) to determine if they are a result of denials or under/over payments and takes appropriate action to resolve the discrepancy (ex. appeal denial, issue a refund, request a write-off, performs appropriate contractual)
  • Strong analytical and organization skills and microcomputer usage is required
  • Strong knowledge of general accounting/business office functions
  • Meet strict deadlines with high level of accuracy and prioritize multiple tasks in a highly automated setting
  • Maintaining a detailed log of all communication and all related correspondence with clients
  • Acts as a point of contact for assigned payers, communities, etc
9

Experience For Billing & Collections Analyst Resume

  • Evaluates accounts, submits claims, and performs adjustments, write-offs, and/or balance reversals, if charges were improperly billed or if payments were incorrect. Updates and refiles claim forms in a timely, accurate manner
  • Communicates with Admissions, Business Office Managers, Regional Managers of Business Office Operations, Clinical Liaisons, physician offices, and residents, to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information needed to process and resolve the claim
  • Performs all routine follow-up functions, including the investigation of overpayments, underpayments, credit balances, and payment delays. The objective is to maximize reimbursement for services rendered and ensure the claim is paid or settled in a timely manner
  • Researches claim rejections and/or denials and makes corrections, takes corrective actions, and/or refers claims to appropriate colleagues or manager to ensure timely claim resolution
  • Proactively follows up on delayed payments by contacting third-party payers and/or residents as necessary to determine the cause for delay and to push for resolution
  • High level of understanding of billing and accounts receivable processes and reimbursement as associated with strong industry specific experience required
10

Experience For Billing & Collections Team Leader Resume

  • Takes initiative to continuously learn all aspects of the Billing and Collections Representative role to support progressive responsibility
  • Train and motivate co-workers
  • Follow-up on all unpaid claims within the required timeframe
  • Work EOB/remittance advices on a daily basis to identify denials or short paid claims
  • Work on eligibility issues and necessary documentation to ensure timely collection of accounts
  • Provision of updates to Senior Global Manager – Billing & Collections and wider management team highlighting any issues and progress in relation to outstanding receivables or billing issues
  • Working with external vendors to ensure invoices for services provided in connection to our services to our clients are provided accurately and via the agreed processes

List of Typical Skills For a Billing & Collections Resume

1

Skills For Billing & Collections Manager Resume

  • Billing and Collections experience required with 5+ years of managerial experience necessary
  • Related experience and/or training; or equivalent combination of education and experience required
  • Knowledge and skills in Microsoft Office, Word, Excel, and Outlook
  • Work effectively in a fast paced, deadline driven environment
  • Approves all statements/coupons for owners, builders/developers prior to distribution; ensures manager approval of statements/coupons prior to distribution
  • Experience working and understanding billings and collections
  • Experience to know the appropriate questions to ask when calling Medicare to get the necessary information to move forward in resolving the claim
2

Skills For Billing & Collections Representative Resume

  • Medical billing and collections experience in a multi-physician practice, including third-party and self-pay billings
  • Prioritize multiple competing deadlines, and applying a sense of urgency to daily work
  • Experience supervising at least two (2) direct reports
  • Strong controls background and familiarity with SOX controls in billing and collections environment
  • One to three years experience in third party billing and reimbursement required
3

Skills For Billing / Collections Clerk Resume

  • Experience in a billing or collections role within the healthcare industry
  • Experience with MS Excel with basic navigation of the application including how to set up a basic spreadsheet; to sort enter basic information into cells
  • Experience with Medicare billing/collections
  • Medicare billing and collections experience
  • Strong understanding of Medical insurance
4

Skills For Billing Collections Manager Resume

  • Experience in a billing or collections role within the healthcare industry
  • Experience in Billing and / or Collections (Revenue Cycle or Hospital environment)
  • Have a solid understanding of hospital claims and processes in order to review and analyze claims and account receivable functions
  • Experience in utilizing payer web portals
  • Ensure that all documentation for billing in completed and accurate prior to claim submission
  • Good eye for detail with ability to analysis root causes of issues
  • Experience in Property Management industry
  • Medicaid knowledge and experience
  • Supervisor or management experience
5

Skills For Billing / Collections Representative Resume

  • Computer proficiency with experience in Excel and Word required
  • Patient Financial Services, Revenue Cycle Management experience
  • Make decisions, set priorities, and work as a team
  • Experience with Medicare
  • Experience in a Supervisory, Team Lead, or Subject Matter Expert (SME) role
  • Leadership: demonstrated ability to lead people and gather results through others
6

Skills For Billing & Collections Coordinator Resume

  • CPT and ICD-10 experience
  • Excellent knowledge of MS Office (particularly Excel)
  • Experience in professional fee billing to Medicare, Medicaid and/or other third party payers
  • Demonstrates an advancedknowledge in providingcorrect Revenue codes, HCPC codes and EOB
  • Follow up resolution and strong familiarity with billing software
  • A proven track record entering demographics and insurances
  • Review and validate billing for accuracy and correct errors as needed
7

Skills For Billing & Collections Supervisor Resume

  • Has at least 2 years of work experience
  • Demonstrate aggressive yet conscientious collection efforts
  • Updating Excel documentation, billing system(s); verifying and reconciling accounts
  • Initiating client checks and collating information to support the setting of existing and new clients
  • Reviewing and processing collections on Altice Business accounts that are past due; contacting customers directly to secure payment
  • Researching customer dispute items; gathering information from customers regarding their accounts
  • Overseeing & developing the billing & collections team in the region
8

Skills For Manager, Patient Billing & Collections Resume

  • Setting KPI’s and billing & collection targets in conjunction with the Senior Global Manager – Billing & Collections
  • Planning: ability to think and plan ahead
  • Looking for contractor to serve in an interim Manager role over the Stockton business office
  • Confirming status of accounts
  • Liaising internally and externally with relevant parties to efficiently resolve any queries on client accounts
  • Responsible for maintaining and performing billing and collections for multiple buildings at WeWork Pacific region
  • Process management fees, payroll, medical and ancillary billing for certain regions following the organization and Sarbanes Oxley Standard Operating Procedures
  • Prepare billing files for loading into Great Plains system to generate billing
9

Skills For Billing & Collections Analyst Resume

  • Knowledge of the Revenue Cycle processes (Understanding the Billing and Claims process)
  • Balance between maintaining trustful relationships and ensuring timely payments
  • This office performs billing and collections services. So, the manager would be overseeing inventory management for this CBOs book of business
  • Responsible for posting ACH wires into billing system
  • Monitors recurring rejected claims to management for evaluation of impact on the timely filing of claims
10

Skills For Billing & Collections Team Leader Resume

  • Knowledge of general accounting process (e.g. record keeping, reconciliations, Collection Management) & Brazilian tax laws
  • Performing Billings and Collections in a fast paced environment
  • Excellent leadership and motivational skills with the ability to drive a team to deliver excellent customer service whilst eradicating any customer dissatisfaction
  • Competency to deliver exceptional cash collection results whilst driving down over due debt
  • Intermediate with Microsoft Suite, including Word, Excel and Outlook
  • Flexible / adaptable with scheduling and commitments
  • Four years of billing and/or HOA/COA collections
  • Five years of billing and/or HOA/COA collections

List of Typical Responsibilities For a Billing & Collections Resume

1

Responsibilities For Billing & Collections Manager Resume

  • Ensure disbursements incurred by the company on behalf of our clients are recovered in line with agreed processes and that any unrecovered amounts are both minimised and handles as per company guidelines
  • Maintain ownership of verification and validation reports and send to designated properties for review and approval
  • Provides recommendations / solutions based on business problems identified during call listening
  • Support end of month closing (including but not limited to reserve calculation and drivers)
  • Coordinate timely and accurate invoicing for Brazil clients
  • Review all Brazil invoices for accuracy regarding applicable taxes and invoices details that correspond to customer contracts
  • Regularly monitor aging reports to identify potential issues with cash collections
  • Maintain accurate aging reports together with FP&A team
2

Responsibilities For Billing & Collections Representative Resume

  • Oversee all Billing and Collection processes and work product for accuracy and compliance
  • Interact with internal team members and corporate customers to ensure high levels of responsiveness in order to collect outstanding account balances
  • Respond to all aspects of written billing inquiries
  • Initiate billing on assigned claims in an expeditious manner
  • Maintain control of claims billed and pending to ensure full accountability
  • Process new contracts and sales, including the follow up with Account Management to ensure all contracts are properly executed
3

Responsibilities For Billing / Collections Clerk Resume

  • Address customer complaints and resolve billing issues
  • Manage billing of company clients
  • Three or more years of billing/accounts receivable required
  • Manages all billing, collection, and customer service functions for client properties/associations
  • Manage patient accounts throughout the month (balances, making phone calls to patients about overdue bills)
  • Print monthly billing statements for all locations
  • Manage write-offs and sending patients to collections
  • Responsible for contributing towards Operational benefits (2% AHT reduction, 2% call volume reduction, 3% increase in FCR)
  • Ensures accurate completion of the check sheet and uploading daily to SharePoint site
4

Responsibilities For Billing Collections Manager Resume

  • Ensures accurately tracking of time for deliverables
  • Process all billing adjustments and credit memo for that region as needed
  • Recommends process improvements in the billing and collection process
  • Understands and can explain various billing types to our customers who have questions
  • Work collaboratively to achieve results and process improvement
5

Responsibilities For Billing / Collections Representative Resume

  • Request Medical Documentation from site HIM department and mail to INS carrier
  • Work with customers’ Finance department to coordinate billing and resolve issues as needed, instilling a sense of urgency in clients to make timely payments while simultaneously ensuring a positive client experience
  • Strong communication skills, both verbal and written with the ability to effectively interact with FICO internal employees and clients holding a wide range of positions
  • Manages all billing and collections functions for client properties/associations
  • Maintains a master schedule of all billing assessments (dues, late notices, demands, liens, etc.) by property, by date, by year
  • Prepares letters and statements to owners/builders/developers to communicate changes in assessments, processes, etc
6

Responsibilities For Billing & Collections Coordinator Resume

  • Manages issuance of collection letters (from friendly reminder to demand letter)
  • Establishes, documents, implements, and monitors all processes and procedures related to collection efforts
  • Ensures compliance with all collection-related state and federal regulations, the Texas Property Code, etc
  • Provides exemplary customer service to all clients/associations, owners, and residents
  • Acts as the primary liaison with all attorneys' offices and collection agencies with regard to client/association collection activities for non-manager-specific communications and directives
7

Responsibilities For Billing & Collections Supervisor Resume

  • Verifies homeowner and builder/developer accounts by reconciling transactions as needed; investigates and resolves discrepancies
  • Facilitates research on behalf of managers, accountants, customer service representatives, and executive team members with regard to assessments and collections
  • Ensures all homeowner, Board member, and community manager inquiries regarding account status or transaction details are answered by the Customer Service team within 24 hours. Handles personally all issues elevated to the Supervisor level
  • Assists executive team members, management, and other accounting personnel on projects
  • Supervises and provides direction to Billing and Collections Associates
  • Participates in selection process and makes hiring recommendations
8

Responsibilities For Manager, Patient Billing & Collections Resume

  • Completes all required reviews timely. Ensures poor performance is addressed and documented properly
  • Supervises and provides direction to all Customer Service Representatives
  • Orients, trains, and evaluates performance
  • Addresses performance problems through corrective action and dismissal
  • Collect payments and post to accounts
  • Reach out to customers with unpaid debt and attempt to collect from them
  • Maintain files on the financial status of accounts
  • Keep track of delinquent accounts
  • Advise customers of default consequences and debt repayment policies
9

Responsibilities For Billing & Collections Analyst Resume

  • Delete old accounts and clean up files
  • Compile reports on delinquent account for management
  • Disconnect services if account remains unpaid
  • Report past due accounts to credit bureaus
  • Prepare statements for credit department
  • Monitor Key Performance Indicators. Supervise, coach and take necessary action to facilitate achievement of performance targets
  • Develop and ensure policies and procedures are keep up to date
  • Maintain up-to-date knowledge of federal and state laws, rules, and regulations related to patient account service activities
  • Daily submission of claims to respective payers via AS400 system
10

Responsibilities For Billing & Collections Team Leader Resume

  • Review Explanation of Benefits (EOB) for accurate payment from third party payers
  • Coordinate medical records requests in the event of necessary retro review
  • Document account accordingly via AS400
  • Troubleshoot and work through claim process
  • Follow-up on all unpaid claims within the required time-frame
  • Work EOB/remittance on a daily basis to identify denials or short paid claims
  • Request approval for account adjustments as appropriate
  • Prepare and distribute accurate invoices in a timely manner to appropriate customer contacts

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