Billing / Collections Specialist Resume Sample
Rupert Beier
67014 Berta Parkway,
Los Angeles,
CA
+1 (555) 458 8520
Work Experience
Billing & Collections Specialist
03/2016
-
PRESENT
Philadelphia, PA
- Manage monthly invoicing of backup customers
- Dispute resolution, billing adjustments and interaction with the sales team to resolve issues
- Analyze and maintain various data reports for accuracy before upload of invoices are generated
- Responsible for notifying customers of delinquent accounts, email/fax/mail copies of invoices and sending statements to customers
- Proactive individual who anticipates problems and works to resolve problems before they happen while having a preventative approach to future issues
- Maintain Aging Report with update status report and notifying Account Management of critical accounts
- Researching specific billing issue
Billing / Collections Specialist
10/2010
-
11/2015
San Francisco, CA
- Collection of outstanding invoices - which include follow up calls with delinquent clients recognizing with escalations and support hold is necessary
- Maintain and update client list of contacts for collections
- Assisting in getting invoices completed in a timely manner
- Medical billing and claims reimbursement experience
- Knowledge of Medicare, Medicaid, ACCCS, Managed Care, Private Insurance, and Auto Insurance process and requirements
- Knowledge of Medicare, Medicaid, AHCCCS, Managed Care, Private Insurance, and Auto Insurance process and requirements
- Evaluates patient’s financial status and establishes budget payment plans
Senior Bilingual Billing & Collections Specialist
01/2007
-
05/2010
New York, NY
- Secure necessary information for carriers and credit card companies to accept loss
- Notify all responsible party(s) of loss and send notices of loss with supported documentation
- Discern accounts with cash flow issues in order to minimize revenue exposure
- Place proper focus on case documentation
- Ensure accounts are called as scheduled and quotas maintained
- Maximize communication efforts to ensure customer satisfaction
- Practice research techniques to ensure timely case resolution
- Maintain accurate and complete documentation of all billing activity
Education
Franciscan University of Steubenville
2002 - 2006
Bachelor's Degree in Accounting
Professional Skills
- Excellent organizational skills detail oriented, strong analytical skills and ability to prioritize, multi-task and meet deadlines
- Demonstrated analytical, problem-solving and organizational skills
- Excellent attention to detail, time management, and organizational skills
- High level of interpersonal skills, including the ability to respond calmly and make rational decisions in stressful situations
- Demonstrated ability to deal effectively with all employees and external business contacts while conveying a positive, service-oriented attitude
- Good verbal communication skills, and basic typing ability
- One year prior experience in medical billing and collections
How to write Billing / Collections Specialist Resume
Billing / Collections Specialist role is responsible for basic, organizational, government, research, training, collection, typing, reporting, retail, finance.
To write great resume for billing / collections specialist job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Billing / Collections Specialist Resume
The section contact information is important in your billing / collections specialist 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
- Telephone number
Work Experience in Your Billing / Collections Specialist Resume
The section work experience is an essential part of your billing / collections specialist 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 specialist 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 specialist position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Billing / Collections Specialist resume experience can include:
- Has developed knowledge and skills through formal training or considerable experience
- Good thorough knowledge of standard contract terms including time and materials, hourly based billing, fixed-fee invoicing, etc
- Experience working and understanding billings and collections
- Experience in commercial collections or commercial invoicing role
- Analyze and prioritize work list based on departmental inflows and to minimize pre-billing write offs
- Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully and develops alternative solutions
Education on a Billing / Collections Specialist Resume
Make sure to make education a priority on your billing / collections specialist 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 specialist 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 Specialist Resume
When listing skills on your billing / collections specialist 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 specialist skills:
- Excellent organizational skills, detail oriented, strong analytical skills and ability to prioritize, multi-task and meet deadlines
- Demonstrated ability to work effectively in a team environment, as well as, independently
- Excellent negotiation, communication, research, and customer service skills
- One year prior experience in medical billing and collections required
- Previous experience in a skilled nursing facility (SNF) with knowledge of SNF Medicare
- History of successful third-party collection skills and decision-making capabilities
List of Typical Experience For a Billing / Collections Specialist Resume
1
Experience For Billing & Collections Specialist Resume
- Determine proper payment allocation as required or requested by A/R processing personnel
- Resolve short payment discrepancies that customers claim when making payment
- Appeal or rebill all underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
- Review, document, and resolve all incoming correspondence
- Under general supervision, coordinates all billing and prepares the same for submission to facilities
- Review of invoices for appropriate quantities, coding, charges, and rates as well as compliance to contractual obligations
2
Experience For Contract Billing & Collections Specialist Resume
- Management of accounts receivable outstanding to facility accounts
- Follow established procedures for processing sales & service orders
- Prepares clean claim for billing
- Review and analyze payer specific requirements and coverage criteria to determine required documentation and Customer accurate billing criteria
- Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria
- Provide billing support to the business office as necessary
3
Experience For Behavioral Health Medical Billing & Collections Specialist Resume
- Work with appropriate third party agencies, including collection agencies, legal counsel, etc., to resolve difficult collections matters
- Understand and comply with all governmental, regulatory and company billing and compliance regulations/policies all assigned payers
- Follow-up with payers, patients and other appropriate parties to collect open billings in a timely manner and to ensure compliance with billing regulations
- Identify and report to management payer issues with regards to billing and collections
- Follow up on and complete tasks on pending accounts until accounts are rectified
- Management of Accounts Receivable outstanding to payers
4
Experience For Senior Bilingual Billing & Collections Specialist Resume
- Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc
- Manages difficult or emotional customer situations and responds promptly to customers needs
- Speaks clearly and persuasively in positive or negative situations; listens and gets clarifications; responds well to questions
- History of successful third-party collection skills and decision-making capabilities Ability to communicate with patients, payors, government offices, etc. through face to face, telephone and written correspondence
- Update accounts receivable database with new accounts or missed payments
- Provide solutions to any relative problems of clients
- Creates invoices for billable items
- Processes month-end reconciliations and journal entries
5
Experience For Billing Collections Specialist Resume
- Assists with customer account research as well as with collections at the direction of the Staff Accountant
- Review, adjust, reconcile and send monthly invoices to assigned commercial account customers
- Contact customers, by telephone and email, to determine reasons for overdue payments and secure payment of outstanding invoices. Communicate with districts and escalate collection issues as appropriate to resolve
- Complete adjustment forms and follow up with Districts to ensure adjustments are completed timely and accurately
- Based on established policy and on a timely basis, investigate and resolve on-account payments received and other credits/debits that have not been assigned to an invoice
- Resolve and clear credit balance invoices before such invoices age 60 days
6
Experience For Medical Billing Collections Specialist Resume
- Prepare monthly collection reports to be submitted to Management
- Report all payor issues and/or denial trends to Lead/Supervisor
- Follow up with facilities to collect open billings in a timely manner
- Monitor customer account details for non-payment, delayed payments and other irregularities
- Call customers who are delinquent and discuss their payment options
- Post payments to accounts
- Detailed oriented: attention to accuracy
7
Experience For Billing / Collections Specialist Resume
- Establish and maintain communication with BOM’s and RDBOS
- Embrace Consulate Health Care’s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them into one’s daily job function
- Make outbound collections calls daily
- Record information about customer communication and status of collection efforts
- Resolve questions or complaints
- Research past due accounts
- Confer with customers by telephone to determine reasons for overdue payments
- Quality check of initial order release to ensure third party payer and coverage criteria is met
8
Experience For Billing & Collections Specialist Resume
- Verify third party payer benefits and eligibility for subsequent rental cycles (online or telephonically)
- Call customer or field personnel to obtain missing documentation required for billing. Could include home health agencies, patients, hospital/facilities, physicians
- Build support and maintain patient, physician, and third party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization
- Acts as a resource for Sales and other cross functional departments to provide billing status and any other information
- Provides a high level of customer service in a competitive market
- Conforms to, supports and enforces all Company policies and procedures
- Assist in development, revision, and implementation of policies and procedures for accounts receivable (including the admissions process) in the skilled nursing facilities, with the goal of promoting consistency in operations
9
Experience For Contract Billing & Collections Specialist Resume
- Assist with the Medical Assistance process
- Maintain Resident Trust Fund to ensure timely payment of resident's AR accounts and payment of bills
- Participate in regular accounts receivable meetings with skilled nursing facilities to assist in defining collection strategies as they relate to particular accounts
- Perform collections work on assigned patient accounts to increase cash flow and minimize patient accounts receivable
- Prepare and distribute regular reports which measure performance in relation to the goals established for third party collections
- Work with the Director, Patient Accounts Receivable to develop, implement, and maintain a standard accounts receivable month end close schedule
- Address denial and non-payments to correct and identify how to correct the billings
- Provide additional support to the Biller and/ or Coordinator
10
Experience For Behavioral Health Medical Billing & Collections Specialist Resume
- Initiate contacts and negotiate appropriate resolution (internal and external)
- Receive and resolve inquiries and correspondence from third parties and patients
- Multi-task with short timelines
- Create work orders in accordance with AAR regulations for cars within Express Yard in preparation for billing. Generate customer billing through Express Yard in an accurate and timely manner and produce manual billing for specific customers, as necessary
- Research all rejection notices in preparation for the Regulatory/Billing Coordinator’s review and complete all documentation needed in processing a counter billing authority in response to an exception letter
- Handle credit requests from new customers, monitor accounts receivable, initiate collection procedures for past due accounts, follow up on customer deductions, coordinate the issuance of credits as required, and keep managers up to date of customer credit issues
- Ensure billing completeness by comparing monthly track check data to the Express Yard system for each location
- Ensure on a daily basis that the accounts receivable ledger reconciles with current billing generated from the Express Yard system
- Monitor/maintain accurate inventory records for the Railcar Repair Division, which includes receipts and inventory adjustments. Ensure the reasonableness of average cost on inventory
List of Typical Skills For a Billing / Collections Specialist Resume
1
Skills For Billing & Collections Specialist Resume
- Experience in general accounting
- Multi-task and prioritize while speaking with customer
- Experience with Microsoft Office applications including Word, , Excel and email
- Experience with Microsoft Office applications including: Word, Excel, Outlook
- Demonstrated ability to interact with all employees and external business contacts while conveying a positive, service-oriented attitude
- Relevant accounting experience required
- Two years’ experience within healthcare, medical billing, customer service, or relevant field
- Medical collections/billing and claims reimbursement experience
2
Skills For Contract Billing & Collections Specialist Resume
- Medical billing and claims reimbursement experience
- Two (2) years experience in hospital Medicaid/CMO billing or collections
- Demonstrated knowledge of hospital electronic billing systems
- Experience in a billings and collections specific role
- Respond appropriately to changes in priorities as deemed necessary
- Experience in an accounts receivable role
- Previous supervisory experience
- Demonstrated ability to work in a team environment, as well as, independently
- Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment
3
Skills For Behavioral Health Medical Billing & Collections Specialist Resume
- Two or more years of related healthcare experience
- Personal computer experience with a high-level Word and Excel competency, MS Office applications
- Demonstrated ability to maintain complete confidentiality and discretion in business relationships and exercise sound business judgment
- Verify validity of account discrepancies by obtaining and investigating information from internal departments and external merchants
- Delivers excellent customer service to internal and external customers
- Prior hospital business office collections
- Experience with Oracle Financial, Great Plaines and NetSuite software is desired
4
Skills For Senior Bilingual Billing & Collections Specialist Resume
- Or 3-5 years experience as a retail pharmacy technician
- Or 3-5 years experience in pharmacy accounts receivable environment
- Help to facilitate strong two-way communications between facility staff and the business office to promote efficient work flow
- Prioritize, organize work, and complete assignments in a timely matter
- Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carries or payers
- Sending invoices and other correspondence to facilities
- Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carrier
- Conducting a full review of every active account based on the appropriate time frame required
5
Skills For Billing Collections Specialist Resume
- Provides general clerical and accounting assistance to the department by making photocopies and filing / running reports
- Summarize receivables by maintaining invoice accounts, verifying totals, and preparing related reports
- Knowledge of accounting ledgers and bookkeeping practices
- Resolve collections issues by examining payment plans, payment history, and coordinating contact with internal merchant and sales teams
- Act as mediator in maintaining quality customer service and a positive company image by resolving customer account inquiries
- Pinpoint delinquent customer accounts through various means, including skip-tracing, phone contact, written correspondence, and make arrangements for payment
- Administer all billing and reporting activities in response to deadlines
6
Skills For Medical Billing Collections Specialist Resume
- Spreadsheet billing, reporting and customer service for major accounts
- Responsible for knowing payor billing and collection guidelines, fee schedules, etc.
- Responsible for working knowledge of computer applications as pertains to billing functions of the organization
- Identify and report to management issues regarding facility billing and collection
- Review and log correspondence regarding unpaid invoice for facility billing and collection
- Responsible for notifying customers of delinquent accounts, email/mail copies of invoices and sending statements to customers
7
Skills For Billing / Collections Specialist Resume
- Maintain Aging Report with update status report to management and notifying Account Management of critical accounts
- Investigate and resolve customer inquiries and invoice issues, including partnering with the account management team to provide customer request
- Various administrative functions for assigned accounts including making changes to customer files
- Make recommendations regarding bad debt write-offs, ensuring bad debts are supported with appropriate documentation
- Meet the month end closing deadlines by ensuring that all data entry is correctly inputted into the system.
- Responsible for all Third Party Billing monthly including but not limited to Medicare, Medicaid, Blue Cross and UPMC
- Review and log correspondence regarding pending/denied payer claims
- Process, maintain records, and adjust accounts that need corrections such as performing write offs, adjustments, and transferring of accounts receivable
8
Skills For Billing & Collections Specialist Resume
- Responsible for knowing payor billing and collection guidelines, fee schedules, etc
- Meet the month end closing deadlines by ensuring that all data entry is correctly inputted into the system
- Apply proper status codes on corresponding charges lines for pending actions or document deficiencies for correct unbilled allocation or department process
- B code any documents audited and used for supporting billing of claim with appropriate cycle
- Familiar with QuickBooks and/or other Accounting System such as ERP
- Contacts internal and external customers and vendors as required to gather inquiry details and provide resolution, and ensuring customer satisfaction
- Works with the administrative group to educate them on the proper procedures and verifies that the controls and procedures are being followed
- Partners with various departments to resolve and correct payment and billing issues
- Communicates operational instructions to the processing workgroup
9
Skills For Contract Billing & Collections Specialist Resume
- Provides support to internal and external customers to address billing issues and provide requested reports
- Awareness of or ability to develop best practices in invoice and collections processing
- Multi-task and adapt in a fast paced and changing environment
- Satisfactory completion of all training programs
- Work independently and be resourceful in obtaining information when it is not readily available
10
Skills For Behavioral Health Medical Billing & Collections Specialist Resume
- Knowledge of assigned payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
- Abide by all rules and regulations established by the Federal Fair Credit Reporting Act
- Guarantee the processing of payments
- Include Customer Relations when addressing sensitive account issues
- Include Hertz Sales when addressing sensitive account issues
List of Typical Responsibilities For a Billing / Collections Specialist Resume
1
Responsibilities For Billing & Collections Specialist Resume
- Perform month-end closing of the Railcar Repair facilities: shop billing, car tracking, inventory purchases, and inventory adjustments, as assigned
- Verify that all charges in billing system are posted with correct dates of service, modifiers and adjustments
- Notifies CBO Director of negative trends pertaining to payers
- Completes scanning of admission packages within 48hrs
- Display a spirit of cooperation with co-workers and willingness to communicate and accept direction
2
Responsibilities For Contract Billing & Collections Specialist Resume
- Contributes to continuous improvement through problem resolution
- Strong interpersonal, communication and collection skills required Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc.), the applicable reimbursement practices and familiar with automated patient billing systems
- Manage documents in MDC Recert and MDC BillPending workbaskets in a timely manner and update VAC Recert accordingly
- Return orders to appropriate business department/CSR for corrections which cannot be resolved with information provided
- Verify that VAC Recert Tracking program is properly updated with correct start bill and cycles dates as well as cycle and processing statues including Wound Tracking
- Perform quality assurance check of documentation that has been submitted based on department guidelines
3
Responsibilities For Behavioral Health Medical Billing & Collections Specialist Resume
- Review all incoming claims-related paperwork for completeness; note acceptance or exceptions and follow up on missing information to ensure claims are processed in a timely manner
- Verify that all necessary information loaded into Delair billing system is correct
- Ensure all payer and internal requirements are met for each order and ensures proper documentation is kept
- Maintain C&C database entries for actions required in a timely manner
- Document and notify appropriate personnel to assist with the recertification procedure
- Maintain courteous and timely communication with all customers at all times
- Trouble shoot and problem solve any issues that arise and apprise management of any issues
- Follow-up with all corrections required in an accurate and timely manner
4
Responsibilities For Senior Bilingual Billing & Collections Specialist Resume
- Adhere to departmental standards, expectations and Service Level Agreements
- Verifies Medicare benefits via the CWF and identifies potential financial issues timely. Informs Assessment Department and CBO Director of financial issues immediately upon identifying matter
- Initiates phone calls to insurance companies to determine extent of coverage, certification requirements and other policy limitations, deductible and co-insurance
- Reviews all insurance information loaded by the Assessment and Referral Department for accuracy and completeness. Identify and rectify problems
- Completes review of Admission packets in a timely manner
5
Responsibilities For Billing Collections Specialist Resume
- Assists clients with re-activation of Delaware Medicaid benefits when applicable
- Notifies patients/guarantor of any financial responsibility via phone/letter and provides facility UP Front collections expectations
- Medical, Dental, & Vision Insurance Package
- Disability & Paid Life Insurance Package
- Familiarity with payer rules and regulations
- Proficient in MS Office Applications (Excel, Word, Outlook)
6
Responsibilities For Medical Billing Collections Specialist Resume
- Excellent verbal and written communication skills that allow for effective communication with executive management and across a multicultural, multinational office environment
- Proficiency with Microsoft Office (Excel, Word, Outlook) and intranet/internet
- Communicate clearly and work in a team environment
- Control inbound and outbound collections calls and correspondence
- Catalog all customer payments to the correct reports
- Process bankruptcy filings correctly when received
- Oversee and update customer files to ensure data accuracy
7
Responsibilities For Billing / Collections Specialist Resume
- Maintains patient confidentiality per HIPAA guidelines
- 1) Ability to work independently
- Post merchant payments and reconcile cash associated with check, ACH, and PayPal payments
- Manage accounts receivable follow up process for aged accounts, whether it’s via systematic email notifications, direct email follow-ups, or direct phone calls
- Analyze accounts receivable trends and summarize on weekly basis with proposed next steps
8
Responsibilities For Billing & Collections Specialist Resume
- Work with others in a fast paced environment under critical deadlines
- Participates in the implementation of new or improved processes to ensure proper usage and adherence
- Oversees the daily workflow and make adjustments as necessary
- Experience performing various business tasks, including data entry, creating invoices, creating spreadsheets, communicating invoice issues to management and resolving customer invoicing problems
- PPO EXPERIENCE REQUIRED
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