Hospital Billing Resume Sample

22 votes
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Loy Eichmann
6106 Karlie Neck,  Detroit,  MI
+1 (555) 636 7491

Work Experience

Senior Hospital Billing Revenue Cycle Applications Analyst
07/2017 - PRESENT
San Francisco, CA
  • Analyze and document client's business requirements and processes; communicate requirements to
  • Experience in Medical/Hospital Insurance related collections
  • If supporting an Epic application the ability to obtain appropriate EPIC Certification with six months of hire required
  • Proficient in Microsoft Office applications required, specifically Outlook, Excel, and Power Point required
  • Translate an understanding of computer system capabilities to address user process requirements required
  • Investigate end users’ preference while making build decisions
  • Epic certification in Hospital Billing (HB) - REQUIRED
Supervisor Hospital Billing
02/2012 - 06/2017
San Francisco, CA
  • Epic certification in Hospital Billing Claims - REQUIRED
  • Solid understanding of revenue cycle management, Hospital Billing environment & operations and experience with Hospital billing & claims operations
  • Experience with Hospital billing applications and billing system implementations
  • Conducts analysis of business and users’ needs to provide appropriate systems solutions
  • Collaborate with Peer team members to problem solve more complex system issues
  • Manages small and medium projects
  • Review HSG service contracts for data elements that impacts HSG billing systems
Hospital Billing
11/2004 - 10/2011
San Francisco, CA
  • Responsible for the timely submission of clean 837I and/or UB claims of modality specific origin. (i.e, Transplant, Special Client, Maternity, Behavioral Health, etc)
  • Performs monthly reviews and tracks results of all 277CA payer acceptance reports
  • Interacts by telephone and/or mail with payers relative to claims processing, acceptance, and or rejection issues when necessary
  • Resubmits claims by utilizing a variety of EDI technologies and relevant billing systems to reduce aged rejections
  • Reviews, validates, and updates coverage changes on hospital accounts within assigned modality specific WQ?s to avoid denials (i.e. COB, invalid payer, etc)
  • Maintains detailed documentation of individual account activity such as correspondence, phone conversations, and the like
  • Resolves payer/plan claim edits in assigned modality specific WQ?s generated from within Epic and the external Clearinghouse Vendor
  • Establishes relationships and maintains open communication with third party payer representatives in order to resolve claims issues
  • Identifies internal and/or external billing issues and works with Billing Analyst, Supervisor, and/or Manager for resolution


Marymount California University
1999 - 2004
Bachelor's Degree in Computer Science

Professional Skills

  • Some project management skills (ability to lead meetings, prioritize, resolve conflict, maintain issues list, and manage a project plan)
  • Successful experience in providing application support, including recent experience in training, configuring, or implementing a billing system
  • High functioning team skills, including active listening, rapport building, effective written and verbal communication
  • Experience building, implementing and supporting applications
  • Experience building, implementing and supporting applications
  • Experience working with Security from a Hospital Billing standpoint
  • Experience working with Charge Router, Claims, or Contracts

How to write Hospital Billing Resume

Hospital Billing role is responsible for software, training, integration, modeling, insurance, excel, word, medicare, microsoft, health.
To write great resume for hospital billing job, your resume must include:

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

Contact Information For Hospital Billing Resume

The section contact information is important in your hospital billing 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 Hospital Billing Resume

The section work experience is an essential part of your hospital billing 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 hospital billing responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular hospital billing position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Hospital Billing resume experience can include:

  • 11) Works in conjunction with Billing Analyst, Supervisor, and/or Manager to request best practices and workflow enhancements based upon payer billing requirement changes
  • 12) Accessing payer websites for eligibility claim status, possible online corrections, and viewing both the most current EDI and paper billing regulations for all modality specific requirements
  • Hands-on knowledge of Medicare and Medicaid billing regulations and experience with UB-04 and HCFA 1500 claim forms billing and follow up functions both electronic and manual
  • Business knowledge and results oriented experience within Patient Financial Services
  • Hands-on knowledge of CPT, ICD-9 coding, HCPCS, revenue codes and terminology for hospital billing
  • EpicResolute HospitalBilling Certification

Education on a Hospital Billing Resume

Make sure to make education a priority on your hospital billing resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your hospital billing 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 Hospital Billing Resume

When listing skills on your hospital billing 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 hospital billing skills:

  • Experience with Contract Build (new, revisions), Contract Modeling feature
  • Experience with medical insurance processing
  • 2+ years of Hospital Billing Experience
  • Experience within a large academic teaching facility is desirable
  • 1~2 years previous Call Center experience with heavy patient contact
  • Coordinate user groups and project teams, convening conference calls and meetings and maintaining

List of Typical Skills For a Hospital Billing Resume


Skills For Senior Hospital Billing Revenue Cycle Applications Analyst Resume

  • Knowledge of General Ledger mapping
  • Use in-depth information and analysis to provide management with advice and counsel on a variety of business issues. Issues are often highly technical and complex in nature
  • Resolute Hospital Billing Administration, Claims Administration certification required
  • Define user requirements for complex systems
  • Perform highly complex qualitative and/or quantitative analyses
  • Lead project teams as needed. Identify and create standards and processes to support the application portfolio management

Skills For Supervisor Hospital Billing Resume

  • Work with Integration Team to develop processes and procedures designed to improve and maximize support and interaction between analysts and Integration Team
  • Medical collections
  • Previous experience leading a team; some project management skills (ability to lead meetings, prioritize, resolve conflict, maintain issues list, and manage a project plan)
  • Direct Epic build on current software version 8 years progressive experience in Information Services or combination of Information Services and direct Health Care experience Project resource and budget management
  • Review Application Analysts’ resolutions and solutions for accuracy and completeness
  • Hands-on knowledge of CCI, OCE edits
  • Demonstrated knowledge and experience with the Microsoft Suite skill set to include Excel and Word Working knowledge of Medicare Secondary payer as well as medical necessity requirements

Skills For Epic-resolute Hospital Billing Resume

  • Demonstrated service and success in teamwork and consistent high productivity and quality
  • Charge Router (Required)
  • Resolute HB (Required)

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