Medical Biller Resume Sample

5.0
12 votes
Samson Hoeger
97975 Torp Drive,  Los Angeles, CA
+1 (555) 315 2574

Work Experience


Medical Biller / Accounting Specialist
06/2015 - PRESENT
Dallas, TX
  • Managing a high volume of claims and meeting productivity levels
  • Perform medical billing (paper and electronic)
  • Identifying the responsibility party for payment
  • Collecting and recording required insurance information
  • Processing EOB’s and denials
  • Communicating with the patient/guarantor on payment status
  • Pursuing third-party payers for complete payment, etc
  • Utilizing Word, Excel, and Outlook as appropriate to aid in the completion of daily tasks
Medical Biller
12/2010 - 02/2015
New York, NY
  • Communicate effectively written and verbally
  • Prepare and Bill physicians’ hospital billing
  • Take patient calls while upholding patient satisfaction guidelines and standards
  • Utilize automated AR software application (Avatar) to process financial eligibility, authorization, billing, and denial follow-up transactions
  • Utilize document management software (Biscom) to support billing activities and to process transactions daily
  • Maintain collections notes in Denial Workflow application
  • Perform data entry tasks for all Authorizations and Delete service requests in a timely manner
Junior Medical Biller
04/2007 - 07/2010
Chicago, IL
  • Follows HIPAA regulations to ensure patient’s privacy
  • Confirm/Review physician, lab and chemo schedules weekly to make sure we have referrals and authorizations on patient’s that need it
  • Talk with patients’ who have billing questions
  • Complete understanding of the medical billing revenue cycle
  • Good understanding of PPO, Medicare and Medi-Cal insurance companies
  • Maintain professional communication with payors and patients
  • Perform or request adjustments and write offs as applicable
  • Abide by HIPAA regulations
  • Critical thinking regarding every aspect of claim submission

Education


Kaplan University - Cedar Rapids Campus
2002 - 2007
School's Degree in Business

Professional Skills


  • Very good computer key board skills (mostly in our Suncoast Solutions application) and writing skills (mostly email and faxes)
  • Excellent organizational and project planning skills with the ability to work on several priorities simultaneously
  • Demonstrates the ability to organize workload and set priorities. Demonstrates effective planning by completing work on time irrespective of heavy workloads
  • Medical Billing Certifications/Skills and Experience
  • Strong interpersonal skills to work with payers and peers
  • This job requires excellent customer service skills and the ability to handle complex phone calls in regards to patient accounts and insurance inquiries
  • Strong organization, communication and written skills

How to write Medical Biller Resume

Medical Biller role is responsible for customer, insurance, organizational, interpersonal, research, health, word, grammar, microsoft, computer.
To write great resume for medical biller job, your resume must include:

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

Contact Information For Medical Biller Resume

The section contact information is important in your medical biller 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 Medical Biller Resume

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

  • Strong communication and organizational skills; ability to multi‐task in a
  • Billing experience required. One year of medical billing experience required OR three months of on the job training and orientation required
  • Prior insurance billing and collection experience
  • At least 4-6 months prior experience in a medical billing role required
  • Creative problem-solving abilities and negotiation skills
  • Prior aging report experience

Education on a Medical Biller Resume

Make sure to make education a priority on your medical biller resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your medical biller 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 Medical Biller Resume

When listing skills on your medical biller 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 medical biller skills:

  • Responsible for maintaining and cultivating excellent skills in patient relations
  • Good listening skills and patience is necessary
  • Very good customer phone skills
  • Good analytical, organizational, interpersonal, verbal, and written communication skills
  • Over 3 years of customer service experience with exceptional verbal and written communication skills
  • Prior experience with Medicaid or Medical Billing

List of Typical Experience For a Medical Biller Resume

1

Experience For Experienced Medical Biller Resume

  • Excellent attention to detail, with an ability to prioritize, multi-task and meet deadlines in a fast paced environment
  • Demonstrates and understands the importance of maintaining accurate records for the integrity of the billing/reimbursement cycle
  • Demonstrates in depth knowledge of insurance authorizations with relation to medical billing
  • Strong knowledge of National Uniformed Billing Code
  • Applicable billing experience
  • Previous medical billing experience required
  • Experience with a hospital or medical office setting
  • Experience in No Fault, Workers Compensation and commercial billing
2

Experience For Medical Biller / Accounting Specialist Resume

  • Medical billing and/or collections experience, Not afraid to meet with the patient and ask for money, confident and a quick learner
  • Experience in medical billing/claims
  • Extensive office coding experience
  • Medicare billing experience - required
  • Demonstrate understanding of business partners' operations in order to identify appropriate resources for support and information
  • Demonstrates knowledge of CPT-4, ICD-10, usage of modifiers, and HCPCs coding according to all federal and state regulatory guidelines
  • Demonstrates a thorough knowledge and understanding of benefits and/or coverage as indicated by third party payer requirements
3

Experience For Medical Biller / Collector Resume

  • Cultural sensitivity and demonstrated ability to work with diverse people groups
  • Experience with HMO, PPO or medicare/medical, ICD-9 or ICD-10
  • Experience as an Administrative Assistant
  • Collections / follow-up experience
  • Experience in insurance collections, including submitting and following up on claims
  • 10 - Management and Supervision (Skill Mix-United States of America)
  • Skill in data entry with minimal errors
  • Excellent attention to detail and the ability to troubleshoot/problem solve
4

Experience For Physician Medical Biller Resume

  • Previous Denials experience
  • Preparing, reviewing and transmitting claims using billing software including electronic and paper claim processing
  • Gathering charge information, coding, entering into database, completes billing process and distributing billing information
  • Gathering and verifying current demographic information by speaking with the parents or hospital
  • Investigating and answering billing inquiries from insurance companies
  • Printing and mailing / emailing statements
  • Preparing billing and registration worksheet
5

Experience For Temporary Medical Biller Resume

  • Assigning ICD-10 Codes for billing
  • Verifying patient insurance and working directly with insurance companies
  • Reviewing and appealing denied and unpaid claims
  • Preparing weekly aging and A/R reports
  • Submitting and retrieving eligibility requests through TDH Connect
  • Coding treatment information using Common Procedure Terminology (CPT) codes
6

Experience For Medical Biller Oncology Brownstown, MI Resume

  • Communicating with medical billing specialists to ensure treatment codes are accurately received
  • Receiving patient treatment codes to use in assembling reimbursement claims
  • Tracking and managing accounts
  • Submitting medical documentation/billing data to insurance providers
  • Researching and appealing denied and rejected claims
  • Following up on unpaid claims within standard billing cycle timeframe
  • Calling insurance companies regarding any discrepancy in payment if necessary
  • Processing Billing information
7

Experience For Accounts Receivable / Medical Biller Resume

  • Handling patient billing
  • Posting and collecting payments
  • Working the bad debt report - turning them over to collection when appropriate
  • Handling Claims and processing information
  • Working knowledge of 837 billing and 835 payer process
  • Acting as a liaison between the company and their vendors’ to resolve discrepancies and verify coding
8

Experience For Medical Biller / R Follow Resume

  • Minimizing outstanding amounts owed to the company
  • Reviewing daily billing edit reports for electronic claims
  • Contacting insurance companies to verify insurance data on accounts
  • Coding information for procedures performed and diagnosis on charge
  • Handling charge entry for multiple offices and/or specialties
  • Transmitting coded patient treatment information to payers and other recipients
9

Experience For Medical Biller, Oncology Resume

  • Coordinating insurance reimbursement of care providers
  • Reviewing patient medical records
  • Coordinating reimbursement activities with payers
  • Billing patients for medical services
  • Working with insurance follow-up, denials and review of payments
  • Working daily with CPT and ICD 9 or 10 codes
  • Understanding of Medical language
  • Understanding of Charge Entry
10

Experience For Senior Medical Biller Resume

  • Lifting Requirements 0 - 25 lbs
  • Working knowledge of Microsoft Suite—Word, Excel, etc
  • Working knowledge of Electronic Medical Records (Cerner & Eagle)
  • Working knowledge of patient information data entry, IDX, AHS/Eagle, ChartMaxx, etc
  • Sending patient statements
  • Working directly with the Medicaid agency to get the claim processed and paid
  • Understanding of CHPCS, CPT and ICD-9/10 codes
  • Handling 45 CMS 1500 accounts/day
  • Following up on denials

List of Typical Skills For a Medical Biller Resume

1

Skills For Experienced Medical Biller Resume

  • Effectively follow up on unpaid accounts, including patient portion
  • Interpersonal skills to work with payers and peers
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • 1+ years of experience of accounts receivable or medical billing experience
  • Skills in computer programs, spreadsheets and applications
2

Skills For Medical Biller / Accounting Specialist Resume

  • Possess quick and accurate Alpha/numeric data entry skills
  • Effectively manages accounts receivable and collections
  • Validating patients information and billing data
  • Hearing Care billing experience
  • Reviewing bills prior to submission
  • 1-2 medical billing experience using ICD-9, ICD-10 and CPT coding
  • Experience in coding of medical records using the International Classification of Disease and the Current Procedural Terminology coding systems required
  • Experience in Medical Billing within an Oncology setting
  • At least two years of experience posting and/or billing insurances in medical offices or hospitals
3

Skills For Medical Biller / Collector Resume

  • At least two years of medical collections experience that include: researching of accounts, reviewing of accounts and contractual, appeals and adjustments
  • Experience with CMS 1500 Billing Forms, EOBs, claims, coding and charges is required
  • Experience working in medical billing
  • In healthcare or nursing home biling experience
  • Demonstrate understanding of relevant terminology (e.g., financial; medical) required for claims/billing
  • Maintains a solid understanding of current medical billing rules, laws and regulations
  • The Insurance Representative is responsible for checking insurance benefits for patients and conducting prior-authorization
  • A very strong background in Accounting
4

Skills For Physician Medical Biller Resume

  • Previous working experience as a Biller
  • Previous Hospital Billing experience
  • Previous Medical Billing experience
  • Related Medical Billing experience
  • Experience with Medical Billing
  • Previous Medical Billing experience within a Healthcare facility
  • Long-Term Care / Skilled Nursing Facility
5

Skills For Temporary Medical Biller Resume

  • Previous experience with Surgery scheduling
  • Two years of experience in DDE Billing
  • Experience in Patient Accounts or Physician Billing at a Medical facility
  • 1 or more years of accounts receivable or medical billing experience
  • Billing experience
  • Previous experience with Coding, CPT Codes, and ICD-10
  • Experience making outbound calls to insurance companies to ensure payment
6

Skills For Medical Biller Oncology Brownstown, MI Resume

  • Check revenue codes for correctness. Forward any billing discrepancy to charge validation nurse for correction and/or clarification
  • Benefits verification; Predetermination of benefits; Obtaining prior authorizations
  • Prior to a patient receiving treatment
  • Experience working with all types of insurance: commercial, Medicare, Medi-Cal
  • Experience of ICD 9 & ICD 10 Codes, CPT, and HCPS coding Guidelines
  • Medical billing experience
  • Forward any billing discrepancy to charge validation nurse for correction and/or clarification
7

Skills For Accounts Receivable / Medical Biller Resume

  • Medical billing/insurance experience
  • Previous medical billing experience required
  • Proven record of accurate and timely data entry and processing
  • +6 years’ experience in dental or medical billing
  • Experience in accounting information systems
  • Medical Billing experience required
  • Experience managing multiple responsibilities with the ability to adapt to changes
8

Skills For Medical Biller / R Follow Resume

  • ICD-10 and CPT Coding experience
  • Demonstrate understanding of relevant systems, tools, and/or software applications (e.g., Prime; ACIS; PeopleSoft; Great Plains
  • Experience using eclinicalworks
  • Good understanding of Medical Insurance Terminology
  • Experience using Allscripts
  • Medical Billing experience
  • Medicaid billing experience required
9

Skills For Medical Biller, Oncology Resume

  • Experience processing claims and denials
  • Medical office billing experience, Microsoft Word, Excel and PowerPoint
  • Experience within a medical billing position
  • Experience with Medical Billing and Insurance Collections
  • Experience in medical billing
  • Demonstrates knowledge of HCFA 1500 billing criteria
  • Experience as a Medical Biller
  • Experience with ICD-9 and ICD-10
10

Skills For Senior Medical Biller Resume

  • Knowledge of or experience with EOBs
  • 2-5 years' experience in healthcare industry
  • Strong EMR (Cerner and Eagle) knowledge
  • Experience in related field or education
  • Experience in healthcare industry

List of Typical Responsibilities For a Medical Biller Resume

1

Responsibilities For Experienced Medical Biller Resume

  • Utilizing hospital insurance and follow up / collections experience to finalize insurance payments
  • Demonstrates competence with responsibilities related to improving organizational performance and coding/billing requirements
  • Medical biller experience required
  • Ophthalmology experience required
  • CMS-1500 and/or UB-04 experience
  • Experience with Patient and/or Insurance collections calls
2

Responsibilities For Medical Biller / Accounting Specialist Resume

  • Experience with one or more EMR systems (Eagle, Epic, Medisoft etc)
  • We strongly encourage bilingual candidates to apply
  • Experience with payers-Medicare, Medicaid, Commercial, WC
  • EPIC software experience is required
  • Experience as a medical biller
3

Responsibilities For Medical Biller / Collector Resume

  • Software experience with TruChart
  • EClinical works experience highly desired
  • ) accounts receivable experience
  • Strong ability to retain knowledge and learn quickly
  • Experience working with commercial insurances as well as secondary
  • Strong understanding of ICD-10 and CPT codes
  • Navinet experience required
4

Responsibilities For Physician Medical Biller Resume

  • At least one year of related experience within a medical office
  • Hospital insurance related account receivable management experience
  • Hospital insurance related follow-up or collection experience (commercial insurance, Medicaid, Medicare)
  • Relies on personal experience and feedback from upper management to plan and accomplish goals
  • Demonstrates a level of expertise in a variety of the field's concepts, practices, and procedures
  • Excellent Work Environment
  • Experience following up with both patients and insurance companies
5

Responsibilities For Temporary Medical Biller Resume

  • Experience in a customer-facing role is required
  • Billings and Claims experience
  • Workers' Compensation and No Fault experience
  • Experience with EOB's
  • Handling full-cycle billing, coordinating and communicating with vendors
6

Responsibilities For Medical Biller Oncology Brownstown, MI Resume

  • Sitting within a 3 person billing team
  • Working knowledge of the Insurance follow-up process with understanding of the fundamental concepts in Healthcare Reimbursement methodologies
  • Ensuring bills are submitted and are accurate within a timely basis
  • Answering calls from other facilities, patients, and field staff in regards to account inquiries
  • Understanding of Charge Entry is required
  • Reviewing status change reports (a/k/a Event reports and Alert reports) on our hospice patients and based on the type of change
  • Assisting patients with their inquiries when they telephone, write or stop by
  • Working the aged insurance reports
  • Working the electronic edit reports
7

Responsibilities For Accounts Receivable / Medical Biller Resume

  • Understanding of Government, Medicare and Medicaid Claims
  • Working knowledge of eClinical Works
  • Entering information into Meditech
  • Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities
  • Touching 150+ claims per day
  • Reviewing all claims for compliance and completeness for claim submissions
  • Ensuring claims are submitted timely
  • Working knowledge of Microsoft Word and Excel, and Web-enabled applications
  • Handling escalated patient and insurance questions/problems
8

Responsibilities For Medical Biller / R Follow Resume

  • Reviewing hospital (some physician) bills
  • Resolving self-pay balances
  • Lifting required up to twenty pounds
  • Generating revenue by applying commercial insurance and third party payer program coverage (i.e. Medicare and Medicaid) to patient accounts
  • Reviewing charges and insurance information and reconciling accounts for accuracy
  • Identifying underpayments, denials and re-bill attempts
9

Responsibilities For Medical Biller, Oncology Resume

  • Working knowledge of Medicare / Medicaid
  • Possess basic knowledge of medical terminology, health insurance billing, typing, word processing, spreadsheet formatting and computer billing systems
  • Provide support services to the Corporate Office by providing additional information needed on accounts, i.e. billing disputes, billing dept, coding dept, etc
  • Handle unresolved issues with accounts including but not limited to faxing/mailing/noting actions taken for account resolution
  • Research information needed to complete billing process including getting charge information from physicians
  • Assists with posting of cash, reconciling accounts, and making authorized adjustments as needed.
  • Also responsible for patient accounts receivable follow up, including contacting patients for outstanding balances
  • Obtain missing or correct data when necessary, after evaluating billing documents and other data for accuracy and completeness
10

Responsibilities For Senior Medical Biller Resume

  • Interact with other university departments including accounting, HR, and purchasing
  • Knowledge of billing, reviewing codes and following up on insurance
  • Knowledge of coding specifically ICD 10 and clinic operating policies
  • 1+ performing full cycle medical billing for multispecialty physician and hospital services
  • Knowledge medical terminology, current coding practices and guidelines involving ICD-9 and CPT-4 Codes
  • Act as a liaison between the CBO (Central Business Office) department, dental billers, and third party payers in resolving billing and reimbursement accuracy
  • Insurance billing utilizing Meditech and Microsoft Office
  • Contact patients regarding their accounts and is responsible for ensuring collection of past due balances
  • Assists contracting department with credentialing as assigned

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