Rep-billing Resume Sample

4.9
13 votes
Candido Dach
61387 Lilliana Ridges,  Detroit, MI
+1 (555) 715 4205

Work Experience


Patient Billing Resolu Rep-pfs
08/2015 - PRESENT
Los Angeles, CA
  • Reconcile complex patient accounts and resolve payment issues
  • Responds to patient and 3rd party payer inquiries (telephone, fax, mail and web-based patient portal), complaints or issues regarding patient billing and collections, either responding directly or referring the problem to an appropriate resource for resolution. Customer Service
  • Communicates with physicians and their office staff, Patient Access, Medical Records/Health Information Management, Utilization Review/Case Management, Managed Care, Ancillary and Nursing staff, as required to clarify billing discrepancies, and obtain demographic, clinical, financial and insurance information
  • Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior
  • Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-9/10, CPT, HCPCS), and basic computer skills are highly desirable
  • Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills are required
  • Develop understanding of Reliant customer data and invoicing processes in order to operate and make decisions accordingly
  • Reconciliation of invoice charge amounts to financial entries posted into the account’s financial records (in SAP)
Billing & Follow Up Rep
02/2011 - 02/2015
Philadelphia, PA
  • Answer calls in a proficient and professional manner
  • Notate the conversation on the patient's invoice in a practical and concise manner
  • Update the insurance information and demographic fields on the invoice accurately
  • Process credit card payments and offer discounts to qualifying patients
  • Follow all Billing Operation procedures policies
  • Employ basic analytical skills in correcting customer issues resulting from failed transactions in SAP, billing or invoicing errors and exceptions
  • Collaborate with other internal groups to meet customer requests and/ or provide resolution to issues
  • Provide timely and responsive resolution to other teams and departments for escalated customer issues, escalating to lead or supervisor
URO PFS Semi Billing & Follow Up Rep
03/2004 - 01/2011
Detroit, MI
  • Counsels patient/guarantor on patient’s financial liability, third party payer requirements and outside financial resources, including private organizations and foundations, eligibility vendor(s), Medicaid, Medicare, Champus, and/or federal disability programs, etc.
  • Investigates No Fault and Workers’ Compensation cases, retrieving police report and insurance information, as required
  • Reconciles charge transactions according to departmental policy
  • Health care experience of up to 3 years
  • Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self payers
  • Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices
  • Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement

Education


Colorado State University - Global Campus
2000 - 2004
School's Degree in Accounting

Professional Skills


  • Working experience in customer service or business office role (other healthcare related experience considered in lieu of Business Office)
  • Experience knowledge/background working with agencies/vendors, billing and claims processes required
  • Two (2) – Three (3) years experience in a hospital business office, physician’s office, or insurance billing environment
  • Or more years’ experience in hospital billing and/or physician healthcare claims within a medium to large health care system
  • Working experience in customer service or business office role required
  • Knowledge of medical terminology and ICD9/CPT4 coding
  • Can verity adequacy of demographic information

How to write Rep-billing Resume

Rep-billing role is responsible for insurance, basic, customer, medical, security, credit, training, compensation, accounting, coding.
To write great resume for rep-billing job, your resume must include:

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

Contact Information For Rep-billing Resume

The section contact information is important in your rep-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 Rep-billing Resume

The section work experience is an essential part of your rep-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 rep-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 rep-billing position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Rep-billing resume experience can include:

  • Position operates in an office environment. Work area is well-lit, temperature controlled and free from hazards. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate

Education on a Rep-billing Resume

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

When listing skills on your rep-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 rep-billing skills:

  • 6 months working experience in customer service or business office role. Thorough knowledge/background working with agencies/vendors, working knowledge of billing and claims processes
  • Math and analytical skills necessary to respond to and resolve billing issues
  • Stay on task and multitask
  • Working experience in customer service or business office role (other healthcare related experience considered in lieu of Business Office). Thorough knowledge/background working with agencies/vendors. Working knowledge of billing and claims processes
  • Fast paced, high call volumes

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