Re-filed accounts with new insurance information. This job is crucial for the financial cycle of health care providers. The job duties typically seen on the Medical Biller Resume include – ensuring the accuracy of patient information, requesting for missing patient record, reviewing referrals and authorizations, following regulations and guidelines, transferring insurance … Responsible for following up on denials, rebilling claims, correcting CPT, and Diagnosis codes. Medical billing and coding specialist with over 9 years experience providing administrative support in a hospital setting. Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. Answered patient claims and billing inquiries. Updated accounts with correct insurance information and adjusting any necessary balances. Posted third-party insurance remittance vouchers. Summary : Highly regarded Insurance Biller with 15 + years experience in credit, collection, and receivables management. Wrote appeal letters for denial on a claim. Objective : As an Insurance Biller, responsible for submitting claims to the appropriate intermediaries and ensuring that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Verified accuracy and completeness of information on prescription and refill requests. Billed accounts to the proper insurance carriers for payment using the Smarter Computer System. Able to prepare and maintain the confidentiality of sensitive information. Efficiently answered multi-line phone and processed a high volume of order requests from nurses, doctors, and pharmacists. Writing a great Medical Billing Specialist resume is an important step in your job search journey. Compiled and submitted claims to insurance companies based on data provided by the medical coders with a goal of zero errors. Recommended refunds to be made due to patient or insurance overpayments & forwarded to the Billing Director for approval. Medical Billing Specialist Resume Examples Medical Billing Specialists play an important role in health care facilities as they need to make sure that claims are accepted by health insurance companies and payments are being released. Reviewed complicated claims for benefit level, third party liability, overpayments, and coding issues. Prepared and submitted hospital and hospital-based physician claims to third-party insurance carriers either electronically or by hard copy billing. Secured, needed medical documentation required or requested by third party insurances. Completed account follow-up daily, maintaining established goals, and notifies the business office supervisor, when necessary, of issues preventing the achievement of such goals. Verified the accuracy of billing data and revise any errors. An Insurance Biller submits medical claims to the insurance companies and payers including Medicaid and Medicare. Entered data into Financial Data Processing System according to the company's policies and procedures. Highly skilled and analytical Medical Claims and Billing Specialist has excellent billing formularies knowledge and significant experience working in hospital environments.Possesses strong chart auditing and application of federal standards for appropriate coding practices.Has an Associate’s degree in Medical Billing and Coding AIHMA CCS certification and more than eleven years of Medical Claims and Billing … Essential job duties seen on an Insurance Billing Specialist example resume are maintaining patient records, collaborating with medical staff, managing billing processes, and identifying elements like diseases and medical procedures by using different sets of codes. Appropriately resolved customer issues, complaints, and questions. Apply to Biller, Insurance Verification Specialist, Restoration Technician and more! Do you need the best Insurance Biller resume? Called insurance companies to verify claim status and appropriately note all accounts within FACS and the hospital system. Collect and entering claim information. Summary : Seeking an Insurance Biller position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills. Transmitted daily charges electronically to Insurance companies including complete daily summary reports. Accurately input procedure and diagnosis codes into billing … Checked eligibility and claimed status by phone and by the web portal. Obtaining prior authorizations when required. Worked with physicians or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers. If you need help on formatting, organizing, and wording your resume, use Branford Hall’s sample medical billing and coding resume … Identified missing requirements of submitted claims with various provider service representatives. Experience in establishing … Typically reports to billing … Accounts receivable follow-up on denied and short paid claims. Prepared attachments for secondary insurances for accurate billing. A degree is sufficient to enter this occupation. Having previous experience … Administrative Summary Statement Examples, How to write Experience Section in Administrative Resume, Action Verbs to use in Administrative Resume, How to present Skills Section in Administrative Resume, How to write Education Section in Administrative Resume. Detail oriented quality focused professional billing specialist. Processed all late charges, adjustments, & allowances on accounts that are subject for approval by the Billing Director. Summary : Highly qualified Insurance Biller with experience in the industry. Medical billing professionals handle the financial side of healthcare, translating medical charts into billing codes that are then sent to insurance companies or patients. Performed billing for commercial insurance, worker's compensation, MVA and VA, which included outreach clinics and mental health services, Updated patient's insurance in computerized registration system, Processed electronic billing through Premis, Posted daily cash and banking; performed record keeping in QuickBooks, Performed additional administrative duties, such as ordering supplies, inventory, mail distribution and scanning documents, Enter information necessary for insurance claims, Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form, Resolve issues with insurance companies on unpaid or rejected claims, Prepare appeal letters to insurance carrier when not in agreement with claim denial, May periodically create insurance or patient aging reports using the medical practice billing software, Understands managed care authorizations and limits to coverage such as the number of visits, Verify patient benefits eligibility and coverage. 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