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Medical Biller and Insurance Specialist with 12 years experience in multiple areas

Maple Grove, Minnesota - US

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  • Job Target: Medical Biller
  • Employment Status: Unemployed - Actively Looking
  • Experience Level: Mid Level
  • Seeking: Full-Time
  • Industry: Office/Clerical Resumes
  • Salary: $35,000.00
  • Degree: High School (Diploma/GED)
  • Security Clearance: None
  • Travel: Light
  • Relocate:: No

Resume Tags Exceptional customer service dependable detail oriented multitasks problem solving skills medical billing microsoft certified perfessional all tags

Objective

I am currently looking for a position as a medical billing specialist/administrative support for a medical office.

Job Target

Medical Biller

Professional Experience

2008 – 2010 Medtech, Inc
Medical Billing Specialist
St. Louis, MO

•Assisted patients, one on one, with questions concerning there insurance coverage and account resolution.
•Managed all patient accounts with a high level of confidentiality and discretion.
•Responsible for payment of medical claims from insurance companies with 95% success rate.
•Performed audits and maintained accounts with updates as needed.
•Demonstrated critical knowledge and skills with large volumes of data with accuracy.
•Provided excellent service to Medicare, Medicaid, Hospitals and insurance companies

2006 – 2008 Accent Urology
Medical Billing Specialist
Desperes, Mo


Excellent communication skills with to patients regarding their account.
•Collected and recorded all incoming payments, deposits.
•Counseled patients on method of payment for account resolution.
•Registered and verified patient’s insurance, claim status and followed up until payment received.
•Resolved denied claims with valid documentation and appeals.
•Maintained up to date records, patient files, and resolution of claim payments.
•Reviewed reports for accuracy and followed up on outstanding payment balances.
•Organized medical supply room and office area to comply with OSHA safety regulations.
•Collaborated with EDI and Software Company to resolving issues with new Medicare claims process

2004 – 2006 NMBS
Account Manager
Wildwood, MO

•Responsible for research, preparation and billing primary and secondary insurance.
•Assisted with all account collections with an 85% recovery rate.
•Counseled patients on medical benefits and structured payment of non-eligible services.
•Monitored daily reports of unpaid collections and determined action to resolution.
•Updated all patient records with documentation to comply with audit requirements.
•Provided excellent customer service and continually strived to improve service to customers,
Hospitals, agencies and clients.

2002 – 2004 Surgical Support Services
Precollection and Insurance Verification Specialist
Eureka, MO

•Pre-collected and verified insurance for surgery centers.
•Verified patient’s medical benefits and provided balance due if applicable.
•Provided customer service support to all patients’ with the utmost privacy and discretion.
•Processed insurance denials; set up and managed patient payment programs.
•Strived to excel in providing excellent customer service to the patient, physician and surgery centers.
•Provided training sessions for employees on collection procedures and insurance verifications.

2001 – 2002 Orthotic and Prosthetic Lab
Front Office Assoc.
St. Louis, MO

•Validated patient’s medical benefits prior to office visit.
•Processed all client information with accuracy.
•Provided client with benefit and payment information as needed.
•Assisted with patient calls and directed them appropriately.
•Maintained filing system and updated as needed

Education

1982 Widefield High School
General – High School (Diploma/GED)
Widefield. CO

1982 Pikes Peak Community College
Psychology and Commercial Art – Not Specified
Colorado Springs, CO

Skills

  • Microsoft Certified, Workplace Skills Certificate

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Last updated on: 2011-07-26.