Medical Billing Biller
Resume:
Patricia Smith
Warren, MI *8089
****************@*****.***
Objective
Dedicated and well-rounded professional with extensive medical billing experience seeking to bring high level of personal
ambition, persistent accountability, and comprehensive medical education to an industry leading healthcare facility.
Qualifications
© 25 years’ experience with medical billing
© Proficient in Microsoft Word, Excel and PowerPoint
Accounting and tax background
© Trained in CPR and American Red Cross First Aid
Education:
Ultimate Medical Academy ~ Tampa, FL 01/2015
Associates Degree in Medical Billing and Coding
Work Experience:
Change Healthcare — Clinton Township, MI 09/1995-11/2021
Medical biller / A/R Specialist
© Maintain A/R days under 120
Call insurance companies to have denied claims reprocess
Appeal any claims that have been denied in error
Use hospital access to correct billing errors
Work with other departments to get doctors credentialed
Communicate with teammates and supervisors to get system issues identified and resolved
Know timely filing limits and appeal limits for various government and commercial carriers
Know the special rules for oncology coding and billing
Reviewing patient bills for accuracy and completeness and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim process
© Following up on unpaid claims within standard billing cycle timeframe.
© Checking each insurance payment for accuracy and compliance with contract discount.
© Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Payment Processor
~ Assisted in developing the ERA process in the office
© Post electronic payments to patients’
¢ Balance daily postings to bank deposit
tT *& FT
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