Medical Billing Specialist resume examples

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Professional Summary
A highly talented professional with more than 5 years work experience. Has the ability to work cooperatively with peers in the workplace. Holds an exceptional reputation of being punctual, organized, and highly interactive with customers. Can be described as a team leader and a hard worker.




Work History
Medical Review Specialist, 06/2015 to Current
GEICO Woodbury, NY
  • Inputted details of medical bills while meeting company productivity and accuracy goals
  • Processed Independent Medical Exam reports for individual claimants in a timely manner
  • Accesses vendor websites to retrieve Independent Medical Exam reports 
  • Managed varying administrative workflows to exceed productivity standards
  • Utilizes exceptional attention to detail in order to decrease billing errors and increase the quality of job performance in the MBR department                           





Billing and Payment Specialist, 05/2013 to 06/2015
GEICO Woodbury, NY
  • Assisted customers with interpreting their billing information on policies as well as helping make payments.
  • Educated customers on different ways to view and make changes to their policy
  • Performed all job duties in a timely matter while meeting company productivity and dependability goals
Sales Associate, 06/2012 to 06/2014
Forever 21 Valley Stream, NY
  • Assisted customers on a daily basis
  • Made sure every customer's shopping experience was pleasant
  • Provided undivided attention to each customer encounter in order to build a good rapport and reputation for the company 
Education
Bachelor of Arts : Psychology, 2016
CUNY Brooklyn College - Brooklyn, NY




Skills
  • Excellent organizational, communication, time management and customer service skills.​
  • Knowledgeable of computer functions.
  • Possess the ability to work in an independent and/or group environment​

This resume is created in 7 minutes.
Professional Summary
Organized and innovative healthcare management professional with the ability to make sound decisions, manage staff efficiently, and possesses a vast knowledge of what it takes to have a smooth running clinic. Committed to bringing costs of healthcare down for patients and standards of care up. Develop high standards of practice, evaluate patient care for effectiveness and implement necessary changes to programs and policies to help the clinic thrive. Motivational leader and business administrator with a track record of success.
Skills
  • PaceSetter
  • Medforce
  • Test Scheduler
  • Order Motion OMX
  • Mega Meeting         
  • Microsoft Outlook
  • Microsoft Office
  • Microsoft Excel
  • Microsoft PowerPoint
  • Practice Velocity
  • ADP
  • Aloha
  • Google Drive
  • DropBox
  • Budgeting proficiency
  • Project management authority
  • Planning and development
  • Quality improvement competency
  • Independent judgment and decision making
  • Promotes positive behavior
Work History
03/2015 to Current
Clinic Manager FastMed Urgent Care
  • Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
  • Reviewed customer survey information to prioritize areas of improvement.
  • Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
  • Assisted in resolving and satisfying client requests and internal operational issues.
  • Established standards for selection, promotion and termination of staff.
  • Confidently managed the overall operation of nursing services and patient care, including financial management, quality assurance, patient care, safety risk management, teammate satisfaction, quality index scores and facility maintenance.
  • Certified that equipment and supplies were properly maintained for quality patient care and safety.
  • Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
  • Interpreted and communicated new or revised policies to staff.
01/2015 to 03/2015
Guest Service Specialist FastMed Urgent Care
  • Greeting patients with a caring demeanor and being both sympathetic and understanding to the individual needs of every patient.
  • Responsible for answering phone calls on behalf of the clinic.
  • Answering questions from insurance, employers, and patients regarding the workings of the clinic.
  • Understanding functionality of various insurances and the relation they have with billing through urgent care.
  • Assessing the various wait times and relaying that information to the patient to ensure patient satisfaction.
  • Ensuring that the correct paperwork is properly input daily, weekly and monthly based on clinic needs.
  • Cleaning and organizing the look of the clinic and maintaining a professional environment within.
  • Occasionally assisting the Medical Assistant and the Physicians Assistant with medical needs of patients.
  • Placing orders for all medical and paper products for the clinic.
  • Marketing the clinic and its services to the surrounding community.
  • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
06/2014 to 01/2015
Medical Billing Specialist Aeroflow Healthcare
  • Assisting patients with bills received and collecting on unpaid accounts.
  • Retaining a growing knowledge of all durable medical equipment supplies.
  • Managing all CareCentrix insurance matters for the company.
  • Managing Medicaid/Medicare insurance matters for the company.
  • Establishing and maintaining contacts for the processing of all CareCentrix related matters.
  • Utilizing knowledge of commercial insurance policies to both verify patients' insurance coverage and resolve claim disputes ICD-9/ICD-10 knowledge.
  • Reviewing and appealing unpaid and denied claims.
  • Making phone calls to insurance companies and maintaining the company's good standings.
  • Answering questions asked from trainees and other departments.
08/2013 to 06/2014
Customer Service Specialist Guthy-Renker Fulfillment Services
  • Providing email correspondence between the customer and the company
  • Designing of training modules for use by the corporate office for implementation in future classes.
  • Managing all of the incoming CSAT calls for customer satisfaction.
  • Collecting payments for the processing of orders for the company's diverse product line.
  • Providing account maintenance to valued customers.
  • Processing returns and auditing accounts to ensure appropriate designation of funds.
08/2013 to Current
Color Guard Choreographer, Designer and Tech South Iredell High School
  • Instructing students on technique and leadership skills required for leading future trainees.
  • Assisting Marching Band director with writing drill.
  • Scheduling practices to teach maneuvers to students.
  • Managing the budget for color guard supplies and equipment.
Education
Healthcare Administration and Business: South College of Asheville - Asheville, NC
  • Top 10% of class
High School Diploma: Chase High School - Forest City, NC
Interests
  • Park rejuvenation program volunteer to provide a clean and well furbished recreational environment in Hickory, NC
  • Regularly volunteers at the animal shelters in Charlotte, NC
  • Regularly sponsors families for holidays all around the world
Achievements and Awards
  • Award of Scientific Excellence (2011-2012)
  • MVP of Chase High School Marching Band 2010
  • National Beta Club Inductee after maintaining minimum GPA of 3.75
  • Member of Chase Trojan Marching Band (2008-2012)
  • Color Guard Captain for Chase Trojan Marching Band (2010-2012)
  • Computer technician for Chase High School (2009-2012)
This resume is created in 7 minutes.
Professional Profile
Skillful and dedicated Executive Assistant with extensive experience in the coordination, planning and support of daily operational and administrative functions in a highly confidential environment and event planning. Over 17 years of administrative experience. Readily adapts to change and exceeds expectations in quality.
Qualifications
  • Microsoft Office proficiency
  • Proper phone etiquette
  • Articulate and well-spoken
  • Flexible
  • Meticulous attention to detail
  • Professional and mature
  • Works well under pressure
  • Database management
  • Appointment setting
  • Accounting
  • Payroll
  • Mail management
  • Meeting planning


  • Executive presentation development
  • Business correspondence
  • Administrative support specialist
  • Customer service mindset
  • Filing management
  • Computer proficiency
  • Analytical abilities
  • Exceptional verbal/written communication
  • Strong problem solving
  • Collaborative team player


Relevant Experience
  • Recognized for playing an instrumental role in the implementation of cost savings measures.
  • Increased office organization by developing more efficient filing system and customer database protocols.
  • Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.
  • Successfully planned and executed corporate meetings, lunches and special events for groups of 100+ persons.
  • Developed and implemented company's first program staff office orientation.
Experience
Executive Assistant to the President and CEO/ Special Projects Administrator, 06/2010 to Current City Connect Detroit Detroit, MI
  • Collaborate with other administrative team members, human resources and the finance department on special projects and events.
  • Provide logistical support to visiting executives in coordination with other Executive Assistants.
  • Handle and distribute all incoming and outgoing mail.
  • Write and distribute meeting minutes to appropriate individuals.
  • Manage with full access President and CEO's calendar and electronic communications.
  • Plan events for 100+ participants, like "Toast and Talk" and the annual holiday party.
  • Play significant role in agency book keeping and bill reconciliation.
  • Schedule Board of Directors meetings and assist with meeting materials and agendas.
  • Set up equipment for employee use.
  • Perform first-level support for all workstations.
Medical Billing Specialist, 02/2009 to 02/2010 BethHarold Home Health Care, Inc. Southfield, MI
  • Supervised private duty department, including managing schedules, payroll, and billing.
  • Provided quality improvement reports to various departments.
  • Input OASIS' and RAP's.
  • Billed claims, monitored revenue and billing, advocated for accounts receivable.
  • Provided quality control for client records.
  • Managed day-to-day activities of billing department.
Medical Billing Specialist, 02/2009 to 02/2010 BethHarold Home Health Care, Inc. Southfield, MI
  • Billed claims, monitored revenue and billing, advocate for accounts receivable.
  • Provided quality control for client records.
  • Managed day-to-day activities of billing department.
Executive Secretary, 02/2007 to 02/2009 Aegis Health Perspectives Livonia, MI
  • Managed flow of business by creating forms, documenting meetings, and supervising staff.
  • Maintained all client records, employee documentation and certifications.
  • Oversaw client schedules, handled client concerns, and provided accountability reports.
  • Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
  • Dispersed incoming mail to correct recipients throughout the office.
  • Made copies, sent faxes and handled all incoming and outgoing correspondence.
  • Organized files, developed spreadsheets, faxed reports and scanned documents.
  • Managed daily office operations and maintenance of equipment.
Education
Bachelor of Science: Business Administration University of Phoenix Southfield, MI

Incomplete

Certifications
  • Adult CPR/ AED, American Red Cross (Exp. 7/25/19)
Skills
Accounts Receivable/Payable, Billing, Bookkeeping, Form Creation, Organize Meetings, Payroll, Quality Improvement, Quality Control, Supervision, Calendaring, Client Relations, Computer Proficient, Coordination, Creative Problem Solver, Critical Thinker,Customer Service, Data Collection, Data Entry, Documentation, Email, Executive Management Support, Filing, Editing, Information Researcher, Letters and Memos, Microsoft Office Suite, Minute Transcriber, Organizational Skills, Prioritization, Proofreading, Scheduling, Service Orientation, Speaking, Telephone Skills, Travel Arrangements, Type 50+ WPM, Typing, Vendor Management, Writing
Community Service
  • Secretary, New Liberty Apostolic Faith Church, Missionary Auxiliary, 2017 - Present
  • Vice Chair, Michigan State Council (M.S.C.), Women's Auxiliary, 2016 - Present
  • Member, New Liberty Apostolic Faith Church, Advisory Team, 2015 - Present
  • Secretary, New Liberty Apostolic Faith Church, Board of Directors, 2015 - Present
  • Member, New Liberty Apostolic Faith Church, Never Alone Outreach Ministry, 2015 - Present
  • Secretary, New Liberty Apostolic Faith Church, Never Alone Outreach Ministry, 2012 - 2015
  • Church Administrator, Victorious Word Christian Center, 2006 - 2012
This resume is created in 7 minutes.
Skills
  • Student, teacher, and parent consulting Aeries
  • Academic placement and advisement Naviance
  • PSAT and SAT Administration Common App
  • MS Office: Excel, Outlook, PowerPoint, Google
  • Docs
Experience
11/2016 to 01/2017
Substitute Teacher GARDEN GROVE UNIFIED SCHOOL DISTRICT Garden Grove, CA
  • Facilitated daily lesson plans.
  • Practiced effective classroom management.
  • Collected and organized student work.
04/2016 to 07/2016
Intern BROOKHURST JR. HIGH SCHOOL Anaheim, CA
  • Managed a caseload of 90 students in grades 7/8 to provide individual and group counseling.
  • Developed and implemented a six-week intervention program that resulted in objective and significant student academic and personal performance.
  • Identified students who were "at-risk" to collaboratively design interventions and monitor progress.
  • Collaborated with staff on SST, 504 and IEP meetings Partnered with various youth service agencies for referral and follow up.
  • Provided Spanish interpreting for students and families.
  • Conferenced with parents, students, and teachers to improve classroom challenges and discuss solutions.
  • Provided grief counseling services in group setting following school tragedy.
  • Assisted in Master Schedule planning.
  • Collaborated with community liaison on parent involvement outreach program.
11/2015 to 03/2016
Intern LOS ALAMITOS HIGH SCHOOL
  • Assisted lead counselor in managing a caseload of 450 students and carried personal caseload of over 60 low-performing students.
  • Prepared students for college: wrote letters of recommendation, updated students' Common Application, reviewed transcripts for "A-G" fulfillment, facilitated Interest Profiler guidance lessons using Naviance.
  • Instrumental in planning and organizing the Mentor Breakfast, Community College Night, and College Week for College/Career Center.
  • Counseled, mentored and tutored students in Credit Accelerated Program (CAP) for credit deficient students.
  • Performed self-harm risk assessments.
  • Gathered course requests and registered students.
  • Proctored and provided support for PSAT and SAT.
  • Participated in Individual Educational Plans, Student Study Teams, School Attendance Review Team and 504 Plan meetings.
  • Helped in the implementation of more efficient registration practices and procedures.
  • Marketed Advanced Placement (AP) classes aimed at increasing student awareness and enrollment.
02/2010 to 12/2010
Medical Billing Specialist BEVINGTON MEDICAL BILLING SERVICES Huntington Beach, CA
  • Verified insurance information.
  • Collected and managed information to create a medical claim.
  • Worked directly with insurance companies and health care provider to process a claim.
  • Managed collections on unpaid accounts.
  • Ensured proper medical coding for claims.
  • Maintained and updated patient medical records.
09/2003 to 07/2006
Schematics Account Manager KRAFT FOODS, INC CA
  • Managed Kraft account at Kroger headquarters.
  • Defended Kraft product retention and optimal shelf placement.
  • Created computerized shelving schematics impacting most Kroger (Ralph's) stores in Southern California territory.
  • Collaborated with Kroger executive buyers to plan and implement chain-wide changes to Southern California stores.
10/2002 to 07/2003
Customer Service Representative/Teller BANK OF AMERICA Anaheim, CA
  • Assisted customers with checking/savings account activity.
  • Led team in opening higher bearing interest accounts for existing customers.
  • Trained newly hired customer service representatives.
  • Named employee of the month and awarded college scholarship.
Education and Training
Master of Science: Education National University Costa Mesa, CA. Education
BACHELOR OF ARTS: BUSINESS ADMINISTRATION/FINANCE California State University Fullerton Fullerton, CA. BUSINESS ADMINISTRATION/FINANCE
ASSOCIATE: LIBERAL ARTS Santa Ana College Santa Ana, CA LIBERAL ARTS Affiliations and Honors Pi Lambda Theta National Honor Society Member
2015
Orange County California Association School National University Elected Student Representative to OC-CASC-
01/ 2016
Orange County Department of Education
10/ 2015
California Association School Counselors (CASC)
05/ 2015
National Board Summit
10/ 2015
Bullying Prevention Task Force
Interests
Youth Leader- Personal mentor and counselor to college-aged women in Young Adults Ministry. Taught group lessons on college/ career, finances, spiritual disciplines. Vacation Bible School (VBS) Teacher/Parent Volunteer Developed and organized classroom activities. Taught lessons, prepared crafts, managed sign in/sign out tables. Los Alamitos Elementary Event Chaperon Fundraising Volunteer Languages
Languages
Fluent in Spanish
Skills
Academic, advisement, AP, consulting, counselor, counseling, Credit, customer service, insurance, lesson plans, letters, managing, medical coding, meetings, Mentor, Excel, MS Office, Outlook, PowerPoint, organizing, progress, SAT, schematics, Fluent in Spanish, Spanish, teacher
Additional Information
  • Interests Youth Leader- Personal mentor and counselor to college-aged women in Young Adults Ministry. Taught group lessons on college/ career, finances, spiritual disciplines. Vacation Bible School (VBS) Teacher/Parent Volunteer Developed and organized classroom activities. Taught lessons, prepared crafts, managed sign in/sign out tables. Los Alamitos Elementary Event Chaperon Fundraising Volunteer Languages
  • Community Involvement Youth Leader Personal mentor and counselor to college-aged women in Young Adults Ministry. Taught group lessons on college/ career, finances, spiritual disciplines. Vacation Bible School (VBS) Teacher/Parent Volunteer Developed and organized classroom activities. Taught lessons, prepared crafts, managed sign in/sign out tables. Los Alamitos Elementary Event Chaperon, Fundraising Volunteer.