Medical Billing Specialist resume examples

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Skillful Medical Billing Specialist resume

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Brandi Pruett
Professional Summary
Driven and compassionate healthcare professional with 10 years of experience in the fast-paced environments of insurance, medical billing, lab and facility. Industrious and self-motivated with a strong focus on leadership and customer satisfaction.
Skill Highlights
  • Staffing management ability
  • Confident public speaker
  • Complaint handling and resolution
  • Personal and professional integrity
  • Relationship and team building
  • Critical thinking proficiency
  • Healthcare billing proficiency
  • Patient/family focused
  • Acute and rehabilitative care
  • Interactive marketing
  • Public relations expert
  • Detail-oriented
  • Dedicated to process improvement 
  • Customer advocate
  • Long-term care expert
  • Self-motivated
  • Excellent communication skills
  • Extensive medical terminology knowledge
  • Proven patience and self-discipline
  • Conflict resolution
  • Deadline-driven
  • In-depth claims knowledge
  • Analytical problem solver
  • MS Office
  • MS Excel
  • Special events planning
  • Quantitative & qualitative analysis
Education and Training
High School Diploma, High School Diploma 2004 Murray High School Murray, UT, USA
Associate of Science, Healthcare Administration 2019 Salt Lake Community College Taylorsville, UT, USA Still attending
Professional Experience
Network Contractor May 2017 to Current
United Health Group West Valley, UT Contract drafting. Help broaden the Medicare Advantage network. Create and analyze data using Excel spreadsheets. Create process improvement manuals within the contracting department. 
Admissions Coordinator Jun 2015 to May 2017
Sandy Health & Rehab Sandy, UT Handle all incoming admissions in a timely and efficient manner. Serve as liaison between clinical staff and the community. Expertly plan, coordinate, organize and direct all operations of the admission. Establish and maintain positive relationships with residents, families, health care providers, physicians and the community at large. Organize and assist in leading daily personnel meetings with 15 other department heads. Work with insurance companies to obtain authorization. Evaluate patient information to determine best placement situations. Update and create monthly reports in MS excel, analyzing market and admission trends. Create marketing strategies and tools. Assist and plan marketing events.
Supervisor-Patient Advocate Jul 2012 to Jun 2015
Myriad Genetic Laboratories Salt Lake City, UT I began at Myriad as a Triage Specialist "entry level position". After two years I was promoted to a Patient Advocate and then within a year of being in this role, I was promoted to a Patient Advocate Supervisor. In this role, I launched a new platform in the customer service department. I created annual goals, objectives, and processes that were designed to create more efficiency in the department. I used quantitative and qualitative metrics to measure the effectiveness of my team. Provided thorough supervision for day-to-day operations in accordance with set policies and procedures. Regularly evaluated employee performance, provided feedback, assisted, coached and disciplined staff as needed and motivated the team in order to drive results and improve employee moral.
Self Pay Rep Level II Jan 2012 to Jun 2012
Sutter Physician Services Salt Lake City, UT Made outbound and inbound calls to patients with outstanding medical bills on behalf of Sutter Medical Foundation. Assisted in insurance claims processing to ensure timely filing. Worked with Sutter's Charity foundation to assist patients who were in need of financial assistance. 
Medical Billing Specialist Jun 2008 to Dec 2011
ABEO-Anesthesia Medical Billing Sandy, UT Handled all aspects of medical billing, including AR reports, collections and inquiries; Troubleshooting insurance claim irregularities and problems; preparing refunds, payment posting, and appeals; working with providers, insurance companies, and patients; proficient with both Medicare and Medicaid terminology.
Customer Service Representative Jan 2008 to Jun 2008
Regence Blue Cross Blue Shield Cottonwood Heights, UT Provide excellent customer experiences. Responds to inquiries regarding coverage, billing, claims or products.  Identified opportunities to cross-sell and assists with attaining agency service goals. Answer inbound and outbound calls from providers, members and other outside medical entities. Quote benefits and give claim status details. 

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Job-winning Medical Billing Specialist resume

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Quwana Hall
Professional Summary

Cash applications specialist who effectively serves as the first point of contact for employee-related issues and adept at successfully solving complex problems. I am seeking a position in a results oriented company that is seeking an ambitious and career conscious person that is a team player, enthusiastic, detail oriented, and dependable.

Work History
Cash Applications Team Lead, 11/2015 to Current
United Health Group Duluth, GA
  • Responsible for the day to day supervision and coordination of the Cash Applications workload and processes.
  • Reviews and assists in resolving any Cash Application/Refund related issues.
  • Daily deposit reconciliations and assists with month end processes.
  • Escalates all potentially critical client payment and refund issues.
  • Reports lockbox incidents and/or documentation requests to the designated banking contact.
  • Identifies and communicates process needs.
  • Monitors and submits team productivity reports.
  • Coaching and providing feedback to team members to ensure compliance with quality standards, processes, and policies.
  • Resolves misapplied payment requests and unapplied payment reports.
  • Assists with posting payments received through the lock box and ACH payments. 
  • Assists the accounts receivable and accounting department with any account issues.
  • Coordinates the  monthly team meetings and team training.
  • Ensures that all SOPS are updated and available to the team. 
Cash Applications Specialist, 04/2011 to 11/2015
United Health Group/ Cypress Care Duluth, GA
  • Responsible for posting payments received through the lock box application.
  • Responsible for posting electronic and manual payments.
  • Assisted in balancing daily deposit batches.
  • Prepared refund requests and packages for the refund department.
  • Responsible for reviewing and updating the daily deposit log.
  • Assisted the accounts receivable department with any account issues.
  • Assisted the department manager in meetings and training sessions.
  • Assisted the department manager in monthly balancing.
  • Responsible for pulling the daily bank statements and submitting to the team.
  • Resolved misapplied and unapplied payment report.

Account Coordinator/ Payment Processor, 05/2006 to 03/2011
MAG Mutual Healthcare Solutions Atlanta, GA
  • Posted insurance and patient payments, adjustments, and denials.
  • Electronic payment posting for Medicaid, Medicare, BCBS, and UHC.
  • Charge Entry and Voids.
  • Charge and payment audits.
  • Downloaded electronic remits from Gateway and Payspan.
  • Acted as a liaison between clients and the outsourced staff.
  • Obtained requested information for client assistance logs.
  • Filed all secondary claims.
  • Worked credit balance reports and prepared refund requests.
  • Prepared deposit logs and distributed to clients.
  • Prepared month end balance.
  • Reviewed gateway rejections.
  • Handled daily correspondence and requests from clients, customer service, and the collection agency.
  • Provided back up coverage to customer service and the mail room.

Billing Assistant, 09/2005 to 05/2006
Surgical Assistants Of America Duluth, GA
  • Posted insurance and patient payments, denials and adjustments.
  • Filed secondary claims.
  • Prepared refund requests.
  • Prepared appeals.
  • Assisted patients with billing questions.

Payment Processor, 09/2002 to 09/2005
Delaney Radiologists Wilmington, NC
  • Posted insurance and patient payments, denials, and adjustments.
  • Prepared bank deposits and notified accountant of any changes.
  • Performed daily balance of batches.
  • Provided phone coverage and assisted patients with billing questions.
  • Insurance follow up.
  • Prepared refund requests.
  • Trained New Employees.

Medical Billings And Collections Assistant, 03/2002 to 09/2002
Pine Valley Urgent Care Wilmington, NC
  • Worked insurance aging report and denials.
  • Filed secondary claims.
  • Posted insurance and patient payments.
  • Entered patient demographics and collected co-payments.
  • Keyed in CPT codes and ICD-9 codes.
  • Closed out batches and performed daily balance.

Appointment Seceretary, 07/2000 to 03/2002
Wilmington Health Wilmington, NC
  • Maintained the schedule for twelve health care providers.
  • Checked patients in and entered their demographics.
  • Scheduled routine follow up appointments and referrals to specialists.
  • Handled necessary paper work for managed care insurances.
  • Contacted patients to remind them of scheduled appointment

Medical Receptionist, 09/1998 to 07/2000
Wilmington Internal Medicine Wilmington, NC
  • Daily balance and closed batches.
  • Filed and copied medical records.
  • Answered phones and reminded patients of their appointments.
  • Scheduled appointments and procedures.
  • Checked patients in and out for their appointments.
  • Obtained insurance authorizations.
  • Keyed in CPT codes and ICD-9 codes

  • Customer Service
  • Strong Communication Skills
  • Complex Problem Solving
  • Account reconciliation
  • Time Management
  • Superior attention to detail
Associate of Arts: Business Administration, 09/2010
American Intercontinental University - Atlanta, GA
  • Concentration in Medical Billing and Coding

Academic Diploma: 06/1998
North Brunswick High School - Leland, NC

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Experienced Medical Billing Specialist resume

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Rasheeda Mendenhall
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 
Bachelor of Arts : Psychology, 2016
CUNY Brooklyn College - Brooklyn, NY

  • 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​