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Arise Healthcare - Medical Billing Specialist Resume Example

  • XXX XXXXXXX XXXXX, CANA, VA 24317
  • H: XXXXXXXXXXXX
  • XXXXXXXXXXXXXXXXXXXXXXXXXX
Emma Stewart
Summary
Detail-Oriented, quality focused professional billing specialist. Successful track record of accuracy and efficiency. Proven ability to meet deadlines in high-pressure environments with keen attention to detail. Dedicated in maintaining patient confidentiality.
Skills
  • Medical Billing and Coding
  • Medical Insurance
  • MS Word / Excel
  • Patient / Customer Relations
  • Online Claim Submission & ERA
  • NexGen, HST, RMT, Therapy Source
  • Claim Entry & Payment Posting
  • Analyzing Data
  • Insurance & Patient Aging Reports
  • HIPAA Compliance
Experience
Medical Billing Specialist, 09/2014 to 01/2015
ARISE HEALTHCARE/ARISE MEDICAL CENTER AUSTIN, TX
  • Monitored data entry of patient demographics and insurance.
  • Corrected duplicate or incorrect charges, incorrect coding, erroneous registration.
  • Managed average of 850 accounts per month.
  • Billing for Lab, Radiology, Neurology, Pain Management, and Wound Care.
  • Organized Excel spreadsheets for billed/un billed accounts for monthly financials.
  • Ensured proper coding by reviewing medical reports, patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, discharge summaries.
  • Completed claim submission within 48 hours of receipt
  • Communicates discrepancies in procedural codes and diagnosis' with coding staff.
  • Complied with timely filing restrictions
Insurance Verification / Collections Specialist, 09/2013 to 09/2014
ARISE HEALTHCARE/HAYS SURGERY CENTER KYLE, TX
  • Verified insurance for an average of 170 patients per month.
  • Communicated in and out of network benefits to patients.
  • Resolved patient and insurance billing issue
  • Performed case cost analysis for procedures.
  • Assisted and counseled patients on balances, created suitable payment arrangements.
  • Collected paper work for financial assistance for low income individuals.
  • Worked aging reports.
  • Ensured that all prior authorizations were obtained.
  • Worked incoming correspondence received from insurance companies.
  • Appealed denials via formal letters/phone calls.
Patient Account Specialist, 07/2012 to 09/2013
TEXAS PHYSICAL THERAPY SPECIALISTS CBO AUSTIN, TX
  • Audited all patient statements.
  • Daily charge entry, posting ERA's and checks through the mail and bank deposits.
  • Created appeal templates and disputed insurance denials.
  • Ran monthly reports for accounts receivable department for monthly financials.
  • Managed patient accounts for 3 physical therapy locations including patient and insurance balances.
  • Posted insurance explanation of benefits and took proper adjustments.
  • Reviewed and processed refunds patient and insurance refunds.
Director of First Impressions, 08/2011 to 07/2012
TEXAS PHYSICAL THERAPY SPECIALISTS AUSTIN, TX
  • Scheduled appointments and updated appointment calendars.
  • Received payment and recorded receipts for services.
  • Filed and maintained records.
  • Verified insurance, obtained referrals and pre-authorizations.
  • Multi-tasked between answering phone and general check in/out duties.
  • Entry of patient demographics, collecting co-pays, and scheduling future appointments.
  • Reconciled daily deposits and transactions.
Education
Diploma: Medical Billing and Coding, Dec 2010 VIRGINIA COLLEGE OF AUSTIN - AUSTIN, TX
Certification: Certified Professional Coder, Nov 2010 American Academy of Professional Coders -
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Resume Details

This is a real resume for a Medical Billing Specialist in CANA, Virginia with experience working for such companies as Arise Healthcare, Arise Medical Center, Hays Surgery Center. This is one of the hundreds of Medical Billing Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Medical Billing Specialist resume.

Previous Companies:

  • ARISE HEALTHCARE
  • ARISE MEDICAL CENTER
  • HAYS SURGERY CENTER

Previous Job Positions:

  • Medical Billing Specialist
  • Insurance Verification
  • Collections Specialist
  • Patient Account Specialist
  • Director of First Impressions

Schools:

  • VIRGINIA COLLEGE OF AUSTIN
  • American Academy of Professional Coders

Level of Education:

  • Diploma
  • Certification

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