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Insurance Billing Specialist resume examples

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Skills

  • Project organization
  • Supervision
  • Insurance denials management and appeals
  • Accounts receivable management
  • Organization
  • Quickbooks mastery
  • Billing statement review
  • Database management
  • Problem resolution
  • Insurance refund processing

Work Experiences

  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Transported ServiceNow to two years customer locations.
  • Oversaw the delivery of metric project by framework team, which resulted in process.
  • Collaborated with the collections department.
  • Balanced monthly financials with over $18 in billing.
  • Collaborated with the collections department to recover $8 from unpaid bills, exceeding team collection goals.
  • Coordinated with healthcare providers for accurate documentation and coding, resulting in fewer billing discrepancies.
  • Corrected coding errors.
  • Had an excellent attendance record and was always on time for work.
  • Achieved a 15% increase in correct first-time submissions.

Summaries

  • Achieved over 77% clean claims.
  • Achieved a 76% success rate in claim appeals.
  • Insurance Billing Specialist is a dedicated Insurance Billing Specialist who is looking for a Billing Clerk position within a client-focused team.
  • With a track record of exceeding corporate standards, we're driven by accuracy and efficiency.
  • Boosted departmental productivity.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the standard business.
  • Adept at navigating third-party payer systems.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Dedicated to learning, growing, and succeeding in Healthcare.
  • Achieved a 49% clean claim submission rate.

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Increased departmental efficiency by 65% through the adoption of new billing automation technologies and standardized workflows.
  • Resolved product issue through consumer testing.
  • Achieved and maintained a claims denial rate of less than 60% through meticulous auditing and error tracking processes.
  • Implemented new policy for upfront patient collection, reducing unpaid balances by 22% over several months.
  • Audited claims and account balances for compliance with HIPAA, ensuring 78% adherence to all regulatory requirements.
  • Developed and implemented a billing audit strategy, reducing claim discrepancies by 33% and improving reimbursement accuracy.
  • Developed new patient payment plan procedures, reducing outstanding patient balances by 44%.
  • Collaborated with clinical departments to ensure accurate and compliant coding of medical procedures, increasing clean claim submission rate by 20% over two years.
  • Optimized the insurance verification process, increasing first-pass approval rates by 61%.

Affiliations

  • American Society of Health-System Pharmacists (ASHP) procedure
  • Society of Human Resource Management
  • Billing Specialist Networking Group 2020 - Atlanta
  • Association for Supply Chain Management (APICS)
  • State Association of Medical Billers & Coders program
  • Certified Medical Reimbursement Specialist (CMRS) through AMBA
  • National Association of Social Workers
  • Medical Group Management Association (MGMA)
  • Certified Professional Biller (CPB) through AAPC
  • Toastmasters

Certifications

  • ICD-10 Coding Certification by Vantage
  • Certified Professional Biller (CPB) by AAPC
  • Microsoft Certified Systems Engineer (MCSE)
  • First Aid/CPR Certified
  • CompTIA A+ Technician
  • Certified Revenue Integrity Professional (CRIP) by NAHRI
  • Health Insurance Specialist Certification from Lakeside Partners
  • Cisco Certified Network Associate (CCNA)
  • Medical Billing & Coding Certification by AHIMA
  • Advanced Medical Claims Processing Certification from Beacon Labs

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