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Healthcare Billing Specialist Job Description – Accurate, skilled medical billing specialist with over 15 years of experience in inpatient, outpatient, and outpatient medical billing. Primarily an expert in validating claims, correcting denied claims, and understanding insurance contracts, appeals, and EOBs. Additional expertise in implementing improved processes to increase quality control, reimbursement, and accuracy of business units, billing, and medical records.
Medical Billing CPT and HCPCS Coding Insurance Posting and Reconciliation Agreements, Appeals, EOBs Confidential Records Defense Accounting/Claims Quality Control Reconciliation Knowledge of HMOs, Medicare, and Medicaid
Healthcare Billing Specialist Job Description
Handles all aspects of medical billing including filing claims, reimbursement requests, resubmitting denied claims, completing applications, and adjusting payments. Need to stay current with all insurance requirements, including patient financial obligations, fee-for-service, and managed care plans. Improved medical center efficiency by creating an organized logging system to track registrar errors in Microsoft Excel as a QA specialist at Affinity Medical Center. Liaises with business and medical records departments to resolve errors in high dollar billing to ensure timely and accurate billing.
What Do Medical Billers And Coders Do?
Patient Representative October 2011 to January 2012 Mercy Medical Center Canton, OH Advocated for patients by contacting insurance companies to ensure timely payment and resolve errors in denied claims. Diligently prepare all necessary claim documents, including travel, treatment plans, or other necessary paperwork to minimize the occurrence of denial. Accountability and accurate records are maintained by entering approvals and denials into the medical admin system and forwarding information to management for enforcement. QA Specialist July 1980 to March 2009 Quality control of Affinity Medical Center Massillon, OH data entry system that captures patient registration, diagnosis, and insurance card information. Acts as liaison between business department, billing, and medical records to resolve billing errors and apply ICD-9, CPT-4, and HCPCS codes, charges, and corrected charges. The Reimbursement Specialist collaborates with business departments, billing, and third party payers to ensure accurate billing, payment, and recording of denied claims. Review shipping codes from EOBs/ARs, and submit charges, payments, and certifications. Despite changes in reimbursement for HCPC, CPT, DRG, and Medicare and Medicaid, the chargemaster remains current. Medical (Massillon Company Name) Performs full-cycle medical billing at a fast company (formerly Massillon Company Name). Continuous accuracy is enhanced by evaluating provider charges including dates of service, procedures, level of care, location, diagnosis, patient identification, and provider signatures. We use cookies to customize your resume and cover letter creation experience. For these reasons, we may share your usage data with third parties. You can find more information about how we use cookies in our Cookies Policy. If you want to set your cookie preferences, click the Settings button below. To accept all cookies, click Accept.
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What Does A Medical Biller & Coder Do?
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Most medical bill resumes read like doctors’ notes, and are far less concrete. Hiring managers don’t have time to read between the lines or give candidates the benefit of the doubt.
Pros And Cons Of Being A Medical Biller And Coder
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Do you want to branch into medical or healthcare lines? What about reviewing the data entry or data analysis aspects of medical billing? Check out some of our guides:
Highly accurate medical billing specialist with 4+ years of experience, proficient in HCPCS. Willing to assist ABC Company in digitizing their background while accurately coding and billing current cases. At Mitchell Community Hospital, geriatric medical claims were reduced by 28 percent in the first year while solving 40+ problems with additional health care claims per month.
How Do I Become A Medical Billing Specialist From Home?
But hiring managers don’t try to make sense of poorly formatted medical bill resumes.
Make your resume format as clean and clear as the type of notice you want to get. Here’s how to format your resume:
Finally, the file format: it’s usually better to send a PDF instead. This file type will work on any device and preserve your formatting options. The only exception is when a job ad specifically asks for a Word file.
With a short introduction and a short summary of why you are what they are looking for. In other words, with a resume profile.
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Working in the medical billing and coding field for a year or more? Then create a brief summary of your profile. That’s how you capitalize on that experience.
Medical Billing Specialist with 4 years of experience. Want to join a fun team at a company that doesn’t put daily quotas on their workers. At Mitchell Community Hospital, reduced the number of geriatric medical claims and resolved issues with patient health care claims as needed.
It focuses on what the candidate can do for the company, not the other way around, and—
Use the resume objective as your resume profile and mention accomplishments from non-medical billing jobs as needed.
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Specialized medical billing specialist with 11+ months experience, skilled in medical coding. Willing to assist ABC Company in digitizing their background while accurately coding and billing current cases. At Botox Health, 11 different practices from six different states were coded while completing 50-70 assessments a day.
Recently started working in medical procurement and coding. Looking for new learning opportunities in a company that pays well and doesn’t burden employees with too many unrealistic requirements.
The first medical billing reform example focuses on value creation rather than wish-lists, and it eschews vague obligations in favor of concrete, quantifiable achievements.
Explain that you’ve achieved something similar in the past, and do it in a way that doesn’t fail to impress.
Medical Billing And Coding
Cover the skills listed and demonstrated in the job ad, and don’t stop there. Be sure to include both soft skills and hard skills in your list.
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Some medical billing and coding jobs also do not impose educational requirements. But that doesn’t mean your education isn’t important—it can make all the difference.
Reasons To Start A Medical Billing And Coding Career: Professional Development: Indiana University South Bend
First, list your degrees (skip this for high school diplomas), school names, and graduation dates. Then, add bullet points that indicate your suitability.
Expand your education section to include relevant courses on your resume, as well as projects and academic achievements that demonstrate medical billing skills such as attention to detail and data entry.
It’s not that mentioning hobbies and interests is a bad thing: in fact, they can help paint a solid picture of you as a medical billing professional.
That needs to be considered
Medical Office And Billing Specialist Online Program
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