Medical Billing Specialist Resume
Medical Billing Specialist Resume
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I. Personal Information
Age: [AGE]
Date of Birth: [DATE OF BIRTH]
Address: [YOUR ADDRESS]
Marital Status: [STATUS]
Nationality: [NATIONALITY]
Language(s): [LANGUAGE]
LinkedIn Profile: https://www.linkedin.com/in/your_own_profile
II. Professional Summary
Dedicated and detail-oriented Medical Billing Specialist with [Number of Years] experience in medical billing and coding seeking a challenging position in a reputable healthcare organization. Proficient in accurately coding diagnoses and procedures, ensuring compliance with insurance regulations, and optimizing revenue cycle management.
III. Summary of Qualifications
Extensive knowledge of medical terminology, CPT, ICD-10, and HCPCS coding systems.
Proficient in using electronic health records (EHR) and medical billing software, including [list-specific software if applicable].
Strong understanding of healthcare reimbursement policies, including Medicare, Medicaid, and third-party payers.
Excellent attention to detail and accuracy in coding and billing procedures.
Skilled in analyzing and resolving billing discrepancies, denials, and rejected claims.
Effective communication skills with patients, healthcare providers, and insurance companies.
IV. Education
Bachelor of Science in Health Information Management [University Name], [City, State] [Year of Graduation]
V. Certifications
Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC)
Certified Billing and Coding Specialist (CBCS) – National Healthcareer Association (NHA)
VI. Work Experience
Medical Billing Specialist [Your Company Name], [City, State] [Dates of Employment]
Reviewed patient medical records to accurately assign appropriate CPT, ICD-10, and HCPCS codes for billing purposes.
Submitted claims to insurance companies electronically and via paper claims, ensuring compliance with payer requirements.
Followed up on outstanding, denials, and rejected claims, identifying and resolving billing discrepancies to optimize reimbursement.
Conducted regular audits of billing processes and documentation to ensure compliance with regulatory guidelines and internal policies.
Collaborated with healthcare providers and clinical staff to clarify documentation and resolve coding-related issues.
Participated in training sessions and workshops to stay updated on changes in coding guidelines, billing regulations, and software updates.
Medical Records Clerk [Your Previous Company Name], [City, State] [Dates of Employment]
Managed and maintained electronic health records (EHR), ensuring the accuracy and confidentiality of patient information.
Prepared and organized medical records for release, retrieval, and filing according to established procedures.
Assisted healthcare providers and staff with locating and accessing patient records as needed for patient care and billing purposes.
Conducted quality assurance checks on medical records to ensure completeness, accuracy, and compliance with regulatory standards.
Provided support during audits and reviews by external agencies, ensuring timely retrieval of requested medical records.
VII. Skills
Proficient in medical billing and coding software (e.g., [list specific software]).
Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
Familiarity with insurance reimbursement policies and regulations.
Excellent attention to detail and organizational skills.
Effective communication and interpersonal skills.
Ability to work independently and collaborate with multidisciplinary teams.
VIII. References
Available upon request.
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