MEDICAL BILLING RESUME
Contact Information
Name: [Your Name]
Address: Detroit, MI 48201
Email: [Your Email]
Objective
Detail-oriented and certified Medical Billing Specialist with over 5 years of experience in healthcare billing and coding. Adept at managing billing software, ensuring compliance with insurance and regulatory standards, and resolving patient billing issues effectively.
Professional Experience
Medical Billing Specialist
Metro Health Solutions, Detroit, MI 48201
January 2051 - Present
Manage and process billing for over 500 patient accounts monthly using MedBilling Pro Software.
Ensure accurate and timely submission of claims to insurance companies, following up on unpaid claims within 30 days to maximize revenue cycle efficiency.
Review patient bills for accuracy and completeness, obtaining necessary information for claim processing, resulting in a 20% reduction in billing errors.
Conduct regular audits of billing records to ensure compliance with healthcare regulations and coding guidelines, successfully passing all compliance audits since joining the team.
Resolve billing disputes and discrepancies by liaising with patients, insurance companies, and healthcare providers, enhancing patient satisfaction scores by 15%.
Train new employees on billing procedures and software usage, facilitating a smooth onboarding process for 10+ new staff members.
Medical Billing and Coding Specialist
Harmony Health Services, Detroit, MI 48201
June 2050 - December 2050
Processed billing for outpatient services, ensuring proper use of CPT, ICD-10, and HCPCS codes, which improved claim acceptance rates to 95%.
Verified patient insurance coverage and obtained prior authorizations when required, reducing delays in service approvals by 25%.
Communicated with insurance companies to resolve issues related to denied or delayed claims, achieving a resolution rate of 90% within two weeks.
Maintained patient confidentiality and adhered to HIPAA regulations, conducting quarterly training sessions on compliance for the entire staff.
Prepared and submitted monthly financial reports to management, providing insights that supported budget adjustments and financial planning.
Education
Associate of Science in Health Information Technology
Wayne State University, Detroit, MI 48201
Graduated: May 2050
Certifications
Certified Professional Biller (CPB) – American Academy of Professional Coders (AAPC), 2051
Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA), 2051
HIPAA Compliance Certification – HIPAA Academy, 2051
Skills
Proficient in MedBilling Pro Software, Epic EHR
Extensive knowledge of medical terminology, CPT, ICD-10, and HCPCS codes
Strong understanding of insurance procedures and regulations
Excellent communication and customer service skills
Ability to manage multiple tasks and meet tight deadlines
Detail-oriented with strong analytical and problem-solving abilities
Professional Affiliations
Member, American Medical Billing Association (AMBA)
Member, American Health Information Management Association (AHIMA)
Reference
Available upon request.
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