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.

---

Resume Templates @ Template.net