Working in a medical setting, a Billing Auditor ensures that the patients are not over or under billed and that all medical records are properly maintained. The job description entails checking to see if the administration is following proper medical billing systems and medical coding. Other core duties are listed on the Billing Auditor Resume as – performing prospective audits of revenue-generating departments throughout the hospital; reviewing medical record documentation upon receipt of RAC/MIC requests; working closely with RAC coordinator to ensure timely reviewing and submission of record requests, and performing patient request audits, and ensuring compliance with government and payer regulations.
Summary of skills and abilities include the following – sound experience in primary care nursing, medical records coding, case management, and utilization review and third party defense audits; proficiency with MS Office applications; familiarity with general Medicare billing regulations; and customer care skills; and a good knowledge of ICD-9, CPT, and HCPCS coding. A medical administration degree is a common experience seen on eligible resumes.
Objective : Billing Auditor is Assisting in the billing process according to customer requirements, Assisting with the audit of shipments and invoices from offshore, against customer requirements and customer tariff, Setting up shipments in preparation for audit, data entry and billing Shipment data entry and billing, to customers and offshore locations in the transport management system.
Skills : Word, Excel, 10 Key, Customer Service.
Description :
Ran reports everyday that showed every claim that was billed by 16 billers.
Audited each claim to make sure there were not any errors.
Wrote up a report for each employee to explain the error and how to correct it.
Supervised 18 employees.
Assigned Work to each employee every day.
Made sure that all deadlines were Meet.
Handled escalated problems or patients that were calling.
Experience
2-5 Years
Level
Executive
Education
Diploma In Communication
Billing Auditor Resume
Objective : To obtain a permanent, long-term position with a company that encourages professional and personal development, all while utilizing and expanding my experience and personal skills,& Coordinating within department, account manager, collections department
and other parties, as necessary, Working closely with various parties within the organization and the customer to assure the customer requirement / billing requirements are met and processes support the billing process.
Skills : Microsoft Office, Outlook, Adobe, 10 Key, Typing,superior Attention To Detail, Organized.
Description :
Created invoices and settlements from the documentation available in the imaging software (TMW).
Audited and processed payment to multiple trucking companies/carriers.
Invoiced multiple customers at a time.
Contacted carriers for required documentation when it has not been received in a timely manner.
Created SOP's and procedures for each new and existing customers and carriers to insure billing efficiency.
Assisted management with special projects as assigned in addition to assisting with the AR team in Power-track.
Set-up protocols for new customers that required EDI/e-mail invoicing.
Experience
2-5 Years
Level
Executive
Education
Certificate In Business Grammar
Billing Auditor Resume
Headline : Highly skilled and analytical Medical Claims and Billing Specialist with clear communication and documentation in medical records. Practical knowledge of medical terminology and medical coding. Extensive experience managing medical payment collections, Knowledge of federal and state compliance. Thorough understanding of contract, Medicaid and Medicare reimbursement terminology.
Skills : Medical Terminology, Customer Service, Data Entry, Computer, Medical Billing, Meditech.
Description :
Managed workers' compensation paper claims and records.
Audited and reviewed needed medical bills to be paid or denied.
Maintained contact with health centers to verify patient outstanding balances.
Followed up on insurance claims and occ-med claims, billing and appeals.
Contacted urgent care centers to obtain medical records for patient files.
Managed a company wide ICD10 initiative, which resulted in 300+ staff/provider governmental regulation compliance.
Managed the Billing Departments new hire orientation and education and training for all staff.
Experience
5-7 Years
Level
Executive
Education
AS In Medical Assisting
Billing Auditor Resume
Headline : To obtain a position in the business world to further develop my skills in the healthcare and administration industry and to use these skills and techniques to carry out the organizations objectives for growth and prosperity.
Skills : Data Entry, Excel, Filing, Fax, Medical Terminology, Research, Receptionist, Typing, Word.
Description :
Responsible for ensuring billing processes were accurate and complete.
Responsible for ensuring explanation of benefits were logical.
Communicated with insurance vendors to ensure billing practices were lucid Appealed claims.
Audited all employees work for accuracy.
Created letters for doctor office.
Reviewed incoming correspondences/ inquiries from clients/ agents and provide adequate responses.
Served clients' best interest by reviewing and auditing billing invoices from agents to ensure transparency and correct amount, as well as making adjustment if necessary.
Experience
5-7 Years
Level
Executive
Education
Associate's
Billing Auditor Resume
Objective : To be a part of a Billing Auditor professional organization, who can utilize my experience and organizational skills, and that will enrich my professional life with new learning experiences,& Assisting in other tasks, as needed The individual in this position must be capabled of performing all of the essential functions with or without a reasonable accommodation.
Skills : Microsoft Office, Oracle, ADP PCPW.
Description :
Six weeks trained to all internal and line-network, with mandatory above average grade in all exams.
Audited and maintained all accounts in the Houston Market.
Prepared and monitored all reports needed to ensure customer accounts were balanced, monthly invoices were correct and payments were properly posted into each account.
Corrected all enrolment or cash posting errors.
Assisted Auditors as necessary to keep currents in their areas as well as special projects for the department.
Provided customer service to all accounts and facilitating solutions to any issues or errors.
Facilitated daily, weekly, and monthly audits for a cellular phone company, ensuring appropriate billing and documentation standards are achieved.
Experience
2-5 Years
Level
Executive
Education
MA
Billing Auditor Resume
Objective : Billing Auditor with 5 years of experience in Reviewing basic business requirements, functional requirements and use cases for projects and system changes that may impact the billing of OUC customers; Performing audit and testing of OUC releases, including annual testing, and projects.
Skills : Customer Service, Eclinical Works, Medic, Aprima, Microsoft Office.
Description :
Performed thorough pre-bill and final review audit on selected client cardholder statements by predetermined audit criteria.
Verified financial accuracy of cardholder statements.
Authorised release of cardholder statements for mailing.
Prepared month end statistical reports as well as monthly/quarterly performance reports.
Generated pertinent reports from the Billing Tracking System for management status and planning.
Completed root cause analysis of error types and trends.
Ensured highest level of accuracy of customer's phone bills.
Experience
2-5 Years
Level
Executive
Education
Associate Of Science
Billing Auditor Resume
Summary : Results driven Billing Auditor professional with a deep desire for process improvement through workflow innovations. Extensive Healthcare industry experience with the revenue cycle including billing, auditing and financial analysis. Currently pursuing a Masters of Science in Accountancy while pursuing CPA certification to ultimately attain an Audit position.
Skills : SQL, Microsoft Office Suite.
Description :
Assisted Data Processing Department with implementation of system enhancements and new software programs.
Served as a mediator between clients and agents and resolve any disputes regarding billing invoices.
Created billing and auditing documentation and process improvements.
Responsible for billing claims audits and detailed overview of claim submissions of 8000+ claims on a weekly basis.
Performed 'close of day' for the accounting department.
Approved employees days off.
Managed the accurate and timely processing of up to 500 PO's weekly and paid sub-contractors accordingly.
Experience
7-10 Years
Level
Management
Education
MS In Accountancy
Billing Auditor Resume
Summary : Seeking a challenging career in the Medical Field, that not only utilizes my skills, but one that allows me to grow internally, within the company as well as a person both personally and professionally, Analyzing and interpreting customer contracts and rates, Auditing invoice payment information and file overcharge claims, Coordinating training for FBA projects and personnel as needed.
Skills : Data Entry, Data Entry, Excel, Filing, Fax, Medical Terminology, Research, Receptionist, Typing, Word.
Description :
Maintained billing responsibility of specialised billing accounts for letter S Provide cost saving opportunities and suggestions to the Director of.
Entered information from the bills if lading into the computer system.
Checked over the invoicing from the different terminals to make sure everything was billed correctly and accurately and checked drivers pay.
Uploaded the different invoicing from the terminals daily.
Used More customer services skills, communication skills, more patience.
Experienced with MS Outlook, MS Excel, & MS Word.
Experienced with Carrier Access Billing.
Experience
7-10 Years
Level
Management
Education
BA In Finance
Billing Auditor Resume
Summary : Billing Auditor is responsible to oversee internal and external customer FBA issues and or requirements, responsible to make recommendations to improve departmental policies, controls, and procedures, and helping improve systems and processes,& Assisting in evaluating, creating and implementing changes in methods or procedures to meet operational needs, and improve accuracy or efficiency in billing processing, Responding in a professional manner to all inquiries, providing the highest level of customer service.
Skills : Microsoft Office, QuickBooks, Creative Solutions, C-biz Payroll , C-biz EMS, Home Installation Manager,Outlook Express, HD Connect, Gate-Keeper.
Description :
Quarterly coded/compliance invoices for each affiliate.
Performed coding audits on regular basis as defined by compliance requirements and report findings to Regional Director
Ensured compliance with HIPAA Privacy, Security Policies and Procedures
Tracked and trended audits using Smart-sheet Dashboards
Adapted to procedure changes as needed
Travelled to all agency locations as assigned.
Showed respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints and needs in areas such as race, gender, ethnicity, creed,sexual orientation, and-others.
Experience
7-10 Years
Level
Management
Education
Bachelor Of Arts
Billing Auditor Resume
Headline : Billing Auditor is Performing billing functions, including validation and bill presentment, and provide billing analytics for OUCs largest customer accounts such as Universal Orlando, City of Orlando, GOAA, Orlando Health, etc.; Performing execution on basic test cases: track progress, defects and issues within quality software.
Skills : Planning, Billing, Accounting.
Description :
Assisted Regional Director in the development of affiliate specific training and educational materials from audits and/or potential risks areas.
Researched new and/or existing services and procedures for coding and documentation requirements.
Conducted investigation and research on scope of practice requirements for services provided.
Coordinated and maintained accurate calendar for clinician trainings, audits, and travel.
Supported Regional Director in billing staff questions regarding selected codes on claims.
Reported statistics concerning coding accuracy to Regional Director.
Supported the development and maintenance of Standard Operating Procedures.
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