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 : Dedicated Billing Auditor with over five years of experience in auditing and optimizing billing processes. Proficient in analyzing discrepancies, ensuring compliance with regulations, and enhancing operational efficiency. Adept at collaborating with cross-functional teams to meet customer billing requirements and improve revenue cycle management.
Skills : Microsoft Word, 10-key Data Entry, Regulatory Compliance, Analytical Skills
Description :
Generated daily reports to track claims processed by a team of 16 billers.
Conducted thorough audits on claims to identify and rectify errors.
Prepared detailed reports for team members outlining errors and corrective actions.
Supervised and assigned tasks to a team of 18 employees to ensure productivity.
Ensured all billing deadlines were consistently met.
Resolved escalated billing issues and inquiries from patients with professionalism.
Collaborated with departments to streamline the billing process.
Experience
2-5 Years
Level
Executive
Education
B.S. Accounting
Billing Auditor Resume
Objective : Accomplished Billing Auditor with 5 years of specialized experience in auditing billing practices and ensuring compliance with industry standards. Demonstrates expertise in identifying discrepancies and enhancing billing workflows. Committed to optimizing revenue cycle management and fostering collaboration across departments to achieve operational excellence.
Skills : Advanced Excel Skills, Document Management Software, Data Entry Proficiency, Fast And Accurate Typing, Meticulous Quality Assurance
Description :
Generated accurate invoices and settlements utilizing TMW imaging software.
Audited payments to multiple trucking companies, ensuring compliance with contracts.
Managed invoicing for diverse customer accounts concurrently.
Proactively contacted carriers to obtain timely documentation.
Developed SOPs for billing processes, enhancing efficiency for new and existing clients.
Supported management with special projects and assisted the AR team utilizing Power-track.
Established EDI email protocols for new customer invoicing.
Experience
2-5 Years
Level
Executive
Education
BSA
Billing Auditor Resume
Headline : Results-oriented Billing Auditor with 7 years of experience in enhancing billing accuracy and compliance. Expertise in identifying discrepancies and implementing process improvements to optimize revenue cycles. Proven ability to collaborate with diverse teams to ensure regulatory adherence and elevate operational efficiency.
Audited medical billing records to ensure accuracy and compliance with regulations.
Identified billing discrepancies and collaborated with teams to resolve issues.
Maintained communication with healthcare providers to verify patient balances.
Followed up on insurance claims and managed the appeals process effectively.
Led a departmental initiative for ICD10 compliance, resulting in 300 staff trained.
Oversaw the onboarding and training of new billing department staff.
Conducted regular audits of billing practices to enhance operational efficiency.
Experience
5-7 Years
Level
Executive
Education
B.S. Accounting
Billing Auditor Resume
Headline : Experienced Billing Auditor with 7 years of expertise in streamlining billing processes and ensuring compliance. Skilled in identifying discrepancies and enhancing operational workflows to boost revenue cycle efficiency. Known for fostering collaboration across departments to address customer needs and optimize billing accuracy.
Ensured accuracy and completeness of billing processes through detailed audits.
Analyzed explanation of benefits to confirm logical billing practices.
Collaborated with insurance vendors to clarify billing practices and appealed claims as necessary.
Conducted audits of team members' work to ensure compliance and accuracy.
Prepared correspondence for medical offices to address billing inquiries.
Reviewed client correspondence and responded to inquiries effectively.
Audited invoices for transparency and accuracy, making adjustments when necessary.
Experience
5-7 Years
Level
Executive
Education
B.S. Accounting
Billing Auditor Resume
Objective : Proficient Billing Auditor with five years of experience in streamlining billing processes and ensuring compliance with industry standards. Skilled at identifying discrepancies, enhancing accuracy, and optimizing revenue cycles. Strong collaborator, dedicated to improving operational efficiency and delivering exceptional customer service.
Skills : Microsoft Excel, Oracle Financial Services, Process Improvement, Audit Techniques, Problem Solving
Description :
Trained internal teams on billing systems, achieving above-average performance in assessments.
Audited accounts within the Houston Market, ensuring accuracy and compliance.
Prepared reports to balance customer accounts and verified invoice correctness.
Resolved enrollment and cash posting errors to enhance billing accuracy.
Assisted auditors in special projects, improving departmental workflow.
Provided customer support by addressing billing inquiries and resolving issues.
Conducted audits for a cellular company, ensuring adherence to billing standards.
Experience
2-5 Years
Level
Executive
Education
B.S. Accounting
Billing Auditor Resume
Objective : Billing Auditor with 5 years of experience specializing in the meticulous review and optimization of billing processes. Expert in identifying discrepancies and ensuring adherence to regulatory standards while enhancing operational workflows. Proven track record of collaborating with diverse teams to drive revenue cycle improvements and deliver exceptional financial accuracy.
Executed detailed pre-bill and final review audits based on established criteria, ensuring billing accuracy.
Validated the financial integrity of client statements, identifying and correcting discrepancies.
Authorized the distribution of accurate client statements, enhancing customer satisfaction.
Compiled month-end statistical reports and performance metrics to inform management decisions.
Generated analytical reports from the Billing Tracking System for strategic planning and oversight.
Conducted root cause analyses to identify error trends and implement corrective measures.
Maintained the highest standards of accuracy in customer billing operations.
Experience
2-5 Years
Level
Executive
Education
B.S. in Acc.
Billing Auditor Resume
Summary : Accomplished Billing Auditor with 10 years of extensive experience in auditing billing processes and enhancing financial accuracy. Expert in identifying discrepancies, ensuring compliance with industry regulations, and driving operational improvements. Proven ability to collaborate with diverse teams to streamline revenue cycle management and optimize billing workflows.
Led comprehensive audits of billing processes, identifying and resolving discrepancies across multiple departments.
Collaborated with IT to implement system enhancements, improving billing accuracy and efficiency.
Developed and maintained detailed documentation for auditing processes and compliance standards.
Analyzed billing claims, conducting audits on 8,000 claims weekly to ensure accuracy.
Managed the daily close process for the accounting department, ensuring timely financial reporting.
Coordinated employee schedules and approved time off, maintaining operational continuity.
Oversaw the processing of up to 500 purchase orders weekly, ensuring timely payments to subcontractors.
Experience
7-10 Years
Level
Management
Education
B.S. Accounting
Billing Auditor Resume
Summary : Accomplished Billing Auditor with a decade of expertise in auditing billing practices and ensuring regulatory compliance. Skilled in identifying discrepancies and implementing process enhancements to optimize revenue cycles. Proven track record of collaborating with multidisciplinary teams to elevate operational efficiency and drive financial accuracy.
Skills : Reconciliation Skills, Time Management, Communication Skills, Customer Service, Billing Terminology
Description :
Managed specialized billing accounts, identifying cost-saving opportunities for departmental leadership.
Entered and validated information from bills of lading into the billing system.
Conducted thorough audits of invoicing from various terminals, ensuring accuracy and compliance.
Uploaded daily terminal invoicing, maintaining organized records for reference.
Enhanced customer service skills, improving communication and patience when addressing client inquiries.
Utilized MS Outlook, Excel, and Word for efficient data management and reporting.
Leveraged Carrier Access Billing systems for accurate billing and reporting.
Experience
7-10 Years
Level
Management
Education
B.S. Accounting
Billing Auditor Resume
Summary : Seasoned Billing Auditor with a decade of experience in scrutinizing and refining billing processes to enhance accuracy and compliance. Expert in resolving discrepancies and implementing strategic improvements to optimize revenue cycles. Proven collaborator, committed to delivering exceptional service while driving operational efficiencies across diverse teams.
Skills : Analytical Problem Solving, Billing System Management, Confidentiality, Report Generation, Risk Assessment
Description :
Conducted quarterly coding compliance audits for each affiliate to ensure adherence to standards.
Performed regular coding audits, reporting findings to the Regional Director for corrective actions.
Ensured compliance with HIPAA regulations, enhancing security and privacy in billing processes.
Utilized Smart-sheet Dashboards to track audit trends, improving oversight on billing accuracy.
Adapted to procedural changes swiftly, maintaining operational excellence.
Conducted site visits to various agency locations to ensure compliance and provide support.
Promoted a culture of respect and inclusivity among internal and external stakeholders.
Experience
7-10 Years
Level
Management
Education
B.S. Accounting
Billing Auditor Resume
Headline : Seasoned Billing Auditor with 7 years of specialized experience in evaluating and enhancing billing operations. Proficient in identifying discrepancies, ensuring regulatory compliance, and implementing process improvements. Known for fostering cross-departmental collaboration to optimize revenue cycles and deliver exceptional service.
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