A Billing Representative coordinates all activities relating to the billing process of the company. The job description is varied and some of them are mentioned in the Billing Representative Resume as follows – issuing invoices, updating financial records, handling payments, issuing credit memos, reconciling customer account, ensuring timely billing, preparing manual invoicing wherever necessary, creating and maintaining customer contacts, handling incoming and outgoing calls, resolving customer’s billing issues, filing all accrued expenses, and providing excellent customer service.
Those seeking to work for this position should illustrate evidence of the following – familiarity with relevant software, basic accountancy knowledge, attention to details, problem resolving skills, accuracy in billing and the ability to revise errors. Employers hire those having a high school diploma, although preference is given to those possessing a background education in accounting or finance.
Headline : Hardworking, enthusiastic problem solver who enjoys a challenge in my career. I have 8 years of experience in the field of management with financial reconciliation and have been consistently rewarded for hard work with promotions and increased responsibilities.
Skills : Customer Service, Data Entry, Patient Care.
Description :
Responsible for all facets of medical billing and account receivables for the practice.
Submitted insurance claims and posted payments per line item, both electronically and paper.
Reviewed claim payments for accurate reimbursement and analyzed rejected claims to determine if an appeal was necessary.
Reconsiderations or appeals by a phone call to payer, payers' website, or letter of appeal.
Responsible for reviewing the surgeon's coding and operative reports at the time of charge entry to ensure accuracy.
Worked closely with the physician and pre-authorization department to ensure accuracy of codes and modifiers for a more efficient claim process and guarantee of payment for all procedures.
Increased payer reimbursement by 150% in 18 months by negotiation.
Experience
5-7 Years
Level
Consultant
Education
General Education
Billing Representative Resume
Headline : Over 7 years' experience as a Billing Representative in a variety of clinical settings. Excellent customer service and people skills. Utilizes extensive leadership experience, as well as, incorporating outstanding business, financial and technical acumen, to deliver exemplary performance even in the most demanding, controversial and complex assignments.
Skills : Bookkeeping, Accounting, Communication Skills.
Description :
Processed billings to patients and third-party reimbursement claims.
Maintained supporting documentation files and current patient addresses.
Processed patient statements, key data, post transactions, and verify accuracy of input to reports generated.
Researched and responded by telephone and in writing to patient inquiries regarding billing issues and problems.
Monitored unpaid claims initiate tracers.
Resubmitted claims as necessary.
Received receipt cash items and third party reimbursements.
Experience
5-7 Years
Level
Consultant
Education
Health Care Administration
Billing Representative Resume
Headline : Looking to obtain a position in the medical billing and coding arena in order to expand upon my current 11 years of knowledge. Strong ability for personal interaction and experience using Peach Tree accounting software is a plus
Answered customer inquiries, requests, or complaints concerning account status, and billing procedures, and payment schedules by telephone or written communication.
Typed payment history letters.
Provided general information to insured's and agents regarding the status of specific insurance policies.
Investigated problems or irregularities and resolved issues with customers.
Worked within company guidelines to ensure that customers receive accurate, timely, and dependable assistance.
Developed and maintained an alert system for upcoming deadlines on incoming requests and events.
Experience
5-7 Years
Level
Executive
Education
Diploma
Billing Representative Resume
Objective : Five years of professional experience in Hospital and Medical office settings. Highly adept in front office duties such as reception, billing, and other administrative obligations. Familiar with preparing patients for examinations, recording patient histories, demographics, insurance verification while always maintaining confidentiality by following HIPAA regulations.
Skills : Microsoft office, Ensure Accuracy, Active Listening.
Description :
Reviewed accounts and performed various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
Processed corrected claims when applicable.
Completed all adjustments in a timely matter to reconcile accounts.
Verified the accuracy of patient information stored in computer and code changes and modifications, as necessary.
Assisted in continuous training and /or provide updated Insurance policies to staff.
Met or exceeded monthly performance metrics established for a billing agent.
Executed machine information updates regarding price changes due to contract renewal and department code changes to ensure correct billing and issuance of sales commission.
Experience
2-5 Years
Level
Junior
Education
BS
Billing Representative Resume
Objective : Highly productive and accurate medical biller with extensive experience utilizing multiple billing software systems and possessing the unique experience with medical billing and adjudicating medical claims which result in faster turnaround time and higher reimbursements.
Skills : Critical Thinking, Service Orientation, Time Management.
Description :
Responsible for collecting, posting, and managing account payments.
Responsible for submitting claims and following up with insurance companies.
Prepared and submitted clean claims to various insurance companies either electronically or by paper.
Answered questions from patients, clerical staff, and insurance companies.
Identified and resolves patient billing complaints.
Prepared, reviewed, and sent patient statements.
Followed and reported the status of delinquent accounts.
Experience
0-2 Years
Level
Entry Level
Education
BS
Billing Representative Resume
Objective : To obtain a position within my chosen field that will challenge me and allow me to use my education, skills, and past experiences in a way that is mutually beneficial to both myself and my employer and allow for future growth and advancement.
Skills : Active Learning, Complex Problem Solving, Judgment and Decision Making.
Description :
Communicated with insurance providers to ensure accurate and timely reimbursements.
Maintained AR collections for both patient and insurance carriers.
Initiated process for the patient and/or insurance refunds.
Verified and audited patient data for accurate billing.
Updated patient account records to identify actions taken on the account.
Experience
2-5 Years
Level
Executive
Education
Diploma
Billing Representative Resume
Objective : To contribute to your organization's success through the use of exceptional customer service and managerial skills. To monitor and manage carrier invoices in review, unbilled, approved, and posted a status
Skills : Clerical Skills, Dependability, Attention to Detail.
Description :
Maintained and released all ship-verified claims from bill review within three days.
Developed a tickler file and held all claims pending authorization and/or documentation.
Analyzed and verified all dates of service and billed amounts.
Sent out all claims with corresponding documentation within seven days from release.
Verified all client data for completeness and accuracy prior to billing cycles.
Pulled appropriate documentation within clients' files for all generated claim forms.
Maintained the billing hold report (MIA) for claims that are un-billable.
Experience
0-2 Years
Level
Entry Level
Education
BS
Billing Representative Resume
Headline : Responsible for a limited variety of administrative duties for functional groups involving compiling and arranging amounts owed from accessorial charges, processing, and coding documents, maintaining records and files, monitoring of detention events, and/or preparing invoices and record transactions.
Informed patient of hospital rates; performs in-depth interviews with patients, families, relatives, and friends in an office setting.
Prepared and completed PCAP, MA, CHO, FHP, and HHC Options; explains benefit program.
Contacted outside agencies, organizations, insurance carriers, and employers to obtain necessary information about potential sources of revenue.
Referred patients to various hospital departments and outside agencies.
Facilitated the processing of patients' applications for third party benefits, including but not limited to Medicaid and Medicare.
Reviewed and abstracted Medical charts to obtain pertinent information for accurately coding and completing third-party billing forms.
Reviewed patient account records to ensure patients are properly billed.
Experience
5-7 Years
Level
Consultant
Education
GED
Billing Representative Resume
Objective : Billing Representative connects our customers with their best possible price and service experience. This person is responsible for ensuring our customers are always satisfied and that they’re getting the best possible deal.
Skills : Analytical Skills, Interpersonal Skills, Time Management Skills.
Description :
Entered daily charges using ICD9/CPT requirements.
Balanced daily journal & prepare daily deposit.
Researched unpaid claims & correspond with Insurance Provider Representatives.
Answered patient concerns and questions.
Entered new patient registrations and insurance information.
Performed all aspects of the month-end closing.
Researched and prepared Patient & Insurance overpayments.
Experience
2-5 Years
Level
Executive
Education
BS
Billing Representative Resume
Objective : Billing Representative is responsible for the receipt, processing, and follow-up on all customer billing inquiries. This includes responding to customers’ requests for information, providing the requested information, and following up with customers to ensure all inquiries are resolved.
Ensured a positive customer experience by providing high quality, consultative customer service support to existing customers.
Responded accurately, promptly, and effectively to call center calls.
Quickly resolved customer concerns.
Successfully handled customer calls to resolution.
Professionally, accurately, and effectively handled customer requests including changes to customer records, credits, payments, additions of service/products, and billing inquiries.
Resolved customer questions or concerns in one call.
Observed customer behavior during call handling process for disconnection risks.
Experience
2-5 Years
Level
Junior
Education
GED
Billing Representative Resume
Objective : To obtain a challenging position where I am able to advance, and gain knowledge of new things; utilizing my experience, enthusiasm, commitment, and diligence.
Skills : Ensure Accuracy, Patient Care, Hippa.
Description :
Entered Charges (Anesthesia Graphs) onto PPM System to submit claims to Insurance Companies.
Contacted Insurance Companies to follow up on claims, ensuring that they are paying correctly, following up on claim status, and clarifying denials.
Contacted patients in regards to payments due on their accounts, and collecting Co-Insurances prior to the patient's procedures.
Posted personal payments and insurance payments to patient accounts.
Submitted Claims to Medicaid and Staywell online.
Obtained Letter of Protections from Attorney Offices for patient accounts.
Coded Anesthesia Charges.
Experience
2-5 Years
Level
Executive
Education
GED
Billing Representative Resume
Summary : To become a valuable member of your team, utilizing and expanding my skills and training in the medical field as a medical assistant. I pride myself on helping others reaching out to help the community in any way needed.
Skills : Microsoft Office, Customer Service Skills, Medical Billing, Claims Processing.
Description :
Responsible for reviewing amounts owed from purchase orders, order forms, etc., and for preparing invoices and credit transactions.
Reviewed Purchase orders and verified information to ensure that the customer purchase order corresponds to customer pricing.
Interacted with the regional order department to assist and resolve order processing errors and inquiries.
Calculated and processed customer invoices and dealer credits on the internal retail system and excel.
Reviewed accuracy of Daily Billing Reports, researching and correcting inappropriate charges before releasing of invoices to customers/dealers.
Interacted closely with National Account customers/dealers/Account Executives applying customer service skills to investigate billing inquiries.
Verified with Contract and Credit Departments the need for billing corrections.
Experience
10+ Years
Level
Senior
Education
Liberal Arts
Billing Representative Resume
Summary : As a Billing Representative, to work with both private and public insurance plan policies as a follow-up on claims, resolve denials, post payments and bill adjustments, appeal submissions, and manage collections.
Answered a high volume of calls from patients, or their representatives, regarding bill balances, payments plans, credit card payments, patient pricing, rebilling, and general custom concerns.
Processed adjustments, refunds, transferred bills; mail refunds and performed manual sales.
Evaluated and responded to all aspects of written billing inquiries, including but limited to, billing insurance and updating invoices.
Researched, troubleshoot and resolved complex billing issues and customer complaints, taking all steps to resolve and ensure full resolution.
Maintained a tracking log of all escalated patient correspondence, providing status updates to leadership as needed.
Performed all aspects of patient billing and various projects, as assigned.
Ability to meet production standards.
Experience
10+ Years
Level
Senior
Education
BS
Billing Representative Resume
Summary : Medical billing and coding specialist with 3 years providing administrative and patient support in a Laboratory setting. Advanced knowledge of private and commercial insurance processes and codes.
Skills : Billing And Collection Procedures Expert, Fast Learner, Familiar With Commercial And Private Insurance Carriers.
Description :
Precisely completed appropriate claims paperwork, documentation, and system entry.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Verified patients' eligibility and claims status with insurance agencies.
Determined prior authorizations for outpatient procedures.Posted and adjusted payments from insurance companies.
Identified and resolved patient billing and payment issues.
Confidently and adeptly handled claim denials and/or appeals.
Communicated with insurance companies over the phone and in writing to appeal unpaid claims, making adjustments in coding as necessary and providing documentation to uphold charges.
Experience
10+ Years
Level
Senior
Education
Diploma
Billing Representative Resume
Objective : To obtain a full or part-time position that provides me with the opportunity to use my variety of skills and experience to contribute in a meaningful way to the advancement of company goals.
Skills : Customer Service, Data Entry, Powerpoint.
Description :
Balanced daily deposit for all locations, including cash, credit card and direct deposits.
Researched and corrected errors as needed.
Generated clinical deposit reports on a daily and monthly basis for the Accountant.
Managed month-end closing process and generate all reports for CAO and CPA firm.
Entered surgery charges for multiple physicians and their surgical assistants.
Researched and resolved inaccurate medical coding edits and communicate with the department director and physicians.
Analyzed unpaid claims for reimbursement by Medicare and BCBS carriers.
Experience
2-5 Years
Level
Executive
Education
Diploma
Suspended Billing Representative Resume
Headline : To obtain a position where I can utilize my experience in an office environment, my ability to adapt and learn quickly, and my ability to work well with others. I am a creative problem solver, planner, hard worker and punctual. I strongly believe in excellence in communicating; both written and spoken as well as cooperation with others is the key to a successful work environment.
Skills : Microsoft Office Suite, Project Management, Data Analysis, Record Keeping, Strategic Planning, Presentations, Staff Training.
Description :
Processed, reviews and mails prescription and/or CMNs to physicians for signature.
Documented all account activity on system.
Tasked to make sure the right documents were filed under the proper patient ID, in the correct state, in the correct order, and correct subfolder.
Upon reviewed of these documents I would reject the documents for correction if they did not comply with proper HIPPA and US government guidelines.
Verified compliant diagnosis and HCPCS codes to ensure payment from Medicare, Medicaid, and private insurance.
Actively worked suspended billing reports in order to reduce the outstanding claims.
Maintained contact with doctors and patients in order to secure the needed information to compete paperwork.
Experience
5-7 Years
Level
Executive
Education
Masters Of Business Administration
Suspended Billing Representative Resume
Objective : To obtain a Suspended Billing Representative position with a well-established company that will encourage the utilization of my advanced healthcare experience and healthcare educational background, strong organizational skills, and ability to work well with people on many different levels.
Skills : Windows 7, Windows Vista.
Description :
May performed internal quality audits to ensure that all necessary documentation is included in each patient file.
Processed, reviewed and mailed prescription and/or CMNs to physicians for signature.
Researched diagnosis and insurance benefits to receive proper reimbursement.
Obtained necessary documentation from Dr's/hospitals to obtain authorizations, CMN and Prescriptions.
Obtained copies of assigned Department logs daily.
Identified and mark log /track sheets of hospital admittance, outpatient services, and direct admits; submit billing information, count records to ensure reconciliation with the Emergency Dept. log and submit trauma patient billing.
Answered phone calls and handle inquiries.
Experience
2-5 Years
Level
Executive
Education
Bachelor Of Science
Suspended Billing Representative Resume
Headline : Highly qualified Suspended Billing Representative with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.
Skills : 89 Wpm, Office And Administration, Able To Operate All Office Equipment Efficiently, Excellent Customer Service/people, Professional, Self Motivated, And Dependable.
Description :
Evaluated all completed prescriptions/authorizations to ensure that the appropriate information has been obtained to allow for reimbursement as well as compliance with applicable standards and regulations.
Entered prescription information into computer once the prescriptions are completed and returned from the physicians.
Requested adjustments on accounts and recommends necessary changes to supervisor.
Performed billing investigations for home respiratory care company through the use of suspended billing reports.
Collected previous day’s patient charts, sorting in date and time order.
Reconciled missing or suspended list with required lag time.
Collected critical care charges of procedures, such as procedures performed in ICU/hospital and obtains/pulls charts, demographics, and insurance information.
Experience
5-7 Years
Level
Executive
Education
GED
Suspended Billing Representative Resume
Objective : A dedicated, flexible, and organized employee seeking a Suspended Billing Representative position where I can prove my abilities and contribute to the growth of the company.
Skills : Computer, Customer Service, Insurance Verification, Excel And Powerpoint.
Description :
Corrected claims that were rejected; sent supporting documentation, re-coded claims using the proper ICD-9 and CPT diagnosis codes, and verified insurance coverage.
Performed follow-up on outstanding Certificates of Medical Necessity (CMN) and prescriptions, and processed renewals using suspended billing reports.
Contacted patient to resolve problematic situations.
Evaluated documents and reports to ensure appropriate information had been obtained.
Documented all account activity in computer system.
Complied with regulatory compliance areas, policies and procedures.
Assisted in obtaining authorization for reimbursement for some accounts.
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