An Insurance Billing Specialist is a professional who will process insurance claims for various sectors. The job description varies widely based on the industry setting, but the most common duties are enlisted on the Insurance Billing Specialist Resume as follows – collecting and entering claim information, posting insurance and managing accounts, submitting claims to the insurance companies, following up with insurance carriers with regards to rejected claims or unpaid claims; informing clients about account status and changes, and giving a detailed report to the billing supervisor.
The amount of knowledge, skills, and abilities needed to be represented on the portfolio includes – the ability to enter all information pertaining to insurance claims, adherence to laws and best practices while dealing with data and customers; comfortable dealing with huge numbers and insurance billing processing. It is possible to work as an Insurance Billing Specialist with an associate’s degree in related fields.
Objective : Dynamic Insurance Billing Specialist with over two years of experience in managing billing processes, ensuring compliance with insurance regulations, and optimizing claim submissions. Proven ability to resolve discrepancies and enhance revenue cycle efficiency. Committed to delivering exceptional service and maintaining accurate billing practices.
Skills : Regulatory Compliance, Medical Coding, Billing Software, Insurance Verification
Description :
Reviewed and corrected all billable claims within the billing software to adhere to specific payor guidelines.
Billed secondary claims promptly after primary insurance processing.
Accurately applied insurance and patient payments, resolving discrepancies on accounts.
Conducted follow-ups on aging accounts, ensuring timely resubmission of claims and adherence to filing deadlines.
Reconciled accounts by interpreting payment and denial codes from EOBs.
Reviewed non-covered charges per established procedures, managing write-offs appropriately.
Resolved questions regarding ICD-9, ICD-10, CPT, HCPCS codes, and modifiers related to claim errors.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Insurance Claims Specialist Resume
Headline : Results-oriented Insurance Claims Specialist with 7 years of experience in managing and processing insurance claims efficiently. Expert in analyzing discrepancies, optimizing claim submissions, and ensuring compliance with industry regulations. Dedicated to enhancing customer satisfaction while achieving timely claim resolutions, contributing to overall operational success.
Skills : Revenue Cycle Management, Hipaa Compliance, Problem Solving, Attention To Detail, Time Management
Description :
Conduct comprehensive reviews of daily pending insurance claims to ensure accuracy in patient information and coding.
Analyze and resolve claims rejected by insurance carriers, identifying root causes for rejection.
Correct and resubmit rejected claims in both electronic and paper formats.
Manage submission of secondary claims, utilizing electronic formats and CMS 1500 forms.
Monitor submitted claims for timely payment, conducting follow-ups as necessary.
Identify credit balances on patient accounts and coordinate refunds with Accounts Payable.
Assist patients with inquiries regarding the status and resolution of their insurance claims.
Experience
5-7 Years
Level
Management
Education
B.S. in BA
Insurance Billing Specialist Resume
Objective : Accomplished Insurance Billing Specialist with 5 years of experience streamlining billing operations and ensuring compliance with insurance standards. Expertise in resolving billing discrepancies and optimizing claims processing. Adept at enhancing the revenue cycle while providing excellent service and maintaining precise billing records.
Skills : Medical Billing Software Proficiency, Icd-10 Coding Accuracy, Data Management And Entry, Professional Communication Skills, Client Relations Management, Proficient In Microsoft Office Suite
Description :
Managed patient inquiries and resolved billing complaints efficiently.
Reviewed and sent out patient statements, establishing budget payment plans based on financial assessments.
Monitored delinquent accounts, providing timely reporting to the Billing Supervisor.
Performed daily backups and managed various collection actions, including contacting patients and resubmitting claims.
Processed insurance payments and prepared daily deposits with accuracy.
Conducted thorough reviews of accounts for potential assignment to collection agencies.
Maintained compliance with insurance regulations while optimizing billing processes.
Experience
2-5 Years
Level
Consultant
Education
AAS
Claims Billing Specialist Resume
Summary : With a decade of comprehensive experience in claims billing, I excel at managing complex billing processes, ensuring regulatory compliance, and optimizing claim submissions. I am adept at resolving discrepancies, enhancing revenue cycle efficiency, and delivering exceptional service, all while maintaining meticulous billing standards.
Managed billing processes for claims submitted to various insurance providers, ensuring compliance and accuracy.
Verified and communicated necessary information to insurance companies to facilitate proper claim processing.
Executed timely billing for primary and secondary insurance claims, maintaining a high accuracy rate.
Resolved claim processing issues by reviewing claim inventories and implementing corrective actions.
Ensured complete and accurate clean claim submissions for both paper and electronic formats.
Maintained open communication with the Billing Manager regarding any identified billing issues or delays.
Monitored performance standards to ensure department efficiency and goal achievement.
Experience
7-10 Years
Level
Senior
Education
AAS
Insurance Billing Specialist Resume
Objective : Highly organized Insurance Billing Specialist with two years of experience in managing billing cycles and ensuring compliance with insurance protocols. Skilled at identifying discrepancies and improving claim submission processes. Passionate about enhancing patient experience through accurate billing practices and timely resolution of issues.
Skills : Quality Assurance, Billing Regulations, Patient Accounts, Communication Skills, Team Collaboration, Analytical Skills
Description :
Managed patient billing profiles using advanced medical software to ensure accuracy across multiple hospital systems.
Posted payments and reconciled accounts, collaborating with insurance providers to clarify patient balances.
Updated and entered medical billing codes to enhance claim accuracy.
Resolved complex billing inquiries and customer service issues for patients.
Identified and escalated issues with insurance payments to ensure timely processing.
Processed daily claims workload, addressing any backlogs to maintain efficiency.
Flagged and corrected registration errors using a systematic error tracking approach.
Experience
0-2 Years
Level
Junior
Education
A.A.S.
Health Insurance Billing Specialist Resume
Headline : Accomplished Health Insurance Billing Specialist with 7 years of extensive experience in managing billing operations, ensuring compliance with insurance policies, and streamlining claim submissions. Proven expertise in resolving discrepancies and enhancing revenue cycle efficiency, committed to delivering precise and timely billing solutions that improve overall operational performance.
Processed insurance claims accurately and efficiently to ensure timely payments.
Reviewed and verified patient insurance information for billing accuracy.
Addressing consumer inquiries regarding account balances and billing issues.
Collecting missing information from healthcare providers to facilitate timely processing of claims.
Communicating with consumers via written correspondence to resolve payment disputes.
Supporting various functions within the billing department as needed.
Managing inbound shipments of specimen samples and ensuring accurate data entry into systems.
Experience
5-7 Years
Level
Management
Education
AAS in HIT
Insurance Billing Specialist Resume
Objective : Results-focused Insurance Billing Specialist with 5 years of experience in optimizing billing processes and ensuring adherence to insurance regulations. Proficient in resolving discrepancies and enhancing the revenue cycle through meticulous claim submissions. Dedicated to providing exceptional service while maintaining accurate and compliant billing practices.
Managed daily billing operations for patient accounts, ensuring accuracy and compliance.
Submitted claims to payers in a timely manner, achieving a high approval rate.
Edited and processed electronic and paper claims for various insurance types.
Maintained and updated the electronic billing system, ensuring data integrity.
Generated production and balancing reports per departmental protocols.
Collaborated with specialists to identify and resolve reimbursement issues.
Conducted analyses to determine root causes of payment variances and implemented solutions.
Experience
2-5 Years
Level
Entry Level
Education
AAS
Insurance Payment Specialist Resume
Objective : Dedicated Insurance Payment Specialist with two years of experience in processing and managing insurance claims. Expertise in ensuring compliance with industry regulations, optimizing payment cycles, and resolving discrepancies efficiently. Passionate about delivering accurate billing solutions that enhance revenue integrity and improve patient satisfaction.
Skills : Proficient In Email Communication, Financial Analysis, Risk Assessment, Claim Submission, Data Analysis, Billing Compliance
Description :
Processed and submitted insurance claims to various providers, ensuring compliance with company policies.
Managed pre-authorizations and reviewed treatment estimates with patients to clarify billing processes.
Conducted electronic billing to insurance companies, appealing claims as necessary.
Balanced production reports and accounts receivables to maintain accurate financial records.
Entered and updated patient information in billing software, ensuring data integrity.
Collected patient payments at the time of service, improving cash flow.
Scheduled patient appointments and managed front office communications effectively.
Experience
0-2 Years
Level
Entry Level
Education
AAS HIT
Insurance Billing Specialist Resume
Summary : With 10 years of extensive experience in insurance billing, I specialize in managing complex claims processes, ensuring compliance with regulations, and enhancing revenue cycles. My expertise in resolving discrepancies and optimizing claim submissions drives operational efficiency and improves client satisfaction. Committed to delivering accurate and timely billing solutions that meet organizational goals.
Skills : Advanced Microsoft Office Suite, Reconciliation, Audit Preparation, Billing Disputes, Process Improvement, Client Relations
Description :
Collaborated with insurance companies, healthcare providers, and patients to facilitate the processing of claims.
Prepared and submitted claims to various insurance providers using both electronic and paper methods.
Reviewed and appealed unpaid or denied claims, ensuring timely resolutions.
Communicated effectively with patients regarding billing balances and claims status.
Analyzed EOBs to identify and resolve incorrect denials or underpayments.
Verified patient insurance coverage and addressed billing inquiries from patients.
Maintained strict confidentiality while adhering to all HIPAA regulations and guidelines.
Experience
10+ Years
Level
Executive
Education
AAS
Insurance Financial Specialist Resume
Headline : Accomplished Insurance Financial Specialist with 7 years of expertise in analyzing financial data, managing insurance claims, and ensuring compliance with industry regulations. Adept at optimizing billing processes and enhancing revenue cycle efficiency. Committed to driving operational success through accurate financial reporting and exceptional client service.
Reviewed patient accounts to ensure full balance payments and accurate billing.
Posted adjustments in compliance with guidelines set by insurance companies.
Generated weekly Accounts Receivable reports to address 90-120 day delinquent bills.
Engaged with insurance companies to follow up on outstanding payments.
Verified commercial insurance coverage and determined patient financial responsibility.
Followed up on unpaid claims to expedite payment processes.
Assisted patients with billing inquiries and insurance coverage questions.
Experience
5-7 Years
Level
Management
Education
B.S. Finance
Insurance Billing Specialist Resume
Objective : Proficient Insurance Billing Specialist with two years of experience in managing and processing insurance claims. Skilled in ensuring compliance with regulations and optimizing billing procedures. Demonstrates a strong ability to resolve discrepancies effectively, contributing to improved revenue cycle management and client satisfaction.
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