The main job role of a Medical Biller and Coder is to ensure that the health providers are being paid for the medical services rendered. The other roles and responsibilities outlined in the Medical Biller and Coder Resume include – ensuring accurate flow of patient data and medical information, reviewing medical procedures as documented, handling patient billing, coordinating insurance reimbursement, translating medical procedures into codes, billing patients for services provided, coordinating reimbursement activities, and coding treatment information using CPT codes.
Even though candidates can get into this job through academic qualification and training, these attributes will put the employees well ahead of the competition – self-driven and disciplined, a good understanding of medical terminologies and billing procedures, familiarity with medical billing software, phone etiquette and a thorough knowledge of insurance claims and procedures. Typically, an Associate’s degree in health information technology or the related is needed for this role.
Objective : Enthusiastic Medical Biller and Coder with two years of experience in accurately processing claims and coding medical procedures. Adept at managing billing inquiries, ensuring compliance, and optimizing revenue cycle efficiency. Committed to maintaining patient confidentiality and enhancing operational workflows.
Skills : Medical Billing And Coding, Claim Submission, Billing Procedures, Icd-10 Knowledge
Description :
Interpreted medical reports to apply accurate ICD-10, CPT, and HCPCS codes.
Thoroughly reviewed remittance codes from EOBs to ensure accurate billing.
Evaluated provider charges for accuracy, including patient identification and service details.
Collaborated with providers to obtain missing data and resolve discrepancies.
Scheduled procedures in coordination with healthcare teams, ensuring optimal patient flow.
Addressed and resolved billing issues proactively before claim submission.
Maintained compliance with HIPAA regulations to ensure patient confidentiality.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Biller and Coder Consultant Resume
Objective : Proficient Medical Biller and Coder with 5 years of experience in managing complex billing processes and ensuring accurate coding of medical services. Skilled in optimizing claims submission, resolving discrepancies, and maintaining compliance with healthcare regulations. Passionate about enhancing revenue cycle efficiency while safeguarding patient confidentiality.
Billed and coded for family medicine, oncology, radiology, and ambulance services, ensuring accuracy and compliance.
Processed claims within 48 hours of receipt, enhancing overall efficiency.
Verified diagnosis codes for accuracy and appropriateness based on services rendered.
Obtained insurance authorizations for necessary procedures and tests.
Supported administrative tasks for three physicians, enhancing workflow.
Maintained meticulous records for auditing and compliance purposes.
Conducted regular training sessions on coding updates and billing best practices.
Experience
2-5 Years
Level
Freelancer
Education
AAS in MBC
Medical Biller And Coder Resume
Headline : Dedicated Medical Biller and Coder with 7 years of extensive experience in processing claims and ensuring precise coding of medical services. Expert in managing billing systems, enhancing revenue cycle operations, and ensuring compliance with healthcare regulations. Focused on delivering exceptional service while maintaining patient confidentiality and improving workflow efficiency.
Skills : Quality Assurance, Documentation Skills, Research Skills, Medical Billing Software, Patient Interaction, Follow-up Skills
Description :
Organized and processed billing data, preparing comprehensive accounts receivable reports for management.
Updated and maintained accurate patient records in compliance with HIPAA regulations.
Reviewed medical records for coding accuracy and completeness, ensuring adherence to insurance requirements.
Assigned appropriate diagnosis codes based on clinical findings and laboratory results.
Collaborated with healthcare providers to resolve discrepancies in billing and coding.
Managed the submission of claims to various insurance carriers, ensuring timely payments.
Conducted regular audits of billing practices to identify areas for improvement and compliance.
Experience
5-7 Years
Level
Management
Education
AAS in MBC
Medical Biller and Coder Trainee Resume
Objective : Driven and detail-oriented Medical Biller and Coder Trainee with two years of hands-on experience in coding and billing processes. Skilled in accurately processing claims, managing billing inquiries, and ensuring compliance with healthcare regulations. Eager to leverage technical knowledge to enhance revenue cycle efficiency and support healthcare operations.
Skills : Claims Processing, Problem Solving, Communication Skills, Patient Records Management, Data Entry Skills, Attention To Detail
Description :
Prepared and maintained accurate chargemasters for hospital billing.
Ensured compliance with federal and state guidelines for medical billing.
Verified accuracy of coding on insurance claims to facilitate timely payments.
Managed delinquent accounts and coordinated with collection agencies.
Processed insurance payments and recorded transactions in the Practice Management system.
Re-billed insurance companies to maximize payment recovery.
Reviewed cashier entries for accuracy and made necessary corrections.
Experience
0-2 Years
Level
Entry Level
Education
AAS in MBC
Medical Biller And Coder Resume
Objective : Results-oriented Medical Biller and Coder with 5 years of experience in efficient claims processing and precise medical coding. Proficient in managing billing discrepancies, ensuring regulatory compliance, and enhancing revenue cycle operations. Committed to delivering exceptional service while upholding patient confidentiality and streamlining workflows.
Skills : Conflict Resolution, Data Analysis And Reporting, Healthcare Documentation, Critical Thinking, Cpt/icd-10 Coding, Patient Communication
Description :
Reviewed patient records to ensure accuracy and compliance with coding standards.
Processed insurance claims, verifying necessary documentation and coding accuracy.
Entered patient data into electronic health record systems, maintaining confidentiality and security.
Accurately code medical diagnoses and procedures using ICD-10 and CPT coding systems.
Monitored updates in healthcare regulations to ensure billing practices remain compliant.
Assigned codes to diagnoses and procedures using ICD-10 and CPT coding systems.
Generated reports on billing activities and trends to assist in revenue cycle management.
Experience
2-5 Years
Level
Junior
Education
AAS
Medical Biller and Coder Administrative Assistant Resume
Objective : Resourceful Medical Biller and Coder with two years of experience in processing claims and ensuring accurate coding of medical services. Proficient in managing billing inquiries, maintaining compliance, and improving revenue cycle operations. Eager to contribute to a team that prioritizes efficiency and patient confidentiality.
Skills : Proficient In Icd-10-cm Coding, Workflow Management, Knowledgeable In Anatomy And Physiology, Proficient In Microsoft Office Suite
Description :
Determined appropriate diagnosis and procedure codes, ensuring accuracy and compliance.
Verified that chart records corroborate the billed services provided.
Reviewed Explanation of Benefits (EOB) to ensure proper reimbursement for services rendered.
Communicated with Medicare and private insurers to resolve coding disputes.
Educated staff on updates to Medicare coding practices to ensure compliance.
Monitored coordination of benefits for patients with multiple insurance plans.
Tracked coding frequency to maintain billing accuracy and compliance standards.
Experience
0-2 Years
Level
Junior
Education
AAS in MBC
Medical Biller And Coder Resume
Headline : Detail-oriented Medical Biller and Coder with over 5 years of experience in accurately processing medical claims and ensuring compliance with healthcare regulations. Proficient in ICD-10, CPT, and HCPCS coding systems, with a strong ability to resolve billing discrepancies and optimize revenue cycle management. Excellent communication skills and a commitment to maintaining patient confidentiality.
Skills : Insurance Verification, Medical Coding, Regulatory Compliance, Medical Terminology, Cpt Coding, Hcpcs Coding
Description :
Submitted claims electronically and in hard copy, ensuring accuracy and compliance.
Followed up on payment collections, achieving timely reimbursements.
Reviewed denied claims and initiated appeals, improving recovery rates.
Collaborated with attorneys regarding collections on outstanding balances.
Resolve billing discrepancies and address patient inquiries regarding charges.
Reviewed patient records to ensure accurate diagnosis coding.
Generated patient statements and managed payment plans for outstanding balances.
Experience
5-7 Years
Level
Senior
Education
AAS in MBC
Senior Medical Biller and Coder Resume
Summary : Accomplished Senior Medical Biller and Coder with 10 years of comprehensive experience in managing complex billing processes and ensuring accurate medical coding. Proven expertise in optimizing claims submissions, resolving discrepancies, and adhering to healthcare regulations. Dedicated to enhancing revenue cycle efficiency while maintaining the highest standards of patient confidentiality.
Skills : Software Proficiency, Microsoft Office Suite, Time Tracking, Billing Software, Record Keeping, Data Analysis
Description :
Managed billing for multiple clinics, ensuring accurate coding and timely submission of claims.
Updated and maintained patient registration and insurance information to reflect current data.
Analyzed accounts receivable ledgers to identify and resolve rejected claims.
Communicated with insurance companies to determine claim statuses and reasons for denials.
Corrected and resubmitted claims based on feedback from insurers.
Utilized medical terminology and data entry skills to enhance billing accuracy.
Engaged with patients to relay important account information and address inquiries.
Experience
7-10 Years
Level
Senior
Education
AAS
Medical Biller And Coder Resume
Objective : Results-focused Medical Biller and Coder with two years of experience in precise claim processing and medical coding. Proficient in managing billing inquiries and ensuring compliance with healthcare regulations. Eager to leverage expertise in revenue cycle management to enhance operational efficiency while prioritizing patient confidentiality.
Verified accuracy of medical billing data and corrected discrepancies to ensure compliance.
Utilized billing software to prepare itemized statements and invoices for patients and insurers.
Reviewed hospital records and charge slips to compute fees and charges accurately.
Maintained meticulous records of invoices and associated documents for auditing purposes.
Executed bookkeeping tasks, including posting data and tracking costs of services rendered.
Addressed billing inquiries and resolved discrepancies, enhancing patient relations.
Collaborated with healthcare providers to ensure accurate coding of medical services.
Experience
0-2 Years
Level
Junior
Education
AAS
Medical Biller and Coder Analyst Resume
Objective : Accomplished Medical Biller and Coder Analyst with 5 years of extensive experience in streamlining billing processes and ensuring precise medical coding. Skilled in navigating complex insurance claims, enhancing compliance, and optimizing revenue cycles. Eager to leverage expertise in coding regulations to drive operational improvements and support healthcare efficiency.
Skills : Team Collaboration, Technical Skills, Analytical Skills, Time Management
Description :
Conducted thorough research on new diagnoses and procedures to enhance coding accuracy.
Identified and corrected inconsistencies in medical documentation, ensuring compliance.
Maintained up-to-date knowledge of coding requirements through continuous education.
Verified patient eligibility and claims status with various insurance providers.
Filed and followed up on third-party claims to ensure timely payments.
Accurately selected appropriate codes for multiple anatomical locations in documentation.
Maintain organized records of all billing transactions and correspondence.
Experience
2-5 Years
Level
Consultant
Education
AAS in MBC
Medical Biller And Coder Resume
Summary : Dedicated Medical Biller and Coder with a solid background in healthcare administration and coding practices. Skilled in utilizing electronic health record (EHR) systems and billing software to streamline processes and enhance accuracy. Proven track record of reducing claim denials and improving reimbursement rates through meticulous coding and follow-up procedures.
Thoroughly investigated past due claims, significantly minimizing unpaid accounts.
Secured insurance authorizations for home healthcare services, ensuring timely reimbursement.
Accurately entered procedure and diagnosis codes into billing software, enhancing data integrity.
Identified errors in claims and efficiently re-filed denied claims received from the Patient Account Representative.
Utilized modifiers effectively, verifying narrative diagnoses for accurate coding.
Confirmed patient information, collected copays, and verified insurance coverage for billing accuracy.
Completed and submitted claims with a focus on compliance and efficiency.
Experience
10+ Years
Level
Executive
Education
AAS
Medical Biller And Coder Resume
Objective : Experienced Medical Biller and Coder with a solid background in healthcare administration. Skilled in medical coding, billing, and claims processing with a focus on accuracy and compliance. Familiar with electronic health record (EHR) systems and adept at resolving billing discrepancies. Strong analytical skills and attention to detail, ensuring timely reimbursement and patient satisfaction.
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