A Patient Billing Specialist acts as a bridge between healthcare providers, patients, and insurance companies. The job responsibilities are listed on the Patient Billing Specialist Resume as – handling transferring patient information, submission of claims to insurance companies, ensuring that the payments for medical services are received in a timely manner, obtaining and reviewing referrals and authorizations treatments, conforming to patient benefits and insurance eligibility; following and adhering to all regulations and guidelines set by state programs; updating billing software with rate changes, developing and maintaining track systems of incoming and late payments; monitoring and solving financial discrepancies; and handling all patient or insurance telephone inquiries.
The basic education and experience required for the role include – knowledge of business and accounting processes, strong excellent verbal and written communication skills, familiarity with CPT and the latest coding guidelines; comfortable working in a team environment, and multitasking skills. A degree is commonplace among job applicants.
Objective : Dedicated Patient Billing Specialist with over two years of experience in managing patient accounts and billing processes. Proficient in claim submissions, payment collections, and resolving billing inquiries to enhance patient satisfaction. Committed to improving billing accuracy and efficiency while ensuring compliance with healthcare regulations.
Managed patient billing inquiries and resolved discrepancies efficiently.
Handled monetary postings, including bankruptcies and deceased patient accounts.
Communicated with collection agencies to manage outstanding debts.
Conducted thorough research and reported issues related to outstanding accounts.
Assisted patients with inquiries regarding their billing statements.
Ensured accurate submissions of claims using HCFA-1500 forms.
Coordinated with healthcare providers, insurance companies, and patients for effective follow-up.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Healthcare Billing Coordinator Resume
Objective : With five years of specialized experience in healthcare billing, I excel in managing patient accounts, processing claims, and ensuring compliance with regulatory standards. My focus is on optimizing billing accuracy and enhancing patient communication. I am dedicated to driving improvements in billing efficiency and resolving inquiries to support both patients and healthcare providers.
Skills : Time Management, Medical Billing Software, Communication Skills, Payment Reconciliation, Patient Account Management
Description :
Managed patient accounts, ensuring accurate billing and timely payments.
Processed claims submissions and followed up on denials to expedite resolution.
Verified insurance eligibility and patient demographics to minimize billing errors.
Addressed patient inquiries regarding billing statements and payment options.
Applied payments from electronic remittance advice to patient accounts.
Conducted audits on billing practices to ensure compliance with healthcare regulations.
Collaborated with clinical staff to clarify billing issues and improve patient care delivery.
Experience
2-5 Years
Level
Junior
Education
AAS-MB
Patient Billing Specialist Resume
Headline : Detail-oriented Patient Billing Specialist with over 5 years of experience in managing patient accounts, processing insurance claims, and ensuring accurate billing. Proficient in medical coding and compliance regulations, with a strong focus on customer service and resolving billing inquiries. Committed to optimizing revenue cycle processes and enhancing patient satisfaction through effective communication and problem-solving skills.
Reviewed and appealed denied insurance claims to maximize revenue.
Identified common problems in billing processes and recommended solutions to enhance quality of care.
Created an online patient portal for easy access to account information.
Facilitated online payment requests for patients during hospital visits.
Developed automated tools to assist patients with timely payments.
Utilized analytics software to detect fraud trends and inform treatment recommendations.
Established a reputation for ethical practices and integrity in billing operations.
Experience
5-7 Years
Level
Senior
Education
AAS HIT
Lead Patient Billing Specialist Resume
Headline : Accomplished Lead Patient Billing Specialist with 7 years of extensive experience in overseeing patient accounts and managing billing operations. Skilled in optimizing claims processing, enhancing revenue cycle efficiency, and ensuring compliance with healthcare regulations. Passionate about fostering positive patient experiences and streamlining billing inquiries to achieve organizational goals.
Managed the posting of charges and copayments for a busy physician practice, ensuring accuracy and compliance.
Verified coding accuracy and applied appropriate modifiers to ensure clean claims submissions to insurance providers.
Generated and reconciled unapplied credit reports, posting payments accurately to patient accounts.
Collaborated with collection agencies to resolve outstanding accounts and optimize revenue recovery.
Produced weekly patient statements, verifying accuracy and ensuring timely delivery.
Engaged with patients to develop payment plans, enhancing financial accessibility.
Processed patient payments and maintained comprehensive records for audit purposes.
Experience
5-7 Years
Level
Management
Education
AAS HIT
Patient Billing Specialist Resume
Summary : Accomplished Patient Billing Specialist with 10 years of extensive experience in managing complex billing processes and patient accounts. Adept at optimizing claim submissions, enhancing revenue cycle efficiency, and ensuring compliance with healthcare regulations. Passionate about improving patient satisfaction through effective communication and precise billing practices.
Skills : Exceptional Customer Service Skills, Strong Interpersonal Communication, Problem Solving, Attention To Detail, Charge Capture, Multi-tasking
Description :
Prepared and submitted accurate claims to various insurance companies electronically and by paper.
Responded to inquiries from patients, clerical staff, and insurance representatives.
Performed regular audits of billing records for accuracy.
Evaluated patient financial status and established feasible budget payment plans.
Tracked and reported on delinquent accounts to optimize collections.
Reviewed accounts for potential assignment to collection agencies, preparing necessary documentation.
Processed payments from insurance providers and managed daily deposit activities.
Experience
7-10 Years
Level
Management
Education
AAS
Patient Financial Services Specialist Resume
Headline : A results-oriented Patient Financial Services Specialist with 7 years of experience in managing patient accounts and optimizing billing processes. Expertise in claims processing, resolving financial inquiries, and ensuring compliance with healthcare regulations. Passionate about enhancing patient satisfaction and driving revenue cycle improvements through effective communication and problem-solving.
Managed patient accounts by reviewing billing statements and ensuring accurate allocations.
Processed adjustments to patient accounts based on Explanation of Benefits from insurance providers.
Utilized online platforms to retrieve and analyze insurance claim statuses and denials.
Applied applicable discounts and made necessary adjustments to billing ledgers.
Communicated effectively with patients regarding billing inquiries and resolutions.
Collaborated with revenue cycle teams to enhance operational efficiency across departments.
Assisted in training new staff on billing procedures and patient account management.
Experience
5-7 Years
Level
Senior
Education
BSHA
Patient Billing Specialist Resume
Summary : Bringing a decade of expertise in patient billing, I excel in managing complex billing cycles and ensuring accurate account reconciliation. My proficiency in claims processing and patient communication enhances revenue cycle efficiency, while my commitment to compliance ensures adherence to healthcare regulations. I strive to elevate patient satisfaction and streamline billing operations through effective problem-solving.
Skills : Claims Processing Expertise, Regulatory Knowledge, Patient Education, Financial Counseling, Ehr Systems, Team Collaboration
Description :
Determined charges for services rendered, collected payments, and arranged billing.
Directed unresolved customer grievances to appropriate departments for resolution.
Reviewed insurance policy terms to assess coverage for services provided.
Communicated with patients to address inquiries and provide updates on claims.
Resolved billing complaints by processing refunds or adjusting bills as needed.
Validated disputed charges against original requisitions and prepared invoices accordingly.
Documented customer interactions to ensure accurate records and follow-ups.
Experience
10+ Years
Level
Executive
Education
AAS
Senior Patient Billing Specialist Resume
Summary : Dynamic Senior Patient Billing Specialist with a decade of experience in optimizing billing processes and managing patient accounts. Expert in claims management, payment reconciliation, and ensuring compliance with healthcare regulations. Committed to enhancing revenue cycle efficiency and improving patient satisfaction through effective communication and problem resolution.
Skills : Healthcare Billing Knowledge, Effective Patient Communication, Active Listening Skills, Organizational Skills, Interpersonal Communication Skills, Customer-centric Approach
Description :
Developed and maintained positive relationships with patients and insurers.
Facilitated communication between patients, insurance companies, and healthcare providers to resolve billing inquiries.
Developed and implemented payment plans for patients, improving overall collection rates.
Reviewed and corrected claims to ensure compliance with billing regulations.
Maintained confidentiality and compliance with HIPAA regulations in all billing processes.
Conducted training sessions for staff on billing procedures and best practices.
Utilized billing software to track and manage accounts effectively.
Experience
7-10 Years
Level
Senior
Education
B.S. Health Admin.
Patient Billing Specialist Resume
Objective : Resourceful Patient Billing Specialist with two years of expertise in managing billing cycles and patient accounts. Skilled in processing claims, addressing billing inquiries, and ensuring compliance with healthcare policies. Eager to leverage my analytical skills to enhance billing accuracy and foster positive patient experiences.
Skills : Patient Communication, Efficient Time Management, Customer Service, Data Entry, Accounts Receivable, Financial Reporting
Description :
Facilitated accurate patient account processing by collaborating with patients, providers, and insurance companies.
Resolved billing discrepancies with insurance providers, ensuring timely payments.
Engaged in continuous process improvement, enhancing departmental functions.
Gained knowledge in bankruptcy procedures and patient correspondence as needed.
Demonstrated ability to learn quickly and maintain a strong work ethic.
Produced financial statements and reports to support billing operations.
Experience
0-2 Years
Level
Junior
Education
AAS in HIM
Patient Billing Specialist Resume
Headline : Accomplished Patient Billing Specialist with 7 years of experience in efficiently managing patient accounts and optimizing billing processes. Expert in claims submission, payment reconciliation, and resolving complex billing inquiries. Dedicated to enhancing revenue cycle performance while ensuring strict compliance with healthcare regulations and improving overall patient satisfaction.
Skills : Financial Analysis, Quality Assurance, Record Keeping, Electronic Health Records, Medicare Billing
Description :
Processed and submitted both electronic and paper claims to various insurance companies.
Maintained up-to-date and accurate insurance information through patient interactions and online resources.
Entered and updated payment details in patient accounts promptly.
Conducted follow-ups on delinquent payments with insurance providers.
Identified and rectified errors before and after claims submission to ensure accuracy.
Provided clear explanations and assistance regarding the billing process to patients.
Managed collections for new and existing accounts while adhering to credit policies.
Creating an account is free and takes five seconds.
You'll get access to the PDF version of this resume template.
Choose an option.
Sign up with Google
Sign up with Facebook
Sign up with Linkedin
This helps us make sure you're human and prevents spammers from abusing our services.
By continuing, you agree to our Privacy Policy and Terms.
Unlock the Power of Over 10,000 Resume Samples.
Take your job search to the next level with our extensive collection of 10,000+ resume samples. Find inspiration for your own resume and gain a competitive edge in your job search.
Get Hired Faster with Resume Assistant.
Make your resume shine with our Resume Assistant. You'll receive a real-time score as you edit, helping you to optimize your skills, experience, and achievements for the role you want.
Get Noticed with Resume Templates that Beat the ATS.
Get past the resume screeners with ease using our optimized templates. Our professional designs are tailored to beat the ATS and help you land your dream job.
Build an ATS-friendly Patient Billing Specialist Resume
