Medical Customer Service/biller
260.925.0379 · firstname.lastname@example.org
MEDICARE BILLING SPECIALIST
Self-motivated, tenacious, and results-oriented professional with over 17 years experience in all aspects of billing, collections, reconciling remittance advices from all required insurance providers, Ensured compliance of mandated Medicare specific 72 hour admissions report, verified compliance & released accurate claims, completed late charges timely & accurately.
Medicare Billing Specialist, 1997-2014
ÂŸ Resolved Medicare admissions report on a daily basis to maintain compliance with 72 hour standard.
ÂŸ Completed late charge report accurately & efficiently.
ÂŸ Resolved denied claims & line item rejections with various payers.
ÂŸ Accurately billed & released claims to various Medicare insurance providers on a daily basis to promote timely payments.
ÂŸ Reconciled various remittance advices from multiple carriers.
ÂŸ Completed & filed the quarterly Medicare credit balance report with CMS
ÂŸ 99% success rate of obtaining payment for denied claims & rejections
ÂŸ Exceeded company expectation related to dollar amount written off due to past file limit
ÂŸ Developed solution for after-hours payment convenience by suggesting a night deposit safe in an annex building.
Anthem Commercial Biller, 1997
Released accurate claims & followed up with insurance providers for prompt payment.
Patient Payment Collector, 1996
Managed outstanding accounts including setting up payment plans and providing options for financial assistance. Provided concise clear and accurate account documentation. Followed up on financial documentation & proof of income in order to approve financial assistance. Resolved customer issues while dealing with sensitive situations.
Head Cashier, 1991-1996
Posted all incoming account payments. Approved all refund requests on credit balances & processed the appropriate refunds. Entered concise accurate account notes for all refunds processed. Maintained a high level of customer service satisfaction within the department.
Patient Access, August 1990 - 1991
Registered patients and provided directions to the right department when needed.
Switchboard, October 1989 - July 1990
Answered all incoming calls and put them through to proper department or person, or answered caller’s questions when appropriate for me
College Experience at Ivy Tech Fort Wayne, IN
Medicare Part A/B Coding guidelines 12 CEU units
Dun & Bradstreet Business Education CEU credit
Part A certificate for ambulance billing compliance
Ivy Tech Career Development Certificate for Business Management
Currently attending South University in Allied Health Sciences