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Medical Biller And Coder Resume Samples
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0-5 years of experience
Coded patient’s daily visit’s using IDC-9 and CPT-4 codes using EMR.
- Resolved issues dealing with patient’s healthcare claims.
- Worked with patients and insurance companies to obtain payments.
- Reduced aging medical claims by 30% within the first year.
- Secured over $50,000 in revenue by activating 800 accounts year after year.
0-5 years of experience
Relieved office manager of all duties during absence, resulting in offer to extend externship, with pay, for an additional three weeks
- Accurately balanced daily banking sheets, applying all daily payments to meet bank deposit deadline
- Managed electronic medical record system, scanning patient lab and x-ray information to provide instant results for physicians
- Applied Explanation of Benefit details to patient accounts, effectively verified insurance and reconciled rejected claims disputes with insurance companies
- Highly knowledgeable in data entry of ICD-9, CPT, and HCPCS codes
- Efficiently batched up to 50 claims per day for physicians
0-5 years of experience
Process 100 plus claims a day for 7 Gastroenterologist, 1 Pathologist and 1 Anesthesiologist
- Research and resolved incorrect payments, EOB rejections and other issues with outstanding accounts.
- Provided tenacious follow up to ensure proper payments were fully collected.
- Handled internal collections as well as preparing information to outside collection agencies.
- Accurately applied payments to patient accounts.
- Reviewed patient procedure reports and bills for accuracy and completeness and obtained any missing information.
0-5 years of experience
- Initiated collection follow-up of all unpaid claims with the appropriate insurance carriers.
- Researched and resolved under payments and denials with insurance carriers.
- Processed and reviewed all manual insurance claims.
- Requested and updated medical records.
- Appealed claim rejections and denials with insurance carriers.
0-5 years of experience
- Reviewed all ambulance call reports(ACRs) against the claim information in billing system for patient demographics, date of service, origin, destination, primary and secondary insurances and update all changes to claim in computer when needed for proper billing
- Used billing methods that are compliant with all rules and regulations set forth by the company’s compliance program at all times
- Verified correct HCPCS code and level of service and assign applicable ICD-9 illness codes to all claims during review of each ACR
- Reviewed and interpret all medical necessity information found and any additional services or procedures completed to claim like Oxygen, EKG and IV
- Upon completion of all above, clean claim can be marked verified in pre-billing
0-5 years of experience
- Entered ICD-9 and CPT codes into MDLand for doctors’ diagnoses
- Scheduled appointments via MDLand and telephone
- Contacted insurance companies for patients regarding insurance benefits and eligibility
- Organized and arranged patients’ charts
- Measured patients’ blood pressure via the Ankle-Brachial Index Test
0-5 years of experience
Post payments from both insurance companies and patients ensuring payments are credited to appropriate accounts for 100% accountability.
- A/R on insurance claims more then 90 days old as well as current claims submissions.
- Submit corrected claims and follow up on claims that are in resolution dispute or being
- Mail out statements, deal with patients to set up payment plans, discuss questions with billing to patients and insurance companies.
- Excellent customer service skills in dealing with patients who have billing questions, request
- Record and file follow up paperwork for the entire department as required.
- Compile, accuracy check, and submit daily account reports to accounting division.
0-5 years of experience
Billed and coded for date of medical service for current and established patients
- Verified insurance eligibility and followed up on open claims status
- Mediated conflict resolution between insurance companies and physicians
- Posted guarantor’s payments
- Set up new patients, added new referring physicians and referral authorizations in Kareo
- Printed paper claims, statements, and EOBs
- Confirmed patient appointments and assisted with answering and directing calls
0-5 years of experience
- Successfully prepared and edited 150+ electronic and paper medical claims for submission to various third party payers and clearinghouses
- Prepared deposits of daily transactions
- Accurately posted payments and contractual adjustments to patients’ accounts in multiple EHR systems
- Carefully reviewed and processed daily correspondence from multiple insurance carriers
- Properly produced and processed aged balance reports
- Efficiently collected payments on outstanding patient balances
- Accurately processed denial claims and resubmitted to insurance carriers
- Successfully verified eligibility and benefits for Tricare and other commercial insurances
0-5 years of experience
Handled insurance verifications, authorizations, and eligibility.
- Scheduled and confirmed patient appointments.
- Checked patients in and out, and medical records.
- Answered multi line phones and data entry of patient information.
0-5 years of experience
Assist staff with clerical and administrative duties
- Entered new patient information into patient data base
- Performed excellent records management
- Greeted patients and answered telephone.
- Scheduled and confirmed appointments.
- Conducted Billing and Coding procedures and expedited end of the day report.
- Review doctors notes and coded procedures for insurance claim.
- Prepared, reviewed and filed insurance claims and verify proper diagnosis for billing purposes.
- Performed insurance verifications of patients benefits
- Assisted with the preparation and reconciling of SOAP with patient claims.
0-5 years of experience
Prepare and submit clean claims to various insurance companies on HCFA forms or electronically.
- Proper knowledge of CPT/ICD9 codes, modifiers, EOB’s, referrals and authorizations.
- Answer questions from physicians, patients, clerical staff and insurance companies.
- Work directly with insurance companies, healthcare providers, and patients in order to get claims processed and paid within a reasonable time frame.
- Re-submit insurance claims electronically or by papers and well informed of timely filing restrictions.
- Responsible for insurance aging reports, research and resolve claim denials, appeals, incorrect payments, refunds, and handle collections on unpaid patient accounts.
- Manage the facility’s Accounts Receivable reports.
- Bill and code for Internal Medicine, Pediatrics, Labs, Physical Therapy, Acupuncture Therapy, Hospitals, Nursing Homes and Radiology.
0-5 years of experience
- Efficiently coded daily medical charges for patients’ visits into system.
- Communicated with insurance companies for accounts receivable on previous billed accounts that were unpaid through Zen software.
- Assisted customers with payment plans on current and previous bills.
- Assisted front desk staff when needed with client check-in procedures, such as verification of insurance and scheduling of follow-up appointments.
- Collected and processed Superbills and insurance claim forms.
- Researched and mailed all necessary paperwork to patients and insurance companies for various reasons when requested.
- Calculated daily transactions and processed daily deposits.
0-5 years of experience
Protected the confidentiality of medical records to ensure
- Reviewed records for completeness, accuracy, and compliance with regulations
- Retrieved patient medical records for physicians or other medical personnel
- Assigned the patient to diagnosis-related groups using appropriate computer software.
- Checked patient eligibility for insurance reimbursements
- Assisted auditors in locating documents
- Filed claims to patient health care plans
- Coded patient information for medical offices and hospitals using ICD9 and CPT4
- Managed archives, researched paid and unpaid
6-10 years of experience
Input and verify insurance using ICD-9 & ICD-10 Coding platforms
- Input OV charges & modifiers and verify accuracy
- Work as a liaison with insurance providers & clients for denied claims
- Work closely with Doctors, Physicians, & Nursing staff to ensure correct codes & charges
- Performed reception & referral functions as needed
- Register patients for pre-scheduled and walk-in appointments
- Process insurance and co-pay
0-5 years of experience
Actively participated in clearing up daily bill reviews
- Maintained and input current pertinent records daily
- Efficiently logged and categorized all correspondence
- Prioritized and tabulated cash distribution for insurance reimbursement
0-5 years of experience
Hired off externship at American Career College at St. Francis
- Verify patient insurance, review bills for any discrepancies or issues before submitting to insurance companies
- Assign ICD-9 and CPT codes to physicians diagnosis and issue correct level of service and various other CPT codes
- Prepare and submit CMS 1500 and post payments into correct accounts
- Perform additional clerical duties, as necessary
0-5 years of experience
Called insurance for follow up of EOBs and updated denials to ensure payment
- Printed electronic remittance advice for insurance companies
- Pharmacology conversion for Home Infusion Therapy
- General office duties, such as answering phones and sorting mail
- Data entry i. e. confirming and updating patients’ demographic and insurance information
- Scanned, faxed and filed medical documents
6-10 years of experience
- Enter, process, and submit claims to insurance company for reimbursement
- Assign ICD-9 and CPT to provider’s diagnosis and insure correct level of service
- Verify patient insurance information
- Monthly process of patient statements. Answer and resolve patient questions
- Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
- Assist with front office duties when needed
10+ years of experience
Analyzes and codes extensive physician operative reports
- Negotiates all contracts with insurance companies
- Bills Insurance companies in accordance with previously negotiated contracts
- Applies insurance payments and bill patients accordingly
- Contacts insurance companies and appeals claims when necessary
- Keeps abreast of all CMS requirements and changes
- Handles all quality reporting to the government and the Center for Disease Control
- Conducts benchmarking and reports information to the Ambulatory Surgical Association each quarter
0-5 years of experience
- Reviewing doctors notes and coding appropriate procedures and diagnosis
- Data entry of all charges for multiple doctors
- Payment entry from patients and insurance
- Managing accounts receivable to a respectful measure
- Handling patient phone calls
- Deposits of all cash, checks and credit cards for each office
0-5 years of experience
- Processed claims electronically to Medicare, Medicaid, Tricare, and other commercial insurances.
- Followed up on unpaid claims and re-submitted claims when needed.
- Posted deposits, charges and refund while maintaining accuracy.
- Reviewed explanation of benefits (eob) to ensure claims were paid per fee schedule. Calculate final deductible and co-insurance while processing adjustment.
0-5 years of experience
- Coding and billing all office visits and procedures for five providers.
- Coding pathology reports, home visits, home health, vaccines, in house testing.
- Keeping all patient demographics and insurance current.
Healthcare Support Cover Letter Examples
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Medical Biller And Coder
Last edited by: Gabriela Barcenas, CONTENT STRATEGIST -
Gabriela Barcenas
CONTENT STRATEGISTGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
