Detail-oriented Medical Biller with proven skills in insurance claims processing, accounts reconciliation, and customer service. Committed to ensuring timely reimbursements and accurate billing.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Biller, Accounts Receivable
Mediclaim, INC
Philadelphia, PA
04.2023 - Current
Processed and submitted insurance claims using billing software to ensure timely reimbursement.
Conducted account reconciliations to identify discrepancies and resolve outstanding balances efficiently.
Communicated with healthcare providers and insurance companies to clarify billing issues and expedite payments.
Monitored accounts receivable aging reports, prioritizing collections on overdue accounts for improved cash flow.
Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures.
Maintained accurate records of customer payments.
Medical Billing Specialist
Lower Merion Family Medicine & Neurology, PC
Narberth, PA
08.2020 - 04.2023
Processed insurance claims efficiently, ensuring adherence to compliance standards.
Reviewed patient accounts for accuracy and resolved discrepancies promptly.
Managed billing inquiries, providing exceptional customer service to patients and providers.
Collaborated with healthcare providers to verify insurance eligibility and coverage details.
Collected payments and applied to patient accounts.
Precisely completed appropriate claims paperwork, documentation and system entry.
Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
Medical Coding and Billing Specialist
Medical Billing Inc. of Delaware Valley
Philadelphia, PA
06.2018 - 08.2020
Streamlined coding processes to enhance billing accuracy and efficiency.
Implemented compliance checks to ensure adherence to healthcare regulations.
Collaborated with healthcare providers to resolve billing discrepancies.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
Education
Certificate of Technical Studies - Health Claim Specialist
HARRIS SCHOOL OF BUSINESS
Cherry Hill, NJ
06-2018
Associate of Applied Science - Medical Assistant
Community College of Philadelphia
Philadelphia, PA
06-2014
Skills
Insurance claims
Medical billing
Insurance billing
Electronic claims
Customer service
Accounts receivable
CMS-1500 billing forms
Medicare and medicaid process
ICD-10 coding
ICD-9
Insurance claims processing
Payment posting
Certification
Certified Professional Coder, AAPC - 2019
Timeline
Medical Biller, Accounts Receivable
Mediclaim, INC
04.2023 - Current
Medical Billing Specialist
Lower Merion Family Medicine & Neurology, PC
08.2020 - 04.2023
Medical Coding and Billing Specialist
Medical Billing Inc. of Delaware Valley
06.2018 - 08.2020
Certificate of Technical Studies - Health Claim Specialist