Medical Billing Specialist Resume Examples to Land Your Dream Job in 2024

Detail-oriented and results-driven Junior Medical Billing Specialist with 3 years of experience in medical billing and coding. Adept at accurately processing medical claims, resolving billing discrepancies, and optimizing revenue cycle management. Proven track record of increasing collections by 15% through efficient coding practices and reducing denials by 20% through meticulous claim review. Strong analytical skills combined with excellent communication and problem-solving abilities.

• Processed and submitted medical claims to insurance companies, resulting in a 10% increase in reimbursement rates.
• Resolved billing discrepancies and denials promptly, leading to a 25% reduction in outstanding accounts receivable.
• Conducted regular audits on coding practices to ensure compliance with industry regulations and guidelines.
• Collaborated with healthcare providers to obtain necessary documentation for claim submission.
• Implemented new billing software, streamlining the billing process and reducing errors by 15%.

• Certified Professional Coder (CPC)
• Certified Billing and Coding Specialist (CBCS)

• Employee of the Month ABC Healthcare June 2020
• Excellence in Medical Billing Award DEF Medical Center 2018

• Holding valid work rights
• References available upon request

Dedicated and detail-oriented Medical Billing Specialist with over 5 years of experience in healthcare administration. Proficient in medical coding, billing processes, and insurance claims. Skilled in optimizing revenue cycle management through accurate coding and efficient billing practices. Adept at resolving billing discrepancies and ensuring compliance with healthcare regulations. Strong communication and problem-solving skills with a proven track record of improving billing efficiency and reducing denials.

• Review and analyze medical documentation to assign appropriate diagnostic and procedural codes for billing purposes.
• Submit electronic and paper claims to insurance companies and follow up on outstanding claims.
• Achieved a 15% reduction in claim denials by implementing a proactive denial management process.
• Collaborate with healthcare providers to ensure accurate and timely submission of claims.
• Conduct regular audits to identify billing errors and discrepancies, resulting in a 10% increase in revenue collection.

• Processed patient invoices and statements, ensuring accuracy and compliance with insurance regulations.
• Resolved billing inquiries from patients, insurance companies, and internal staff in a timely manner.
• Implemented a new billing software system, leading to a 20% improvement in billing efficiency.
• Conducted training sessions for staff on proper billing procedures and coding guidelines.
• Reduced accounts receivable aging by 25% through effective follow-up on unpaid claims.

• Verified insurance coverage and obtained pre-authorizations for medical procedures.
• Posted payments and adjustments to patient accounts with a high level of accuracy.
• Streamlined the billing process by identifying and eliminating redundant steps, resulting in a 30% reduction in processing time.
• Assisted in the preparation of financial reports and analysis of billing data.
• Received Employee of the Month award for outstanding performance in billing accuracy and efficiency.

• Certified Professional Coder (CPC)
• Certified Billing and Coding Specialist (CBCS)

• Employee of the Month
• GHI Clinic - May 2014

• Holding valid work rights
• References available upon request

Dedicated and results-driven Senior Medical Billing Specialist with over 8 years of experience in medical billing and coding. Proven track record of optimizing revenue cycle management through accurate coding, claims processing, and reimbursement analysis. Skilled in identifying and resolving billing discrepancies to ensure compliance with healthcare regulations and maximize revenue. Adept at leading billing teams and collaborating with healthcare providers to streamline billing processes and improve financial performance.

• Oversee the billing operations for a multi-specialty medical practice, ensuring timely submission and processing of claims.
• Analyze billing data and implement strategies that resulted in a 15% increase in revenue collection within the first year.
• Conduct regular audits to identify coding errors and billing discrepancies, leading to a 20% reduction in claim denials.
• Collaborate with providers to educate on proper documentation practices, resulting in a 10% decrease in rejected claims.
• Implement new billing software that improved efficiency by 25% and reduced billing errors by 30%.

• Certified Professional Coder (CPC)
• Certified Billing and Coding Specialist (CBCS)

• Excellence in Revenue Cycle Management Award XYZ Healthcare 2019
• Outstanding Billing Performance Award ABC Hospital 2017

• Holding valid work rights
• References available upon request

Dedicated and results-driven Lead Medical Billing Specialist with over 8 years of experience in medical billing and coding. Proven track record of optimizing revenue cycle management through efficient billing processes and meticulous attention to detail. Skilled in analyzing and resolving complex billing issues to ensure accurate and timely reimbursement. Adept at leading a team to achieve departmental goals and deliver exceptional results.

• Oversee a team of medical billing specialists, providing guidance and training to ensure accurate and timely submission of claims.
• Analyze billing data and trends to identify opportunities for process improvement, resulting in a 15% increase in clean claim submissions.
• Collaborate with providers and insurance companies to resolve billing discrepancies and denials, leading to a 20% reduction in accounts receivable days.
• Implement new billing software and technologies to streamline billing processes and improve efficiency.
• Conduct regular audits to ensure compliance with coding and billing regulations, resulting in a 95% accuracy rate.

• Managed the full cycle of medical billing, including charge entry, claim submission, payment posting, and accounts receivable follow-up.
• Resolved billing inquiries and disputes from patients, insurance companies, and providers in a timely and professional manner.
• Implemented coding updates and fee schedule changes to maximize reimbursement and reduce billing errors.
• Developed and maintained billing reports to track key performance indicators and identify areas for improvement.
• Collaborated with the coding team to ensure accurate code assignment and compliance with coding guidelines.

• Processed and submitted insurance claims for a high-volume medical practice, ensuring timely reimbursement.
• Conducted regular audits of billing processes to identify and correct errors, resulting in a 10% reduction in claim denials.
• Managed accounts receivable aging reports and followed up on unpaid claims to minimize outstanding balances.
• Trained new billing staff on billing procedures, software systems, and compliance requirements.
• Assisted with month-end financial reporting and reconciliation of billing accounts.

• Certified Professional Coder (CPC)
• Certified Medical Billing Specialist (CMBS)

• Excellence in Medical Billing Award XYZ Healthcare 2019
• Outstanding Performance in Revenue Cycle Management ABC Medical Center 2017

• Holding valid work rights
• References available upon request

Dedicated and results-driven Chief Medical Billing Specialist with over 10 years of experience in healthcare revenue cycle management. Proven track record of optimizing billing processes, increasing revenue, and reducing denials. Skilled in leading billing teams, implementing efficient workflows, and ensuring compliance with regulations. Adept at analyzing data to identify trends and opportunities for improvement. Seeking to leverage expertise in medical billing to drive financial success for XYZ Healthcare.

• Lead a team of 10 billing specialists in charge of processing over 10,000 claims monthly.
• Implemented new billing software, resulting in a 20% reduction in claim processing time.
• Increased revenue by 15% through improved coding accuracy and timely claim submissions.
• Conducted regular audits to ensure compliance with billing regulations and reduce errors.
• Collaborated with providers to resolve billing discrepancies and improve revenue cycle efficiency.

• Managed accounts receivable for a large medical practice, overseeing collections and payment posting.
• Reduced denials by 25% through in-depth analysis of denial reasons and implementation of corrective actions.
• Implemented a new coding system, resulting in a 10% increase in clean claim submissions.
• Conducted training sessions for staff on billing best practices and compliance requirements.
• Developed and maintained relationships with insurance companies to expedite claim processing.

• Processed insurance claims for a busy medical clinic, ensuring accurate coding and timely submissions.
• Resolved billing inquiries from patients and insurance companies, resulting in improved cash flow.
• Implemented a new patient billing system, leading to a 15% reduction in accounts receivable days.
• Collaborated with providers to improve documentation practices and reduce coding errors.
• Assisted in the implementation of electronic health records system to streamline billing processes.

• Certified Professional Coder (CPC)
• Certified Billing and Coding Specialist (CBCS)

• Excellence in Revenue Cycle Management Award XYZ Healthcare 2019
• Outstanding Billing Specialist of the Year DEF Medical Center 2016

• Holding valid work rights
• References available upon request