Perform the tasks of collecting
delinquent medical accounts by making payment arrangements with hospitals, patients, and insurance companies
Handle responsibilities sending letters to third - party companies and patients to collect on
delinquent medical accounts
Not exact matches
Doctors and other
medical service providers usually do not report their
accounts to the Experian, TransUnion and Equifax credit bureaus, even if you are seriously
delinquent.
This was due to three
delinquent collections
accounts (
medical).
A well - written
Medical Billing Assistant resume sample mentions job activities such as identifying
delinquent accounts, monitoring payments, monitoring unpaid
accounts, collecting information from patients, and adhering to organization procedures and policies.
Ajilon, Duluth, MN 1/2007 to 5/2011
Medical Biller • Collected information about
delinquent accounts and contacted customers to provide them with information on how to pay them back • Reviewed patients» bills for accuracy and attempted to collect missing information • Followed up on unpaid claims with insurance companies and determined reasons for non-payment • Determined reasons for denied claims by interviewing insurance company representatives over the telephone • Checked insurance payments to ensure that they are in compliance with contract discounts • Handled discrepancies in payments by investigating causes and making allowances for mistakes • Respond to patients» information regarding billing services and denials
The basic idea behind hiring a
medical billing specialist is to expedite the
medical billing process and ensure that any
delinquent accounts or patient debts are managed so that they do not negatively affect the facility.
• Implemented a series of quality assurance checks which reduced data entry errors by 85 % • Acquired commendation for «the most apt coding procedures performed by an employee in 2 years» by meticulously handling
medical coding procedures, following quality control standards • Recorded patients» data including treatment records, insurance information and bills and payments • Set up payment plans for patients, especially for
delinquent accounts to expedite outstanding payments • Audited records to ensure appropriate submission of services and determine final diagnosis and procedures stated by healthcare providers • Evaluated each record to ensure that it complete and comprehensive • Ensured that any missing information was derived from source documents or healthcare providers / doctors
• Assess all insurance claims against patient services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on
medical insurance forms • Post insurance billing information data into predefined database systems • Make list of insurance companies to contact for billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding
delinquent or past due
accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including
medical histories, insurance identification and diagnosis
• Examine
medical debts and
delinquent accounts status.
• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing
delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating
medical procedures into codes that can be easily translated by payers and
medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials
> Captures patient care data for the initial claim preparation > Registration of all patients, including insurance verification > Responsible for accurate and timely preparation of billing data > Validates all appropriate coding data for daily processing > Prepares electronic claims for submission to the appropriate payer > Obtains and submits copies of
medical documentation as required or requested by third party payers > Reconciles insurance / patient payments > Assists in deposit preparation > Analyzes and resolves claim rejections and denials related to billing or provider issues > Assists in the compilation of monthly reports > Prepares, reviews, and completes patient statements submissions > Answers patient questions, identifies and resolves patient billing complaints > Assists in
delinquent account review > Other duties as requested by the Billing Manager
• In depth knowledge of verifying billing
accounts and verifying and correcting discrepancies • Strong background in facilitating prompt payments of invoices • Hands on experience in generating financial statements and reports in order to detail the status of
accounts receivables • Proficient in soliciting payments from
delinquent accounts by employing workable follow - up procedures • Considerable knowledge of evaluating patients» financial statuses and designing appropriate budget plans • Functional knowhow of reconciliation of clients»
accounts on a periodic basis • Well versed in handling complex billing structures • Proven ability to interpret billing data and use it to make cost effective decisions • Familiar with popular
accounting software such as Deltek • Working knowledge of ICD - 9, CPT and HCPCS • Sound knowledge base of
medical terminology and its usage in billing terms • Demonstrated ability to work in a dynamic billing environment prone to detail orientation • Capability of handling billing discrepancies in accordance to the rules and regulations of the organization • Comprehensive understanding of the protocols governing
medical billing procedures • Able to build and maintain rapport with patients and insurance company personnel • Substantial knowledge of Medicare and Medicaid policies • Keen knowhow of
medical billing and collection practices • Particularly effective in third party operating systems and basic
medical coding procedures
Experienced
medical claims and billing specialist experienced maintaining and cleaning up
delinquent and dormant
accounts.
Medical Biller MEDMARK SERVICES, Bronx, NY 1/2005 to 5/2012 • Collected and verified billing information before organizing it for data entry purposes • Processed medical invoices and adjustments • Added, updated and reviewed claimant data • Contacted insurance companies to verify insurance data • Completed registration and billing of all accounts in appropriate billing systems • Used coded data to produce and submit claims to insurance companies • Followed up on delinquent accounts to ensure that outstanding payments are
Medical Biller MEDMARK SERVICES, Bronx, NY 1/2005 to 5/2012 • Collected and verified billing information before organizing it for data entry purposes • Processed
medical invoices and adjustments • Added, updated and reviewed claimant data • Contacted insurance companies to verify insurance data • Completed registration and billing of all accounts in appropriate billing systems • Used coded data to produce and submit claims to insurance companies • Followed up on delinquent accounts to ensure that outstanding payments are
medical invoices and adjustments • Added, updated and reviewed claimant data • Contacted insurance companies to verify insurance data • Completed registration and billing of all
accounts in appropriate billing systems • Used coded data to produce and submit claims to insurance companies • Followed up on
delinquent accounts to ensure that outstanding payments are cleared
Create Resume Brandon O'Dowd 123 Main Street, San Francisco, CA 94122Home: 000-000-0000 Cell:
[email protected] Professional Summary Experienced
medical claims and billing specialist experienced maintaining and cleaning up
delinquent and dormant
accounts.
• Track record of overseeing and leading the operations of the billing department with special focus on coordinating modules such as
medical coding, charge entries, claims submissions and payment postings • Documented success in handling reimbursement management activities and performing follow - ups on
delinquent accounts • Adept at auditing procedures to monitor efficiency and implement measures for improvements
Medical billers also send billing statements to the patient and turn over
delinquent accounts to the providers debt collection agency.