Job Summary: 

• Provide accurate and timely filing of all patient charges.
• Review each claim for accuracy, eliminating delays and rejections.
• Follow up on all outstanding claims and patient balances.
• Post payments and manage AR efficiently.
• Manage patient demographics and insurance information to ensure accuracy.
• Communicate and review accounts with management.
• Maintain strong knowledge of relevant CPT and diagnostic coding.
• Display strong communication skills with clients, insurance carriers, and patients.
• Maintain professionalism in all situations.

Skills on Resume: 

• Accurate Claim Filing (Hard Skills)
• Claims Review Accuracy (Hard Skills)
• AR Management (Hard Skills)
• Payment Posting (Hard Skills)
• Insurance Data Management (Hard Skills)
• CPT/Diagnostic Coding (Hard Skills)
• Communication Skills (Soft Skills)
• Professionalism (Soft Skills)

Job Summary: 

• Send claims for provider charges.
• Review the physician's chart notes for accuracy with the charges being billed.
• Take responsibility for posting EOBs.
• Call insurance companies on old claims that have not yet been paid.
• Answer questions about patient bills.
• Enter demographic and insurance information.

Skills on Resume: 

• Claim Submission (Hard Skills)
• Chart Note Review (Hard Skills)
• EOB Posting (Hard Skills)
• Insurance Claim Follow-Up (Hard Skills)
• Patient Bill Support (Soft Skills)
• Demographic And Insurance Entry (Hard Skills)
• Insurance Communication (Soft Skills)
• Billing Accuracy (Hard Skills)

Job Summary: 

• Responsible for electronically entering charges and submitting claims to various payers.
• Monitor AR through reports to ensure payment is received and to identify claims that may require further action.
• Electronically and manually posts payments from patients and insurance companies.
• Identify and resolve any patient billing issues or concerns.
• Prepare, review, and send patients' statements.
• Contact patients regarding outstanding balances, set up payment agreements per office guidelines.

Skills on Resume: 

• Charge Entry (Hard Skills)
• Claim Submission (Hard Skills)
• AR Monitoring (Hard Skills)
• Payment Posting (Hard Skills)
• Billing Issue Resolution (Soft Skills)
• Statement Preparation (Hard Skills)
• Patient Balance Follow-Up (Soft Skills)
• Payment Agreement Setup (Soft Skills)

Job Summary: 

• Analyze resident financial information and advise the admissions group on financial matters.
• Prepare and analyze payor source trends for revenue forecasting.
• Bill resident per diems and ancillary charges to appropriate payors.
• Keep current with regular requirements and maintain billing system parameters.
• Analyze and provide status reports and AR, and follow up on collections.
• Advise administration on MDS process needs, billing and legal issues, and collection risks.
• Maintain a daily cash sheet.
• Coordinate and manage the triple check process for billing.
• Prepare and distribute monthly resident statements.

Skills on Resume: 

• Financial Analysis (Hard Skills)
• Revenue Forecasting (Hard Skills)
• Per Diem Billing (Hard Skills)
• Billing Compliance (Hard Skills)
• AR Status Reporting (Hard Skills)
• Administration Advising (Soft Skills)
• Cash Sheet Maintenance (Hard Skills)
• Triple Check Management (Hard Skills)

Job Summary: 

• Review billing data and medical claims to insurance companies.
• Work within the database to match medical and payment records.
• Contact plans and submit automated and manual claims.
• Follow up on missed payments and resolve financial discrepancies.
• Investigate and appeal denied claims.

Skills on Resume: 

• Billing Data Review (Hard Skills)
• Record Matching (Hard Skills)
• Claim Submission (Hard Skills)
• Payment Follow-Up (Hard Skills)
• Financial Discrepancy Resolution (Hard Skills)
• Denied Claim Appeals (Hard Skills)
• Insurance Communication (Soft Skills)
• Problem Solving (Soft Skills)

Job Summary: 

• Ensure coding is compliant and up-to-date.
• Prepare and submit clean claims to third-party payers either electronically or by paper.
• Call insurance companies regarding any discrepancy in payments.
• Review accounts for insurance or patient follow-up.
• Research and appeal denied claims.
• Follow up on unpaid claims within the standard billing cycle timeframe.
• Work with reception staff, ensure appropriate collection of co-pays, and self-pay fees.
• Handle patient inquiries and answer questions from clerical staff and insurance companies.
• Answer all patient or insurance telephone inquiries about assigned accounts.
• Update cash spreadsheets and run reports.

Skills on Resume: 

• Coding Compliance (Hard Skills)
• Clean Claim Submission (Hard Skills)
• Insurance Follow-Up (Hard Skills)
• Account Review (Hard Skills)
• Denied Claim Appeals (Hard Skills)
• Co-Pay Collection (Hard Skills)
• Patient and Insurance Communication (Soft Skills)
• Cash Reporting (Hard Skills)

Job Summary: 

• Post daily charges and copays.
• Post insurance and patient payments.
• Close and balance each day and run a report.
• Transmit insurance claims daily.
• Print secondary claim forms daily and mail.
• Work insurance denials.
• Send monthly statements.
• Work insurance A/R.
• Close the month and run reports.
• Maintain EOB files.
• Answer patient phone calls regarding billing inquiries.

Skills on Resume: 

• Charge and Copay Posting (Hard Skills)
• Payment Posting (Hard Skills)
• Daily Balancing (Hard Skills)
• Claim Transmission (Hard Skills)
• Denial Management (Hard Skills)
• Statement Processing (Hard Skills)
• AR Management (Hard Skills)
• Patient Billing Support (Soft Skills)

Job Summary: 

• Insurance verification using electronic and telephone methods for a high-volume clinic.
• Review Super bills for appropriate billing, including reviewing documentation for requirements, using appropriate modifiers, and using appropriate procedure codes.
• Apply carrier requirements and update.
• Take charge of payment posting.
• Prep and verify claims to send to a third-party billing company.
• Put prior authorizations into the system.
• Check insurance eligibility for clients.
• Correct denied claims.
• Interact with patients who are self-pay or using commercial insurance.

Skills on Resume: 

• Insurance Verification (Hard Skills)
• Superbill Review (Hard Skills)
• Carrier Requirement Updates (Hard Skills)
• Payment Posting (Hard Skills)
• Claim Preparation (Hard Skills)
• Prior Authorization Entry (Hard Skills)
• Eligibility Checking (Hard Skills)
• Patient Interaction (Soft Skills)

Job Summary: 

• Responsible for all aspects of follow-up and collections, including making telephone calls, accessing payor websites, and verifying adjudication.
• Accurately and thoroughly document the pertinent collection activity performed.
• Initiate telephone or letter contact with patients to obtain additional information.
• Coordinate with internal departments to resolve ongoing issues.
• Attend and participate in meetings, training seminars, and in-services to develop job knowledge.
• Respond timely to emails and telephone messages.
• Communicate issues to management, including payer, system, or escalated account issues.
• Participate in the monthly, quarterly, and annual performance evaluation process with their Supervisor.

Skills on Resume: 

• Follow-Up Collections (Hard Skills)
• Collection Documentation (Hard Skills)
• Patient Information Gathering (Soft Skills)
• Issue Coordination (Soft Skills)
• Training Participation (Soft Skills)
• Timely Communication (Soft Skills)
• Issue Reporting (Soft Skills)
• Performance Evaluation Support (Soft Skills)

Job Summary: 

• Maintain current license, registrations, and/or certifications.
• Maintain regulatory requirements, including all state, federal, and local.
• Represent the organization positively and professionally at all.
• Comply with all organizational policies and standards regarding ethical business.
• Participate in performance improvement and continuous quality improvement.
• Post delivery and surgical charges to the appropriate account.

Skills on Resume: 

• License Maintenance (Hard Skills)
• Regulatory Compliance (Hard Skills)
• Professional Representation (Soft Skills)
• Ethical Conduct (Soft Skills)
• Quality Improvement (Soft Skills)
• Charge Posting (Hard Skills)
• Surgical Charge Entry (Hard Skills)
• Account Accuracy (Hard Skills)

Job Summary: 

• Responsible for all non-governmental IP, OP, Rehab, SNF, PSYCH, clinic, and client billing.
• Ensure all assigned claims have appropriate fields completed that are consistent with governmental billing and payer regulations.
• Key or make corrections on claims in the electronic billing system or Medicare online system.
• Act as a technical resource for Medicare regulations and reimbursement.
• Ensure proper policies and procedures are followed while entering data.
• Communicate with the patient and provider concerning billing.

Skills on Resume: 

• Non-Government Billing (Hard Skills)
• Claim Field Accuracy (Hard Skills)
• Claim Corrections (Hard Skills)
• Medicare Regulation Support (Hard Skills)
• Data Entry Compliance (Hard Skills)
• Technical Billing Resource (Hard Skills)
• Communication (Soft Skills)
• Reimbursement Knowledge (Hard Skills)

Job Summary: 

• Rebill, follow-up, and collection activity for assigned payers.
• Research, appeal, and address patient account balances.
• Accurately and thoroughly document pertinent collection activity performed.
• Verify claims adjudication utilizing appropriate resources and applications.
• Initiate telephone and/or letter contact with parties responsible for reimbursement for services provided.
• Edit/update claim information to meet and satisfy billing compliance guidelines for electronic and paper claim submission.
• Understand HIPAA privacy and security regulations by appropriately handling patient information.
• Participate in monthly meetings, training seminars, and hands-on training, as well as identify trends and claim-related issues.

Skills on Resume: 

• Rebilling and Follow-Up (Hard Skills)
• Account Balance Resolution (Hard Skills)
• Collection Documentation (Hard Skills)
• Claims Adjudication Verification (Hard Skills)
• Reimbursement Contact (Soft Skills)
• Claim Editing (Hard Skills)
• HIPAA Compliance (Hard Skills)
• Training Participation (Soft Skills)

Job Summary: 

• Greet and check in patients for appointments or services.
• Confirm patient information and enter changes into the computer system.
• Make sure that codes are assigned correctly and sequenced appropriately as per payer guidelines.
• Comply with medical coding guidelines and policies.
• Schedule and confirm all appointments as well as reschedule appointments when the Physician and/or patient schedule changes.
• Collect all appropriate fees, copays, and outstanding charges.
• Answer incoming phone calls and handle properly via appropriate transfer, taking a message, or follow-up and return a call.
• Take appropriate action for medical and non-medical emergencies occurring within the office.
• Maintain supplies and equipment for daily job duties.
• Ensure reception and lobby areas are safe, organized, and clean.
• Check the Patient's Temperature to make sure they are safe to enter.
• Perform opening and closing duties for the care center.
• Monitor confirmation reports to cancel appointments and respond to comments.

Skills on Resume: 

• Patient Check-In (Soft Skills)
• Information Updating (Hard Skills)
• Coding Accuracy (Hard Skills)
• Appointment Scheduling (Hard Skills)
• Fee Collection (Hard Skills)
• Phone Handling (Soft Skills)
• Emergency Response (Soft Skills)
• Reception Maintenance (Soft Skills)

Job Summary: 

• Answer phones and handle billing questions.
• Monitor accounts to identify outstanding balances.
• Work with all receivables with the patients and make sure the clients’ accounts are paid and posted properly.
• Medical Records processing and setting up the policy and procedures with new patients.
• Establish a working relationship between you and the patient to be able to work together in collecting their payments in a timely manner and monitoring their accounts.
• Work with Excel and Google Sheets.
• Track the accounts in a detailed manner.
• Take the initiative in working with accounts and creating relationships with the patients.

Skills on Resume: 

• Phone Billing (Soft Skills)
• Balance Monitoring (Hard Skills)
• Receivable Management (Hard Skills)
• Medical Records (Hard Skills)
• Patient Payment Coordination (Soft Skills)
• Spreadsheet Proficiency (Hard Skills)
• Account Tracking (Hard Skills)
• Patient Relationship Building (Soft Skills)

Job Summary: 

• Prepare and generate clean claims for submission to all payor types, including third-party payors, Medicare, and Medicaid.
• Submit claims to be done via 837 electronic, CMS-1500, fax, and online web portal.
• Process an average of 20-25 claims per hour.
• Facilitate all rejections from electronic or paper claims.
• Obtain information from carriers, stores, internal entities, or patients when services billed are denied for reasons such as incorrect insurance information, demographic information, and/or authorization.
• Appeal denials.
• Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.
• Research and resolve all zero payment explanations or benefits, and exercise all options to obtain claims payments, initiate adjustments.

Skills on Resume: 

• Clean Claim Preparation (Hard Skills)
• Multi-Method Submission (Hard Skills)
• High-Volume Processing (Hard Skills)
• Rejection Management (Hard Skills)
• Information Retrieval (Hard Skills)
• Denial Appeals (Hard Skills)
• Provider Relationship Management (Soft Skills)
• Zero-Payment Resolution (Hard Skills)

Job Summary: 

• Prepare and submit clean claims to various insurance companies.
• Research and perform all secondary billing.
• Ensure appropriate supporting documentation is received and completed.
• Review and recommend claims for adjustment/write off to management.
• Accurate and timely processing of claims.
• Analyze and update claims submitted and rejected.

Skills on Resume: 

• Clean Claim Submission (Hard Skills)
• Secondary Billing (Hard Skills)
• Documentation Verification (Hard Skills)
• Adjustment Review (Hard Skills)
• Timely Claim Processing (Hard Skills)
• Claim Analysis (Hard Skills)
• Rejection Updates (Hard Skills)
• Management Communication (Soft Skills)

Job Summary: 

• Review and process vendor invoices and employee expense reimbursements through the online bill pay system.
• Ensure all invoices have appropriate documentation from the vendor.
• Verify invoice billing prices against executed contract agreements.
• Clarify any questionable invoice items, prices, or supporting documentation.
• Calculate use tax amounts for various states.
• Reconcile monthly vendor aging statements.
• Research invoice-related discrepancies and issues.
• Maintain accounts payable vendor records, including 1099 status and Sales & Use tax.
• Gather necessary vendor information for the preparation and issuance of annual 1099s.
• Perform other related duties to support the Finance team, assist in the monthly/yearly close, and the annual audit.
• Identify, recommend, and implement process improvements to increase the efficiency of the AP team.
• May participate in various projects, either through formal assignment or on an ad hoc basis.
• Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either orally or in writing.
• Reconcile accounts payable transactions with bank statements for the month-end.
• Produce payment reports for all subsidiaries.
• Effectively communicate with vendors, in-house and remote staff, and management.

Skills on Resume: 

• Invoice Processing (Hard Skills)
• Documentation Verification (Hard Skills)
• Contract Price Review (Hard Skills)
• Use Tax Calculation (Hard Skills)
• Vendor Reconciliation (Hard Skills)
• Discrepancy Resolution (Hard Skills)
• AP Record Maintenance (Hard Skills)
• Vendor Communication (Soft Skills)

Job Summary: 

• Ensure that records are coded within a reasonable time frame.
• Work with other team members to resolve issues.
• Review physician documentation and other clinical documentation to ensure that said documentation supports all assigned codes.
• Contact the responsible documenting provider in a timely, professional, and tactful manner if corrections to documentation need to be made.
• Understand various insurance payor guidelines, i.e., modifier usage, timely filing, etc.
• Understand billing practices.

Skills on Resume: 

• Timely Coding (Hard Skills)
• Team Collaboration (Soft Skills)
• Documentation Review (Hard Skills)
• Provider Communication (Soft Skills)
• Payor Knowledge (Hard Skills)
• Modifier Knowledge (Hard Skills)
• Billing Understanding (Hard Skills)
• Professional Interaction (Soft Skills)

Job Summary: 

• Review medical procedures as documented by doctors.
• Translate medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities.
• Transmit coded patient treatment information to payers and other recipients.
• Coordinate insurance reimbursement of care providers.
• Handle patient billing.
• Review patients’ medical records.
• Code treatment information using CPT codes.
• Communicate with the medical biller to ensure treatment codes are accurately received.
• Receive patient treatment codes to use in assembling reimbursement claims.
• Create reimbursement claims and transfer to third-party payers.
• Coordinate reimbursement activities with payers.
• Bill patients for medical services.

Skills on Resume: 

• Procedure Review (Hard Skills)
• Medical Coding (Hard Skills)
• Code Transmission (Hard Skills)
• Reimbursement Coordination (Hard Skills)
• Patient Billing (Hard Skills)
• Record Review (Hard Skills)
• CPT Coding (Hard Skills)
• Biller Communication (Soft Skills)

Job Summary: 

• Perform payment posting and insurance EOB (explanation of benefits) analysis on a detailed line item basis.
• Enter insurance payments and contract adjustments to reconcile claim charges.
• Send statements to patients for deductibles/coinsurance balances.
• Review and correct denied claims and prepare for resubmission.
• Telephone calls to insurance companies to follow up on medical claims and online claim research.
• Claims creation, review, and preparation for submission.
• Data entry of medical claims and patient demographics into EHR.
• Review claims for accuracy and auditing ICD-10/CPT to adhere to coding guidelines.
• Create an electronic claims file for submission to the clearinghouse.
• Review Clearinghouse feedback/rejection reports.
• Prepare outgoing mail/ handle returned mail, including verifying addresses with patients.
• Scan EOBs and Superbills into a PDF format.
• File and print faxes.
• Prepare weekly claims rejection reports.
• Download/Print ERAs and EOBs.
• Fulfill subpoena requests for billing records from attorneys.

Skills on Resume: 

• Payment Posting (Hard Skills)
• EOB Analysis (Hard Skills)
• Statement Processing (Hard Skills)
• Denied Claim Correction (Hard Skills)
• Insurance Follow-Up (Hard Skills)
• Claim Preparation (Hard Skills)
• Data Entry (Hard Skills)
• Coding Accuracy Audit (Hard Skills)