MEDICAL BILLER SKILLS, EXPERIENCE, AND JOB REQUIREMENTS

Updated: Dec 18, 2025 - The Medical Biller has experience in medical billing for behavioral health, home care, and long-term care, with strong knowledge of claims processing, Medicare/Medicaid state eligibility systems, CPT/ICD-9/10 coding, and multiple billing platforms such as Medic, IDX, Avatar, and Medical Manager. This role requires proficiency in Microsoft Excel, the ability to read and interpret EOBs, skill in navigating various computer systems, and proven collections experience in a healthcare environment. The Biller also needs excellent customer service abilities, strong communication skills, advanced keyboarding accuracy, and the capacity to work independently with close attention to detail in a fast-paced setting.

Essential Hard and Soft Skills for a Standout Medical Biller Resume
  • Claim Submission
  • Payment Posting
  • AR Management
  • CPT Coding
  • Charge Entry
  • Insurance Verification
  • Denial Management
  • Coding Compliance
  • Record Matching
  • Documentation Verification
  • Communication Skills
  • Professionalism
  • Problem Solving
  • Patient Support
  • Issue Coordination
  • Team Collaboration
  • Provider Communication
  • Patient Interaction
  • Training Participation
  • Relationship Building

Summary of Medical Biller Knowledge and Qualifications on Resume

1. BS in Health Informatics with 3 years of Experience

  • Experience including third-party billing/coding, collections procedures, and computer billing software.
  • Experience processing Family PACT, Medi-Cal, Commercial Payers, and HMO claims.
  • Excellent computer skills with knowledge of Microsoft Word, Excel, Outlook, and the internet.
  • Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data.
  • Knowledge of PPO, HMO, IPA, and MSO billing practices and protocols.
  • Knowledge of CPT and ICD-10.
  • Sound judgment and strong work ethic.
  • Proven written and verbal communication skills.

2. BS in Health Information Management with 4 years of Experience

  • Experience in Medical Billing.
  • Billing and/or Coding certification credentials.
  • Strong interpersonal and communication skills.
  • Able to explain technical aspects of insurance billing in a way that non-technical people, like front office staff and doctors, can understand.
  • A firm understanding of how to bill for Dermatology, Podiatry, and Wound Care out of both office and Ambulatory Surgery Center settings.
  • Ability to anticipate metric changes and provide pivoting solutions.
  • Familiarity with AB1455 manual and Knox-Keene Act.

3. BS in Public Health with 1 year of Experience

  • Experience with Insurance Collections or Medical Billing.
  • Conversational fluency in Spanish.
  • Familiarity with the billing systems Epic and Next Gen.
  • Understanding of the revenue cycle.
  • Understand medical terminology and practices.
  • Must be able to cohesively work within a team dynamic.
  • Attention to detail.
  • Ability to multitask in an unorthodox environment.
  • Ability to work within deadlines and production metrics.

4. BA in Healthcare Administration with 2 years of Experience

  • Medical billing experience.
  • Experience working in Lytec or Medisoft.
  • Knowledge of Microsoft Office, especially Excel.
  • Good verbal and written communication skills.
  • Superb attention to detail.
  • Exemplary honesty and integrity.
  • Ability to collaborate effectively and work selflessly as part of a team.
  • Self-motivated, fast learner with the right culture-fit.

5. BS in Medical Billing & Coding with 5 years of Experience

  • Experience in a medical office reimbursement department or medical billing service.
  • Ophthalmology experience and experience in Nextech, Nextgen, or other ophthalmology-specific EMR/PM software.
  • Strong background in Accounts Receivable.
  • Strong communication skills to speak with physicians, patients, insurance representatives, and/or medical billing staff weekly.
  • Must maintain HIPAA standards.
  • Ability to work in a fast-paced environment while remaining calm and professional.
  • Strong customer service orientation.
  • Excellent organizational skills and must be detail-oriented.
  • Strong computer and typing skills.
  • Positive, friendly, approachable disposition with outstanding listening skills.
  • Ability to work with multiple priorities.

6. BA in Office Management with 3 years of Experience

  • Experience in healthcare billing and collection practices.
  • Experience working with medical payors, including Medicare, Medicaid, and commercial insurance.
  • Experience with Medicaid’s State Eligibility System.
  • Strong analytical skills.
  • Proficient in Microsoft Office - Word, Excel, PowerPoint, and Outlook.
  • Ability to prioritize and manage multiple responsibilities.
  • Professional with excellent communication and customer service skills.

7. BA in Finance (Healthcare Billing Emphasis) with 1 year of Experience

  • Experience in medical billing.
  • Excellent communication skills.
  • Confidence talking on the phone to patients, doctors, and insurance representatives.
  • Good writing skills.
  • Ability to multitask and work in a fast-paced environment without getting distracted.
  • Self-starter but able to work on a team and take direction.
  • Ability to use a phone, computer, printer, and copier.
  • Frequent use of Microsoft Office products, including Outlook, Word, Excel, and PowerPoint.

8. BA in Medical Administrative Management with 2 years of Experience

  • Experience with billing, claims, or insurance.
  • Familiarity with medical terminology.
  • Ability to recognize patterns and trends.
  • Superior phone communication skills with providers, carriers, patients, and trainees.
  • Exceptional written and verbal communication skills.
  • Excellent organizational skills.
  • Strong attention to detail and willingness to correct errors.
  • Good typing skills.
  • Ability to identify, define, and resolve problems.

9. BS in Health Services Administration with 4 years of Experience

  • Experience as a medical biller for a private doctor's office, concierge practitioner, or other medical group.
  • Strong familiarity with managing claim denials.
  • Experience working with concierge, private pay, and self-pay.
  • Comfort with data entry into EMR systems - experience working with eClinicalWorks (EMR).
  • Proven track record of working well with insurance companies and obtaining good outcomes.
  • Able to demonstrate ways in which they improved the billing process in previous organizations, and produced excellent results for their practice and patients.
  • Strong process and organizational skills with excellent attention to detail.
  • Comfort with online systems and ways to improve them.
  • Persistence and strong follow-up skills.
  • A warm and welcoming personality, comfortable working in teams.
  • Excellent social, interpersonal, and communication skills.
  • Must be friendly and easy to talk to, both on the phone and in person, with patients and staff.

10. BS in Medical Technology with 3 years of Experience

  • Experience in billing/collections.
  • Medicare, out-of-network billing experience, recovery, aging reporting, and collections experience.
  • Knowledge of medical terminology, CPT, and ICD-10 coding.
  • Knowledge of third-party payor requirements, reimbursement rules.
  • General clerical skills.
  • Proficient in MS Excel and Word.
  • Attention to detail and organizational skills.
  • Excellent communication skills, both verbal and written.

11. BA in Medical Office Administration with 5 years of Experience

  • Experience as a medical biller or in collections.
  • Experience working with ICD-10, HCPCS, and CPT Codes.
  • Working knowledge of medical insurance and medical terminology.
  • Working knowledge of private practice billing.
  • Good understanding of Medicaid, Medicare, Commercial, and Veterans Administration Plans.
  • Ability to process multiple payers' AR in multiple states.
  • Ability to analyze high-volume claims for resubmission or final adjudication.
  • Strong organization skills.
  • Ability to analyze financials and make presentations to providers.
  • Good team-building skills.
  • Strong billing experience in EMR.
  • Proficiency in all Microsoft applications.

12. BA in Business Administration with 1 year of Experience

  • Experience as a medical biller.
  • Experience reading medical conditions.
  • Experience with ICD-10 coding.
  • Must be comfortable speaking on the phone with vendors/clients.
  • Ability to use the internet and various web browser software.
  • Committed to superior customer service.
  • High level of accuracy and attention to detail.
  • Strong written and verbal communication skills, and a team player.

13. BA in Organizational Management (Healthcare Focus) with 3 years of Experience

  • Experience working in medical billing/collection, with a medical billing certification.
  • Working knowledge of healthcare.
  • Psychiatric terminology knowledge.
  • Must work well as a team player and be able to interface with payer sources.
  • Excellent problem-solving skills.
  • Must adhere to all HIPAA guidelines and regulations.
  • Have a direct and assertive communication style with the ability to handle difficult conversations with tact.
  • Must be well organized and detail-oriented.
  • Able to work with limited supervision and highly motivated.
  • Work well under pressure and able to meet deadlines.
  • Excellent typing and computer skills.
  • Proficient in MS Excel, MS Word.

14. BS in Medical Office Technology with 2 years of Experience

  • Previous billing experience.
  • Familiar with patient accounting software, especially AdvantX.
  • Ability to read and understand insurance explanations of benefits and managed care contracts
  • Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.
  • Excellent communication skills using proper English grammar.
  • Excellent phone and computer skills.
  • Ability to work independently, meet deadlines, and establish priorities.

15. BA in Human Services with 4 years of Experience

  • Experience with Medical Billing.
  • ICD-10 and CPT coding knowledge.
  • Familiarity with medical billing and the denial process.
  • Experience working on denials and AR with various insurance payers.
  • Superb attention to detail.
  • Good organization and communication skills.
  • Be comfortable in a fast-paced environment.
  • Highly experienced with AR and Claim Denials.
  • Experience with eClinicalWorks.
  • Experience with a Practice Management (PM) software.

16. BA in Liberal Studies (Healthcare Emphasis) with 1 year of Experience

  • Previous experience as a medical biller or in a related healthcare administrative position.
  • Able to multitask, prioritize, and manage time efficiently.
  • Proficient in computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel).
  • Working knowledge of billing software.
  • Strong customer service skills and comfortable answering both patient and insurance company questions.
  • Ability to demonstrate good judgment.
  • A positive work attitude.

17. BS in Data Analytics (Healthcare Specialty) with 3 years of Experience

  • Experience in medical billing in an outpatient setting.
  • Thorough understanding of insurance guidelines and claim submission, and follow-up procedures.
  • An intermediate or higher level of ability working with computers.
  • EMR experience, more specifically, Medent.
  • Knowledge of medical coding and incorporates ongoing education and learning.
  • Ability to prioritize patient confidentiality.
  • Pleasant and helpful demeanor.
  • Well organized and detail-oriented.

18. BA in Health Care Compliance with 5 years of Experience

  • Billing experience in a Medicare skilled nursing facility.
  • Working knowledge of myUnity/Vision billing system.
  • Highly proficient in Medicare and insurance billing.
  • Proficient in Microsoft Office (Excel, Word, Outlook).
  • Exceptional communication and interpersonal skills.
  • Motivated self-starter and enjoys working both independently and as part of a team.
  • Knowledge of HIPAA compliance and requirements.

19. BA in Health Communication with 4 years of Experience

  • Accounts receivable and related accounting experience.
  • General billing knowledge with different insurance providers.
  • Full A/R and Revenue Cycling experience.
  • Must have self-pay collections.
  • Experience working with Excel.
  • Understanding of ICD9, ICD10, HCPCS, and CPT coding guidelines.
  • Experience working with large-scale transactions and heavy volume.
  • Proficiency working with accounting software and Microsoft Office.
  • Ability to exercise independent judgement, organize own work, set priorities, and meet critical deadlines.
  • Highly attentive to details.
  • Team player, intensely committed to success and getting the job done well in a highly dynamic environment.

20. BA in Patient Services Administration with 1 year of Experience

  • Previous medical billing experience.
  • Familiarity with billing software applications.
  • Ability to effectively use Microsoft Word and Excel.
  • Strong organizational skills.
  • Excellent verbal and writing skills.
  • A strong work ethic.
  • A professional attitude.
  • Superior customer service skills.
  • Must be able to work well independently.

21. BS in Clinical Administration with 2 years of Experience

  • Recent experience in a similar role with a Medical Billing Certificate.
  • Excellent communication skills (written and verbal).
  • Proficient with MS Word and Excel, and QuickBooks.
  • Able to multitask and work independently in a fast-paced environment.
  • Understanding of managed care authorizations and limits to coverage, such as the number of visits.
  • Ability to look up ICD-9 diagnosis and CPT treatment codes from an online service or using traditional coding references.

22. BS in Business Information Systems with 3 years of Experience

  • Experience as a Medical Biller or similar role.
  • SQL and Excel experience.
  • Solid understanding of billing software and electronic medical records.
  • Must have the ability to multitask and manage time effectively.
  • Excellent written and verbal communication skills.
  • Outstanding problem-solving and organizational abilities.
  • Experience with Anthem or other Blue Cross or Blue Shield plans.

23. BS in Accounting (Medical Billing Focus) with 5 years of Experience

  • Experience in insurance collections, including submitting and following up on claims for a Medical Practice, Ambulatory Surgical Center, Hospital, and/or other Medical Facility/Medical Billing Company.
  • Knowledge of the denied claims appeals process.
  • Knowledge of Worker’s Comp and PIP.
  • Previous experience in a Hospital/Facility or Physician billing.
  • Extensive knowledge of individual payor websites, including Navinet and Novitasphere.
  • Knowledge of Medical Terminology, CPT Codes, Modifiers, and Diagnosis Codes.
  • Ability to work well individually and in a team environment.
  • Proficiency with MS Office. Must have basic Excel skillset.
  • Experience with GE Centricity or EPIC PB.
  • Experience with EClinical Works (ECW).
  • Strong organizational and communication skills.

24. BA in Healthcare Administration with 4 years of Experience

  • Experience and a Certified Home Health Agency (CHHA).
  • Understanding of Raps and Finals, UB-04, and HCFA-1500.
  • Experience handling Managed Medicare and Managed Medicare in AR capacity.
  • Experience in processing adjustments and running monthly AR reports for review.
  • Ability to manage cash receipts and reporting activities
  • Knowledge of Certified Home Health Care (CHHA), Raps, Finals
  • Experience in the HHA Exchange Billing system.
  • Experience in Billing/collections/managing AR.
  • Ability to communicate accurately and concisely.

25. BS in Health Information Management with 1 year of Experience

  • Medical billing experience.
  • Medical coding experience.
  • Experience working in a medical software program.
  • Ability to build a strong rapport with clients over the phone.
  • Ability to work independently and with a team.
  • Highly motivated.
  • Ability to access, input, and retrieve information from a computer.
  • Strong skills in patient-orientation, customer service, and written/oral communication.

26. BS in Medical Billing & Coding with 3 years of Experience

  • Experience in the Medicare Billing and DDE, Collections, and all aspects of the A/R cycle.
  • Must be proficient in MS Word and Excel.
  • Previous experience using medical software.
  • Must have experience in a medical clinic, heavy medical billing, heavy A/R, collections (from insurance companies and patients), insurance follow-up, and coding verification.
  • Team player attitude, energetic, and able to multitask.
  • A focus on excellent customer service.
  • Ability to deal effectively with high levels of stress.
  • Must be a self-starter with strong organizational skills.

27. BS in Health Informatics with 2 years of Experience

  • Recent medical billing experience.
  • Certified Professional Coder (CPC) or Certified Professional Biller (CPB).
  • Excellent customer service skills.
  • Must be detail-oriented, reliable, and a team player.
  • Must be able to multitask in a fast-paced environment.
  • Computer savvy, strong knowledge of Microsoft Word, Excel spreadsheets.
  • Ability to work independently with minimal supervision.

28. BA in Business Administration with 5 years of Experience

  • Experience in healthcare billing, private insurance, and/or federally funded programs, researching aging and claims.
  • Experience in reading and understanding remits for denial reasons and experience with State Billing Portal sites.
  • Understanding of medical terminology.
  • Computer experience, including practice management software, word processing, and spreadsheet applications.
  • Excellent customer service skills.
  • Strong written and verbal communication skills.
  • Ability to manage relationships with various Insurance payers.
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
  • Ability to multitask and work courteously and respectfully with fellow employees, clients, and patients.
  • Must have strong/professional communication skills (email and phone).
  • Must understand the conditions of payment.
  • Must have strong Excel skills.

29. BS in Public Health with 4 years of Experience

  • Recent health insurance experience.
  • Medical Billing experience working with Accounts Receivable.
  • Experience with appeals and denials.
  • Excellent knowledge base for CPT and ICD-10 coding.
  • Proficient in EHR.
  • Must be a self-starter.
  • Must be detail-oriented, have strong organizational skills.
  • Have team player characteristics, and be able to multitask.
  • Previously demonstrated a high level of customer service, patient, and client communication.

30. BA in Medical Office Administration with 1 year of Experience

  • Certification in Medical Insurance Billing and Coding, or equivalent experience.
  • Experience with insurance billing.
  • Knowledge of current ICD coding for insurance.
  • Computer competency, including Microsoft Office (Excel, Word, Access), and insurance billing software.
  • Ability to multitask, decision-making, creative thinking, troubleshooting, and follow-through.
  • Ability to work independently for maintaining files, meeting timelines, etc.
  • Efficiency with WebPT.
  • Experience with Intake Q or other client intake management platforms.

31. BA in Medical Administrative Management with 3 years of Experience

  • Knowledge of medical terminology.
  • Knowledge of medical billing and/or collections.
  • Experience with Microsoft Office, including Outlook, Word, and Excel.
  • Must be detail-oriented with strong organizational skills.
  • Demonstrated ability to proactively identify problems, as well as recommend and/or implement effective solutions.
  • Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
  • Demonstrated ability to work with and maintain confidential information.
  • Excellent verbal and written communication skills.
  • Flexibility to adapt to a changing and fast-paced environment.

32. BS in Health Services Administration with 2 years of Experience

  • Knowledge of medical billing, coding, and collections for Urology and Urogynecology.
  • Working knowledge of CPT and ICD-10 coding systems.
  • Working knowledge of medical billing systems, Greenway, ECW, Epic, Athena, etc.
  • Ability to work well in a team environment.
  • Excellent communication skills.
  • Must be organized, detail-oriented, with the ability to multitask.

33. BA in Office Management with 5 years of Experience

  • Medical billing experience with a high-volume practice or clinic, and ambulance experience.
  • Ambulance/Medical billing certification or diploma.
  • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC).
  • Excellent organizational skills and the ability to multitask in a fast-paced environment.
  • Good analytical abilities, including collecting and researching data, using intuition and experience to complement data.
  • Thorough knowledge of ambulance transport documentation.
  • Extensive knowledge of ICD-10 and Condition Codes.
  • Ability to collect for healthcare claims from Medicare/Medicaid, commercial insurance, contracted facilities, and individuals.
  • Understanding of Medicare and Medicaid regulations and guidelines.
  • Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance.
  • Familiarity with medical terminology.
  • Ability to interpret EOB (Explanation of Benefits).
  • Familiarity with Microsoft Office Suite.
  • Working knowledge of Zoll Data Systems.

34. BS in Information Systems with 4 years of Experience

  • Medical Billing or Medical AP/AR experience
  • Proven Navinet experience.
  • Working knowledge of CPT and ICD-10.
  • Knowledge of Medicare and Medicaid guidelines.
  • Knowledge of HIPAA.
  • Computer programs proficiency - Microsoft Outlook, Word, and Excel.
  • Excellent interpersonal and organizational skills.
  • Commitment to excellent customer service.
  • Strong attention to detail, goal-oriented.

35. BS in Nursing Administration with 3 years of Experience

  • Office billing experience.
  • Strong experience in medical insurance/healthcare billing and collections work in a health system or medical practice.
  • BPO work experience, previously handled US clients.
  • Working knowledge of Medical Insurance procedures.
  • Strong proficiency in the use of Word, Outlook, Excel, and other Microsoft Office tools.
  • Must be able to read, write, speak, and understand the English language.
  • A high level of customer service, organizational skills
  • Must be detail-oriented.

36. BS in Healthcare Economics with 2 years of Experience

  • Healthcare and/or insurance billing, processing, or customer service.
  • Knowledge of the A/R process.
  • Knowledge of third-party billing policies, regulations, etc.
  • Good verbal and written communication skills.
  • Ability to work in fast fast-paced environment with the ability to solve problems.
  • Strong interpersonal skills to work with payers and peers.
  • Excellent data collection skills.
  • Organized, detail-oriented, and the ability to multitask.
  • Ability to work well with others.
  • Computer literate.

37. BA in Health Studies with 4 years of Experience

  • Experience in all areas of billing and accounts management in an acute care hospital.
  • Knowledge of benefits, covered services, and billing procedures of all Government and non-government insurance programs.
  • Ability to determine prime, secondary, and third-party responsibility among insurance companies.
  • Familiarity with regulations governing collection proceedings.
  • Knowledge of ICD-10 and CPT-4 codes, and basic medical terminology.
  • Typing speed of 50 wpm, or in-line keying speed of 50 wpm, 10-key by touch.
  • General knowledge of office procedures and ability to utilize resources in an organized manner.
  • Experience with online computer systems.
  • Ability to discuss personal and financial matters with patients and/or their representatives regarding credit and collection policies and procedures.
  • Good telephone communication skills and the ability to communicate verbally and in writing.

38. BA in Medical Practice Management with 3 years of Experience

  • Working experience handling medical billing/as a medical biller.
  • Experience handling physician claims.
  • Knowledge of the Home Care/HHA Exchange Billing system.
  • Experience in billing/collections/managing AR.
  • Intermediate Microsoft Office, Outlook, and Excel computer application skills.
  • Excellent communication skills.
  • Familiarity and ability to work in a fast-paced environment.
  • Excellent problem-solving skills and attention to detail.

39. BS in Medical Technology with 5 years of Experience

  • Previous medical billing experience.
  • Knowledge of medical billing, specifically in behavioral, home care, and long-term care insurance.
  • Knowledge of claims processing/posting.
  • Experience with Medicare and Medicaid’s State Eligibility Systems (various states).
  • Collections experience in a healthcare setting.
  • Working knowledge of medical billing systems (i.e., Medic, IDX, Avatar, Tier, Medical Manager, etc.).
  • Working knowledge of CPT and ICD-9/10 coding systems.
  • Working knowledge of Microsoft Excel (creating spreadsheets, formatting, and pivot tables).
  • Demonstrated ability to work efficiently between various computer systems (internet, Microsoft programs, billing systems) and have advanced keyboarding skills.
  • Ability to read and understand Explanation of Benefits (EOB’s).
  • Problem solver and able to troubleshoot independently with little supervision.
  • Excellent customer service skills with communication skills (written and verbal).
  • Team player, detail-oriented, self-sufficient in a high-volume atmosphere.
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