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Travis McDonald
Billing and Quality Technician
Summary
Highly motivated and experienced Billing and Quality Technician with a deep understanding of medical billing and coding best practices. Proven ability to process and verify medical bills accurately and efficiently, ensuring compliance with healthcare regulations. Excellent communication and customer service skills, with a strong attention to detail and a commitment to providing high-quality service.
Education
Bachelor’s Degree in Healthcare Administration or related field
April 2018
Skills
- Medical Billing
- Quality Assurance
- Coding and Classification
- ICD-10 and CPT Coding
- Claim Processing
- Insurance Verification
Work Experience
Billing and Quality Technician
- Conducted root cause analyses to identify and address billing errors, reducing lost revenue by 15%.
- Developed and implemented quality control procedures to ensure the accuracy and integrity of billing data.
- Audited and reconciled patient accounts to ensure proper payment and prevent overbilling.
- Trained new staff on billing processes and medical coding standards.
Billing and Quality Technician
- Processed and verified over 2,000 medical bills per month, ensuring accuracy and compliance with healthcare regulations.
- Utilized billing software and medical coding knowledge to assign appropriate codes and rates for maximum reimbursement.
- Reviewed insurance policies and coverage plans to determine patient eligibility and estimate copays and deductibles.
- Communicated with patients, providers, and insurance companies to resolve billing inquiries and disputes.
Accomplishments
- Successfully implemented a new electronic billing system, reducing processing time by 50% and increasing accuracy by 25%
- Developed and implemented a training program for new billing staff, resulting in a significant reduction in billing errors and improved customer satisfaction
- Negotiated with insurance providers to secure favorable reimbursement rates, increasing revenue by 10%
- Identified and resolved billing discrepancies proactively, preventing lost revenue and ensuring accurate patient records
- Collaborated with the medical coding team to ensure accurate coding, minimizing claim denials and maximizing reimbursement
Awards
- Recognized for exceptional performance in billing and quality management, resulting in a 99% accuracy rate and a reduction in customer complaints by 20%
- Received the Billing Excellence Award for consistently exceeding billing accuracy standards and demonstrating a deep understanding of medical billing regulations
- Honored with the Quality Control Champion Award for implementing innovative processes that improved the accuracy of medical records by 35%
Certificates
- Certified Billing and Coding Specialist (CBCS)
- Certified Professional Coder (CPC)
- Certified Medical Reimbursement Specialist (CMRS)
- Certified Quality Assurance Professional (CQAP)
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How To Write Resume For Billing and Quality Technician
Highlight your medical billing and coding expertise.
Use keywords that demonstrate your proficiency in medical billing software, medical terminology, and ICD-10 and CPT coding.Quantify your accomplishments.
Use numbers to showcase the impact of your work, such as the number of medical bills you processed or the amount of lost revenue you recovered.Demonstrate your communication and customer service skills.
Emphasize your ability to resolve billing inquiries and disputes effectively and professionally.Showcase your commitment to quality assurance.
Highlight your experience in developing and implementing quality control procedures to ensure the accuracy and integrity of billing data.
Essential Experience Highlights for a Strong Billing and Quality Technician Resume
- Process and verify medical bills for accuracy, completeness, and compliance with healthcare regulations.
- Utilize billing software and medical coding knowledge to assign appropriate codes and rates for maximum reimbursement.
- Review insurance policies and coverage plans to determine patient eligibility and estimate copays and deductibles.
- Communicate with patients, providers, and insurance companies to resolve billing inquiries and disputes.
- Conduct root cause analyses to identify and address billing errors, reducing lost revenue.
- Develop and implement quality control procedures to ensure the accuracy and integrity of billing data.
- Audit and reconcile patient accounts to ensure proper payment and prevent overbilling.
Frequently Asked Questions (FAQ’s) For Billing and Quality Technician
What is the job outlook for Billing and Quality Technicians?
The job outlook for Billing and Quality Technicians is expected to grow faster than average over the next decade. This is due to the increasing demand for healthcare services and the need for qualified professionals to manage the complex billing and coding processes.
What are the key skills required for a successful Billing and Quality Technician?
Key skills for a successful Billing and Quality Technician include medical billing and coding knowledge, proficiency in billing software, excellent communication and customer service skills, and a strong attention to detail.
What is the average salary for a Billing and Quality Technician?
The average salary for a Billing and Quality Technician varies depending on experience, location, and employer. However, according to the Bureau of Labor Statistics, the median annual salary for Billing and Coding Specialists was $45,960 in May 2021.
What are the career advancement opportunities for Billing and Quality Technicians?
With experience and additional training, Billing and Quality Technicians can advance to roles such as Billing Manager, Coding Supervisor, or Healthcare Reimbursement Specialist.
Is a certification required to work as a Billing and Quality Technician?
While certification is not always required, it can enhance your credibility and job prospects. There are several certifications available, such as the Certified Billing and Coding Specialist (CBCS) and the Certified Professional Coder (CPC).
What is the work environment like for Billing and Quality Technicians?
Billing and Quality Technicians typically work in an office setting. They may work independently or as part of a team, and may interact with patients, providers, and insurance companies on a regular basis.
What are the top companies that hire Billing and Quality Technicians?
Top companies that hire Billing and Quality Technicians include hospitals, clinics, insurance companies, and healthcare providers.