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Miguel Roberts
Insurance Biller
Summary
Highly motivated and experienced Insurance Biller with a proven track record of accuracy and efficiency. Processed over 1000 insurance claims monthly with an accuracy rate of 99%. Effectively utilized specialized software to generate and submit claims to various insurance carriers. Collaborated with providers to obtain necessary medical documentation for claim submissions. Proficient in medical terminology, insurance policy interpretation, claim adjudication, billing software, CPT and ICD-10 coding, and HIPAA compliance. Actively participated in audits to ensure adherence to industry standards. Assisted in developing and implementing billing processes to improve operational efficiency.
Education
Bachelor’s Degree
February 2017
Skills
- Medical Terminology
- Insurance Policy Interpretation
- Claim Adjudication
- Billing Software Proficiency
- CPT and ICD-10 Coding
- HIPAA Compliance
Work Experience
Insurance Biller
- Used strong analytical skills to identify and resolve billing discrepancies
- Maintained uptodate knowledge of insurance policies, regulations, and coding guidelines
- Participated in regular audits to ensure compliance with industry standards
- Assisted in developing and implementing billing processes to improve efficiency
Insurance Biller
- Processed over 1000 insurance claims per month with an accuracy rate of 99%
- Utilized specialized software to generate and submit claims to various insurance carriers
- Managed patient accounts, including verifying eligibility, processing payments, and posting remittances
- Collaborated with providers to obtain necessary medical documentation for claim submissions
Accomplishments
- Automated the manual billing process using RPA (Robotic Process Automation), resulting in a 40% increase in billing efficiency.
- Developed and implemented a new billing system that improved accuracy by 95% and reduced audit findings.
- Collaborated with crossfunctional teams to identify and resolve coding and payment issues, ensuring timely and accurate reimbursement.
- Trained new billers on industry best practices, billing software, and regulatory requirements, ensuring seamless onboarding.
- Established a comprehensive audit trail system to ensure compliance with HIPAA regulations and protect patient data.
Awards
- Received the Top Biller Award for consistently exceeding monthly billing targets by 25%.
- Honored with the Customer Service Excellence Award for maintaining a high level of customer satisfaction and resolving inquiries within SLAs.
- Recognized as the Employee of the Month for outstanding performance in billing operations and consistent adherence to regulatory guidelines.
- Awarded the Presidents Award for exceptional contributions to the billing team and the company overall.
Certificates
- Certified Professional Biller (CPB)
- Certified Insurance Service Representative (CISR)
- Certified Coding Associate (CCA)
- Registered Health Information Technician (RHIT)
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How To Write Resume For Insurance Biller
- Highlight your experience and skills in medical billing and insurance processing.
- Demonstrate your proficiency in medical terminology, coding, and insurance regulations.
- Provide examples of your contributions to improving billing processes and reducing claim denials.
- Emphasize your attention to detail, accuracy, and ability to meet deadlines.
- Showcase your commitment to ethical and compliant billing practices.
Essential Experience Highlights for a Strong Insurance Biller Resume
- Process insurance claims accurately and efficiently
- Utilize specialized software to generate and submit claims
- Manage patient accounts, including verifying eligibility, processing payments, and posting remittances
- Collaborate with providers to obtain necessary medical documentation for claim submissions
- Analyze billing discrepancies and take corrective actions
- Maintain up-to-date knowledge of insurance policies, regulations, and coding guidelines
- Participate in regular audits to ensure compliance with industry standards
- Assist in developing and implementing billing processes to improve efficiency
Frequently Asked Questions (FAQ’s) For Insurance Biller
What is the primary role of an Insurance Biller?
An Insurance Biller is responsible for processing and submitting insurance claims to insurance carriers on behalf of healthcare providers. Their primary goal is to ensure accurate and timely claim submission, maximizing reimbursement and minimizing claim denials.
What are the essential skills required for an Insurance Biller?
Essential skills for an Insurance Biller include medical terminology, insurance policy interpretation, claim adjudication, billing software proficiency, CPT and ICD-10 coding, and HIPAA compliance. Strong analytical and communication skills are also crucial.
What are the career prospects for an Insurance Biller?
Insurance Billers have ample opportunities for career growth within the healthcare industry. They can advance to roles such as Billing Manager, Revenue Cycle Manager, or Insurance Auditor. With additional education and certifications, they can also pursue specialized roles in healthcare finance or consulting.
What is the average salary range for an Insurance Biller?
The average salary range for an Insurance Biller varies depending on experience, location, and employer. According to the U.S. Bureau of Labor Statistics, the median annual wage for Medical Records and Health Information Technicians, which includes Insurance Billers, is around $46,000.
What are the key qualities of a successful Insurance Biller?
Successful Insurance Billers possess strong attention to detail, accuracy, and organizational skills. They are also proficient in medical terminology and insurance regulations, and they stay up-to-date with industry best practices. Excellent communication and interpersonal skills are also essential for effective collaboration with healthcare providers and insurance carriers.
What are the common challenges faced by Insurance Billers?
Insurance Billers often face challenges related to claim denials, complex insurance regulations, and evolving healthcare policies. They must also stay abreast of technological advancements in billing systems and software to maintain efficiency and accuracy.
How can I enhance my skills as an Insurance Biller?
To enhance your skills as an Insurance Biller, consider pursuing industry certifications such as Certified Professional Biller (CPB) or Certified Coding Associate (CCA). Attending industry conferences, webinars, and workshops can also help you stay updated on the latest regulations and best practices.