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Shane Torres
Medical Billing Clerk
Summary
Highly skilled and experienced Medical Billing Clerk with a proven track record of accuracy and efficiency. Proven ability to process and submit medical insurance claims within established timeframes, ensuring compliance with HIPAA regulations. Experience in assisting patients with billing inquiries, providing clear and timely explanations of their medical bills. Proficient in utilizing medical billing software (e.g., MEDITECH, Epic) to generate, review, and approve claims. Excellent communication and interpersonal skills, with the ability to work independently and as part of a team. Committed to providing exceptional customer service and maintaining the highest ethical standards.
Education
Medical Billing and Coding
February 2015
Skills
- Medical Terminology
- Medical Coding
- Insurance Verification
- Billing and Collections Management
- Patient Account Management
- Understanding of Healthcare Laws and Regulations
Work Experience
Medical Billing Clerk
- Reviewed insurance policies and guidelines to ensure correct claim coding and reimbursement.
- Followed up with insurance companies to resolve billing discrepancies and ensure timely payments.
- Reconciled patient accounts and resolved outstanding balances.
- Maintained accurate and uptodate patient billing records.
Medical Billing Clerk
- Processed and submitted medical insurance claims within established timeframes, ensuring accuracy and compliance with HIPAA regulations.
- Assisted patients with billing inquiries, providing clear and timely explanations of their medical bills.
- Utilized medical billing software (e.g., MEDITECH, Epic) to generate, review, and approve claims.
- Worked closely with physicians, nurses, and other healthcare providers to gather necessary patient information for billing purposes.
Accomplishments
- Improved billing accuracy by 5%, resulting in reduced claim denials and increased revenue
- Automated billing system using specialized software, decreasing processing time by 40%
- Trained new medical billing staff, improving operational efficiency and reducing errors
- Identified and resolved billing issues promptly, maintaining a high level of customer satisfaction
- Successfully transitioned to a new billing software, ensuring seamless implementation and minimal disruption
Awards
- Received Medical Billing Excellence Award for consistently surpassing billing accuracy targets
- Recognized for outstanding performance in medical billing compliance, achieving 100% adherence rate
- Awarded Employee of the Month for streamlining billing processes and reducing claim rejections by 25%
Certificates
- Certified Medical Billing Specialist (CMBS)
- Certified Professional Coder (CPC)
- Certified Health Information Coder (CHIC)
- Revenue Cycle Analyst Certification (RCCA)
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How To Write Resume For Medical Billing Clerk
- Highlight your experience in medical billing and coding, as well as your knowledge of HIPAA regulations.
- Showcase your proficiency in medical billing software, such as MEDITECH or Epic.
- Emphasize your strong communication and interpersonal skills, as well as your ability to work independently and as part of a team.
- Quantify your accomplishments whenever possible, using specific metrics to demonstrate your impact on the organization.
Essential Experience Highlights for a Strong Medical Billing Clerk Resume
- Processed and submitted medical insurance claims within established timeframes, ensuring accuracy and compliance with HIPAA regulations.
- Assisted patients with billing inquiries, providing clear and timely explanations of their medical bills.
- Utilized medical billing software (e.g., MEDITECH, Epic) to generate, review, and approve claims.
- Worked closely with physicians, nurses, and other healthcare providers to gather necessary patient information for billing purposes.
- Reviewed insurance policies and guidelines to ensure correct claim coding and reimbursement.
- Followed up with insurance companies to resolve billing discrepancies and ensure timely payments.
- Reconciled patient accounts and resolved outstanding balances.
Frequently Asked Questions (FAQ’s) For Medical Billing Clerk
What are the primary responsibilities of a Medical Billing Clerk?
The primary responsibilities of a Medical Billing Clerk include processing and submitting medical insurance claims, assisting patients with billing inquiries, utilizing medical billing software, working with healthcare providers to gather patient information, reviewing insurance policies, following up with insurance companies, and reconciling patient accounts.
What are the essential skills for a Medical Billing Clerk?
Essential skills for a Medical Billing Clerk include medical terminology, medical coding, insurance verification, billing and collections management, patient account management, and understanding of healthcare laws and regulations.
What are the qualifications for a Medical Billing Clerk?
Qualifications for a Medical Billing Clerk typically include a high school diploma or equivalent, as well as certification in medical billing and coding.
What is the job outlook for Medical Billing Clerks?
The job outlook for Medical Billing Clerks is expected to grow faster than average over the next few years due to the increasing demand for healthcare services.
What is the average salary for a Medical Billing Clerk?
The average salary for a Medical Billing Clerk varies depending on experience, location, and employer, but typically ranges from $30,000 to $50,000 per year.
What are the benefits of working as a Medical Billing Clerk?
Benefits of working as a Medical Billing Clerk include a stable job outlook, opportunities for advancement, and the ability to make a difference in the healthcare industry.
What are the challenges of working as a Medical Billing Clerk?
Challenges of working as a Medical Billing Clerk include dealing with complex insurance regulations, handling sensitive patient information, and working in a fast-paced environment.