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Romeo Diaz
Medical Insurance Biller
Summary
I am an experienced Medical Insurance Biller with a proven track record of success in processing over 5,000 medical claims per month. I have utilized industry-standard software to manage and track claims, collaborated with providers to obtain missing documentation and resolve billing discrepancies, and maintained a high level of accuracy, with less than 1% claims rejected for errors. I am proficient in medical terminology and coding systems, including ICD10CM and CPT, and have negotiated with insurance companies to ensure timely payment and maximum reimbursement. I have also participated in regular training and certification programs to stay updated on industry regulations and best practices and developed and implemented process improvements to streamline billing operations and reduce processing time.
Education
Bachelor’s in Health Information Management or related field
September 2016
Skills
- Medical Billing and Coding
- Insurance Claim Processing
- Healthcare Reimbursement
- ICD-10 Coding
- CPT Coding
- Electronic Health Records (EHR)
Work Experience
Medical Insurance Biller
- Proficient in medical terminology and coding systems, including ICD10CM and CPT.
- Negotiated with insurance companies to ensure timely payment and maximum reimbursement.
- Participated in regular training and certification programs to stay updated on industry regulations and best practices.
- Developed and implemented process improvements to streamline billing operations and reduce processing time.
Medical Insurance Biller
- Processed over 5,000 medical claims per month, ensuring accuracy and timely submission.
- Utilized industrystandard software to manage and track claims, including (insert software names).
- Collaborated with providers to obtain missing documentation and resolve billing discrepancies.
- Maintained a high level of accuracy, with less than 1% claims rejected for errors.
Accomplishments
- Streamlined medical insurance billing processes, resulting in a 15% reduction in processing time and increased accuracy by 9%.
- Developed and implemented a new electronic claim submission system, leading to a 20% increase in efficiency and a significant reduction in manual data entry errors.
- Proactively identified and resolved discrepancies in insurance claims, ensuring accurate and timely payment for healthcare providers.
- Collaborated with payers to enhance billing accuracy and reduce denials, resulting in a 5% increase in claim acceptance rates.
- Successfully implemented a new healthcare terminology management system, enhancing data accuracy and optimizing billing processes.
Awards
- Awarded the Medical Insurance Biller of the Year by the [Organization/Association Name] for outstanding performance and contributions to the industry.
- Honored with the Excellence in Claims Accuracy award by the [Organization/Association Name] for consistently maintaining an accuracy rate above 98%.
- Recognized as a Certified Medical Insurance Biller by the [Organization/Association Name] for meeting the highest industry standards and ethical practices.
- Consistently exceeded performance benchmarks and received the Employee of the Month award for exceptional contributions to the medical insurance billing department.
Certificates
- Certified Professional Biller (CPB)
- Certified Medical Reimbursement Specialist (CMRS)
- American Health Information Management Association (AHIMA)
- Professional Association of Healthcare Coding Specialists (PAHCS)
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How To Write Resume For Medical Insurance Biller
- Highlight your skills and experience. Make sure to list all of your relevant skills and experience in your resume, including your experience with medical billing and coding, insurance claim processing, and healthcare reimbursement. Additionally, accountants with knowledge of medical terminology and coding systems, such as ICD-10-CM and CPT, will be the top choice over other candidates.
- Use keywords. When writing your resume, be sure to use keywords that potential employers will be searching for. This will help your resume get noticed and increase your chances of getting an interview.
- Proofread your resume carefully. Before you submit your resume, proofread it carefully for any errors. This includes checking for typos, grammatical errors, and formatting errors.
- Tailor your resume to each job you apply for. Take the time to tailor your resume to each job you apply for. This means highlighting the skills and experience that are most relevant to the job you are applying for.
Essential Experience Highlights for a Strong Medical Insurance Biller Resume
- Processed over 5,000 medical claims per month, ensuring accuracy and timely submission.
- Utilized industry-standard software to manage and track claims, including Availity, Emdeon, and Meditech.
- Collaborated with providers to obtain missing documentation and resolve billing discrepancies.
- Maintained a high level of accuracy, with less than 1% claims rejected for errors.
- Proficient in medical terminology and coding systems, including ICD-10-CM and CPT.
- Negotiated with insurance companies to ensure timely payment and maximum reimbursement.
- Participated in regular training and certification programs to stay updated on industry regulations and best practices.
Frequently Asked Questions (FAQ’s) For Medical Insurance Biller
What is a Medical Insurance Biller?
A Medical Insurance Biller is responsible for processing and submitting medical claims to insurance companies on behalf of healthcare providers. They ensure that claims are accurate and complete, and follow up with insurance companies to ensure timely payment.
What are the key skills required for a Medical Insurance Biller?
Key skills for a Medical Insurance Biller include: medical billing and coding, insurance claim processing, healthcare reimbursement, ICD-10-CM coding, CPT coding, electronic health records (EHR), medical terminology, and customer service.
What is the average salary for a Medical Insurance Biller?
The average salary for a Medical Insurance Biller is around \$45,000 per year.
What is the job outlook for Medical Insurance Billers?
The job outlook for Medical Insurance Billers is expected to grow by 11% over the next ten years.
What are the benefits of working as a Medical Insurance Biller?
Benefits of working as a Medical Insurance Biller include: job security, opportunities for advancement, competitive salary and benefits, and the chance to make a difference in the lives of others.
What are the challenges of working as a Medical Insurance Biller?
Challenges of working as a Medical Insurance Biller include: dealing with complex medical terminology and coding systems, staying up-to-date on industry regulations, and working with difficult customers.
How can I become a Medical Insurance Biller?
To become a Medical Insurance Biller, you will need to complete a certification program and pass a certification exam. You will also need to have experience working in a medical office or hospital setting.
What is the difference between a Medical Insurance Biller and a Medical Coder?
A Medical Insurance Biller is responsible for processing and submitting medical claims to insurance companies, while a Medical Coder is responsible for assigning codes to medical procedures and diagnoses.