Billing Specialist

There was a time where I was having difficulty collecting on an account and I could not get in touch with the provider and I had to contact other providers and insurance companies to get in touch with them.

I am comfortable with medical terminology as a whole and have extensive knowledge of terminology associated with both dermatological and ophthalmological procedures.

I believe my skills and abilities match what you are looking for and I can make an impact and bring benefit to the company.

Having a basic understanding of medical billing terms is important not only for medical coding but also for medical billing specialists. Make sure you have a familiarity with the more basic medical terms related to billing and coding as it relates to the billing process.

Yes, I have. Providing coding and billing services to a mental health facility, I had to monitor number of visits and pre-authorizations.

The first thing I do is find out just why a claim has been denied. If I feel that the denial is unfair, I consult with the doctor in question and re-file the claim providing information and proof of why it should not have been denied.

Reliable, quick learner, honest, good accounting knowledge, good communication and hard worker.

We are trained on a regular basis at work. Additionally, certification upgrades help and so does maintaining liaison with insurance companies and other healthcare agencies help as well.

Since I have worked extensively with most common billing software, I am comfortable with both manual and automated reports generation processes.

I think they do. Not all of them and it is up to us to see who may be playing games following reputation and insight.

Yes, I am familiar with claims submission procedures to clearing houses and I have resolved several claim submittal problems.

We had this patient whom we knew to be extremely difficult. She had a cosmetic procedure done and billed it to the agency who denied it. It was quite a horror trying to extract payment from her as she used abusive language and threatened to take us to court. We managed to negotiate payment from her by reasoning with her gently initially and then very sweetly telling her that we will take legal action. She paid three days later.

Well at an event when attendees thought they had already paid, I will give it to them for the pre reg price and if they can email me a receipt I will pay them back.

The ability to create and share documents, reports, manage and upload files, and perform back-ups are skills that are helpful for medical billing and coding jobs. You would also want to mention any word processing (Microsoft Word) or spreadsheet (Excel) programs you have experience with.

There was a time when the insurance company denied a claim for a patient’s underarm surgery saying that the procedure was cosmetic. I had the claim resubmitted with proper information. The claim was paid accordingly.

The use of medical records software - also referred to to as EMR or EHR software - is increasingly important to providers. They may want the biller and/or coder to enter and maintain information in the EMR system. Employers value someone who is proficient in electronic medical records software and know how to use it. It can also be a valuable asset to the biller and coder in their job when verifying patient information and treatments for a claim. Many billing and practice management software programs are increasingly integrated or interface with the EMR system.

It takes about two working days at the very maximum.

Yes. They use both.

Once you’ve learned on practice management or medical billing software program, it’s pretty easy to learn another. Most well written software is fairly intuitive to use. If you’ve only used on software, you might effectively make this point and emphasize your computer skills.