Resume Sample for Billing Specialist


picture of Billing Specialist resume sample sheet
The following is an example of Billing Specialist resume sample. Reviewing the candidate's full work experience, outlining key-qualifications, duties and responsibilities for the Billing job title/field.

Resume Writing Example for Billing Specialist | CV Format

Billing Specialist – DR Medical LLC

Mansfield, MA

Authorized to work in the US for any employer

Work Experience

Billing Specialist

DR Medical LLC

Attleboro, MA

January 2017 to Present

• Preparation of claims for transmitting to Payer websites for payment on Durable Medical Equipment (DME) services. 
• Communicating with Payer’s to correct and re-submit denied claims. 
• Posting payments to claims received electronically and manually. 
• Processing changes in the Empower software system to support accurate/efficient billing.

Billing Specialist

Habit OPCO/Acadia Healthcare

Providence, RI

April 2016 to October 2016

• Preparation of claims to upload to Payer websites for payment on Behavioral/Substance Abuse services. 
• Verification on patient eligibility. 
• Communication with Payer’s to correct and re-submit denied claims. 
• Process changes on information in the SMART software system to support accurate and efficient billing.

Admission/Billing Coordinator

Pharmacy Corporation of America

Brockton, MA

July 2007 to April 2016

Brockton, MA 7/07 – 4/16 
Third Party Claims Reconciliation 
• Works with federal and state reimbursement sources to ensure compliance with third-party reimbursement policies, contractual terms and regulatory requirements for all payers are filed. 
• Works with Claims Reconciliation Supervisor to provide communication regarding the status of A/R and specific account activity to the Director and pharmacy general manager. 
• Achieves productivity goals with regard to claims resolution as determined by the Collection Manager and Claims reconciliation supervisor. 
• Working with external customers like Medicaid, Hospice and Private Insurances and internal departments of Pharmacy Corporation of America to resolve issues that may be preventing the payment of pharmacy invoices that are older than the standard terms of payment. 
 
Admission/Billing Coordinator 
• Admission/Billing Coordinator, setting up patient profiles in the AS400 system, benefit verification for drug coverage for residents entering into a skilled nursing facility or assisted living facility. 
• Maintain pharmacy bills for 18 skilled nursing facilities for Beverly/Golden Healthcare Company in Massachusetts. 
• Making sure that pharmacy bills are being billed correctly to Medicare, Medicaid and Private Insurance sources.

Executive Assistant

a Johnson & Johnson Company

Raynham, MA

February 2005 to June 2006

As an Executive Assistant, I provided support to the WW Director of Clinical Research and Regulatory Affairs, Director of Regulatory Affairs and Regulatory Compliance and Manager of Clinical Research. 
• Maintain and track Educational Grants, Clinical Contracts and Agreements. 
• Calendar management, scheduling meetings (internal and external), and travel coordination (domestic and international). 
• Provide administrative and logistical support to the entire department in the coordination and execution of various projects for the clinical research and regulatory affairs within the Mitek industry.

Senior Administrative Assistant

Rolls Royce Naval Marine, Inc

Walpole, MA

August 2004 to January 2005

As a Senior Administrative Assistant, I supported the in-house attorney and the V.P. of Sales and Marketing. 
• Maintained monthly organizational charts, various Excel program logs, client and contingency list(s). 
• Created a highly effective organizational and filing systems, including quick and thorough indexing, filing and offsite storage, resulting easy access to critical information and stream lined to office functioning.

Senior Administrative Assistant

Fidelity Investments

Marlborough, MA

December 2003 to May 2004

As Senior Administrative Assistant, I supported two V.P. of Client Services and 30 Client Service Representatives. 
• Created and edited proposals and presentations 
• Coordinated preparation and timely dissemination of company reports and slide presentations for clients.

Executive Assistant

Senior Residential Care / Continental Wingate Companies

Needham, MA

June 2000 to September 2002

As an Executive Assistant, I provided support to the President/CEO and Chief Operations Officer, Chief Financial Officer, V.P. of Marketing and Chief Clinical Officer in the management of Skilled Nursing Facilities. 
• Acted as liaison and maintained open lines of communication among senior executives, board members, middle management and administrative staff. 
• Collaborated with managers on weekly postings for master reports to facilitate the accurate and timely writing, editing, and preparation of final copy from draft to distribution.

Administrative Assistant II

Harvard Piligrim Health Care

Wellesley, MA

September 1997 to June 2000

As the Administrative Assistant II, I supported the Medical Director and Sr. Manager of the First Seniority Department plus a staff of four (4). 
• Distribution of forms and materials to HPHC PCP providers regarding the program of First Seniority. 
• Receiving of the Intake forms from HPHC providers and patients and imputing information into an AS400 system. 
• Development of reports and distribution to various skilled nursing facilities. 
• Provided administrative support to the entire department on various projects. 
• Scheduling of internal meetings.

Office Manager

MSD Distribution, Inc

Brighton, MA

February 1992 to September 1997

Supporting the President/Owner of a small computer/software company. 
As the office manager, I maintained the office and supported the principle owner. 
• Maintained and tracked all sales, prepared and sent out invoices. 
• A/R and A/P 
• Calendar management for external and internal meetings. 
• Ordered and maintained office supplies.

Education

State of Massachusetts Cosmetology

Catherine Hinds Institute of Esthetiques

Newton, MA

General Business

Burdett Jr. College

Boston, MA

Diploma

Needham High School

Needham, MA

Skills

Corel Draw (Less than 1 year), Excel (Less than 1 year), FDA (Less than 1 year), ISO (Less than 1 year), Lotus 1-2-3 (Less than 1 year)

Additional Information

• Ten plus years of experience managing business relations and special projects at the senior management level. 
• Serve as primary point of contact for a liaison between management, sales teams, personnel, clients, and vendors. 
• Maintain excellent written and oral communication skills, problem resolution abilities, and a high level of confidentiality. 
 
• Software Skills: Microsoft Word, Excel, Power Point, Access, Project, Publisher, WordPerfect, Lotus 1-2-3, PageMaker, Visio, Corel Draw, MS Outlook, Lotus Notes and Microsoft Explorer. 
• Certification in Health Care compliance, Records Management, Privacy: Safe Harbor Clinical Data. 
• Training on FDA / ISO requirements.

Find More Resume Samples for Billing Specialist Job Title. For related job vacancies click here.


Top-100 Resume Sample Templates By Job Title/Field/Industry


A Résumé or CV is a marketing tool that seeks to highlight the applicant's skills, experiences, and the most relevant accomplishments to the job or position, it should deliver its message to its intended audience (the employer) accurately... BROWSE RESUMES.

If you would like to explore how professional career counseling can benefit you .. kindly, send your inquiry via Email: support@jobstepup.com