Medical Biller Resume Example

Updated on: March 11, 2024
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A Medical Biller plays a critical role in the healthcare industry, functioning as a bridge between patients, healthcare providers, and insurance companies. They ensure that all medical services provided to patients are billed and accounted for properly. Their responsibilities include submitting claims, following up on unpaid claims, deciphering and utilizing complex billing software, and staying current with billing regulations.

A medical biller’s resume is a structured document that outlines the individual’s professional experience, skills, and education relevant to the role. It highlights the candidate’s expertise and experience, showcasing their ability to navigate the multifaceted world of medical billing and coding efficiently, which is crucial for maintaining the financial health of healthcare facilities.

The importance of a medical biller resume cannot be overstated, as it serves as the first point of contact with potential employers. A well-crafted resume can significantly enhance a job seeker’s chances of landing a desired position.

Here is a sample resume for your guidance.

Medical Biller Resume Sample

John Doe
Metropolis, TX
(000) 456-7890
[email protected]


SUMMARY

Accomplished Medical Biller offering over 9 years of experience managing billing processes and maximizing revenue in healthcare settings. Adept at streamlining billing systems to reduce errors and improve efficiency. Recognized for strong proficiency in industry-standard billing software and precise adherence to coding protocols. Committed to maintaining up-to-date knowledge of billing regulations and insurance policies to ensure compliance and prompt payment.

PROFESSIONAL EXPERIENCE

Medical Biller
Metropolis Health Services | Metropolis, TX
May 2018 – Present

  • Managed the submission of over 10,000 medical claims annually, maintaining a 98% accuracy rate and ensuring timely reimbursement.
  • Implemented a new billing software feature that improved overall billing efficiency by 25%.
  • Conducted bi-monthly training sessions for an average of 10 new billers per session, promoting knowledge of software and billing regulations.
  • Negotiated with insurance companies to settle over 500 disputed claims annually, increasing reimbursement rates.
  • Achieved a 15% reduction in days in Accounts Receivable (A/R) by enhancing claim follow-up procedures.

Medical Billing Specialist
Riverside Medical Group | Metropolis, TX
Jun 2015 – Apr 2018

  • Accurately coded and processed an average of 5,000 patient services per year using ICD-10, CPT, and HCPCS coding.
  • Conducted detailed reviews of patient accounts and billing, reducing billing errors by 20%.
  • Served as a primary billing contact, resolving over 300 complex patient and insurance billing inquiries per year.
  • Played a key role in the integration of EHR and billing software, leading to a 30% improvement in record-keeping accuracy.
  • Contributed to a 20% decrease in billing discrepancies, significantly impacting the financial stability of the practice.

EDUCATION

Certificate in Medical Billing and Coding
ABC Technical Institute | Metropolis, TX | 2015

  • Completed intensive coursework in medical terminology, billing processes, and coding systems.
  • Gained practical experience with industry-standard billing software.

Associate of Science in Healthcare Administration
State Community College | Metropolis, TX | 2013

SKILLS

  • Proficient in various medical billing software (e.g., NextGen, MediTouch)
  • In-depth knowledge of ICD-10, CPT, and HCPCS coding
  • Strong understanding of billing processes and healthcare regulations
  • Excellent organizational and communication skills
  • Experience with electronic health records (EHR) systems
  • Detail-oriented with a strong ability to multitask

CERTIFICATIONS

  • Certified Professional Biller (CPB) | AAPC | 2016
  • Certified Medical Reimbursement Specialist (CMRS) | AMBA | 2017

PROFESSIONAL MEMBERSHIPS

  • American Academy of Professional Coders (AAPC)
  • American Medical Billing Association (AMBA)

REFERENCES

Available upon request.


How to Write a Perfect Resume for a Medical Biller Position?

1. Start with Strong Summary:

Write a compelling summary statement that emphasizes your years of experience, efficiency in billing systems, and familiarity with industry-standard software.

2. Detail Relevant Experience:

List your professional history, highlighting specific achievements such as claim accuracy rates, successful dispute negotiations, and improvements in billing procedures.

3. Include Education and Certifications:

Showcase your academic background in healthcare administration and any billing-related certifications that enhance your credibility.

4. Emphasize Technical Skills:

Mention your proficiency in billing software and knowledge of medical coding (ICD-10, CPT, HCPCS), stressing its importance for the role.

5. Highlight Soft Skills:

Include organizational and communication skills that demonstrate your ability to multitask effectively in a medical billing environment.

6. Add Professional Memberships:

List memberships in professional organizations like AAPC and AMBA to show your commitment to the field.

7. Keep it Organized:

Ensure the resume is well-structured, making it easy for potential employers to review and find key information.

8. Proofread Thoroughly:

Double-check for errors to present a professional and polished document; errors can suggest inattention to detail, which is critical in billing.

9. Customize for the Job:

Tailor your resume for the specific position by including relevant keywords from the job posting to pass through applicant tracking systems.

10. References on Request:

End with a line that references are available upon request to convey preparedness without cluttering the resume.

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