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Medical Billing Manager Sample Resume Format in Word Free Download

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Sophia Greenberg
309 Waterside Drive | Alpharetta, GA 30001
sophia@gmail.com | 770.825.9876

Medical Billing Manager
10+ years’ experience in billing, medical coding, and medical office administration.
Expertise in insurance verification, charge auditing, patient collections, data reporting, and analysis. Background in specialty practices including General Surgery, Orthopedic, and Urology billing. Experienced in business office supervision, accounts receivable, posting, summary reports, and dealing with 3rd-party insurers.
Highlights of expertise:
•    Office Work-flow
•    ICD-9 & CPT Codes
•    AR / AP
•    Medicare / Medicaid
•    Billing & Collections
•    Regulatory Compliance
•    Insurance Claims / Denials
•    Medical Communications
•    Confidentiality Issues

Professional Experience
St. Claire Medical Center, Cave Run Surgical Specialists – Morehead, KY
Insurance Specialist, 10/2005 – 01/2007
Managed ICD-9 diagnosis codes and CPT procedure codes in General Surgery, Orthopedic, and Urology practices for multi-specialty surgical group with 8 physicians Initiated approaches and protocols used in solving insurance billing problems, filing claims, completing common insurance forms, tracing delinquent claims, appealing denied claims, and using forms to streamline billing procedures. Monitored patient accounts for reimbursement of hospital and physician claims for Medicare, Medicaid, and other insurance payments.
•      Ensured correct code selection to align with compliance established by federal regulation and insurance requirements.
Dermatology Consultants, PC – Atlanta, GA
Insurance Specialist, 11/2004 -06 /2005
Managed billing and A/R for practice comprised of four doctors and two physician assistants. Responsible for collecting, posting and managing account payments, submitting claims, and following up with insurance companies. Traced Medicare, Medicaid, and third-party claim filings. Prepared and submitted claims to insurance companies electronically or by paper.  Responded to queries from patients, clerical staff, and insurance companies regarding claims and coverage. Identified and resolved patient billing complaints.
·      Implemented strict patient confidentiality protocols to manage security for medical records.
Dermatology Consultants, PC - Atlanta, GA
Re-credentialing Specialist, 03/2005 - 06/2005
Adhered to company and statewide policies for medical staff to attaining practice-related certificates and licensees. Conducted rigorous due diligence for credentialing of new physicians and allied healthcare professionals slated for full and temporary staff privileges. Maintained accuracy and completeness of records, including enrollment and credentialing contracts. Implemented protocols for re-evaluations of practitioner privileges. Tracked and reported minutes for staff meetings.
·      Updated and maintained hospital database of physician malpractice insurance coverage.
Americus Urology, PC – Americus, GA
Medical Practice Manager, 01/1994 – 11/2004
Oversaw daily operations of private medical practice, supervising eight staff. Managed provider contracting and service delivery. Served as primary liaison between health plan and provider group. Monitored compliance for critical business, medical, and insurance documents. Coded procedures and diagnoses in CPT and ICD-9.
·      Identified and addressed office issues, taking appropriate course of action for physician / PA credentialing, Medicare, Medicaid, and third-party claims.
Phoebe Putney Memorial Hospital – Albany, GA
Team Leader, Oncology Department, 06/1990 – 12/1993
Managed 10 full-time staff, coordinating business efforts for patient billing and collections. Coordinated all processing of Medicare, Medicaid, and third-party electronic / paper claims and filings. Ensured full compliance with hospital standards and industry regulations.
***     ***     ***
Previous background as Team Leader for Business Office at Phoebe Putney Memorial Hospital.

Training
Certifications
Medical Billing and Coding (2009)
Morehead State University, KY
Certified Coding Associate (2009)
American Health Information Management Association
Applications:
Medisoft, IDX software, Zirmed
Microsoft Office Suite, Word Perfect
Affiliation:
American Health Information Management Association (2011)


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