Resume Skills and Keywords for Medical Billing Specialist

A medical coding and billing specialist serves as a go-between for the doctor's office and the insurance companies. The healthcare facility's insurance claims, invoices, and payments are all managed by coding and billing professionals. This data management expert converts medical diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes that are used in the billing process. They are experts at extracting exact data from documentation, test results, and reports, then assigning the necessary codes to construct a claim that will be paid by insurance companies.

Skills required for a Medical Billing Specialit's role

  • Medical Records
  • Patient Care
  • Data Entry
  • Billing Information
  • Account Balances
  • Procedure Codes
  • Electronic Medical Billing 
  • Operations Assistance 
  • Quality Assurance and Auditing 
  • Cross-Functional Coordination 

What recruiters look for in a Medical Billing Specailist's resume: 

  • Proficient in acting as a liaison between insurers, medical offices, and patients
  • Adept in properly coding medical services, diagnosis, treatments, and more
  • Capable of invoicing patients and insurance companies for claims or payments

What can make your Medical Billing Specialist's resume stand out:

A strong summary that demonstrates your skills, experience and background in medical billing and coding:

  • Dedicated medical billing and coding specialist with almost 2 years of experience in assisting with health management operations, as well as analysing and validating patient information, diagnoses and billing data. Expertise in ICD-9 and ICD 10, CPT and HCPCS coding. 

Targeted job description 

  • Manage the program for high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS coding classification systems, to meet billing system requirements
  •  Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
  • Develop, modify, and execute company policies and procedures that affect immediate operations and may also have an organization-wide impact

Related academic background 

  • BSc (Life Sciences) | JK University, Aurangabad | 2016
  • 12th, CBSE | OPD School, Aurangabad | 2013

Sample Resume of Medical Billing Specialist in Text Format

ANANT KUMAR 

Medical Billing Specialist 

9888001122 | kumar12anant@gmail.com | linkedin.com/in/kumar-anant | House no. 67, Yuri Road, Aurangabad 

SUMMARY

Dedicated medical billing and coding specialist with almost 2 years of experience in assisting with health management operations, as well as analysing and validating patient information, diagnoses and billing data. Expertise in ICD-9 and ICD 10, CPT and HCPCS coding. 

EDUCATION 

  • BSc (Life Sciences) | JK University, Aurangabad | 2016
  • 12th, CBSE | OPD School, Aurangabad | 2013

PROFESSIONAL ENHANCEMENTS 

Certifications 

  • Certified Medical Coder. 
  • Courses Course in medical coding and billing in 2016. Course in ICD-9 and ICD-10 in 2016. 
  • Awards Employee of the year award in 2018. 

EXPERIENCE / INTERNSHIP 

Medical Billing Specialist  | PK Healthcare, Aurangabad | Aug 2017 – Jun 2019 

  • Ran weekly funding reports and tracked all other activities pertaining to procedural charges in the given department.
  • Maintained data and forwarded it to clients on daily basis in Excel format. 
  • Provided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes; enter diagnosed codes and patient information into billing software. 
  • Used electronic charge capture practices such as BAR system and medical billing clearinghouse accounts to submit codes and invoices on time. 
  • Reviewed and validated the accuracy of charges, including dates of service, services provided, location, patient identification and provider signature. 

Junior Medical Billing Assistant | XY Healthcare Services, Aurangabad | Jul 2016 – Jul 2017 

  • Reviewed billing issues identified by insurance carriers and patients. 
  • Performed insurance verification, pre-certification and pre-authorisation. 
  • Researched and replied in a timely manner to insurance, patient, and internal customer inquiries. Kept accurate records of all activities and conversations for life. 

SKILLS ( TECHNOLOGY / FUNCTIONAL ) 

  • ICD-9 and ICD-10 coding 
  • CPT and HCPCS coding 
  • Electronic Medical Billing 
  • HCFA 1500 Forms
  • Operations Assistance 
  • Quality Assurance and Auditing 
  • Cross-Functional Coordination 

EXTRAMURAL ENGAGEMENTS 

Volunteering 

  • Volunteer every year for an awareness program on World Health Day. 
  • Volunteered for awareness program on Environment Day. 
  • Member of Tameer NGO since 2015.