• Dynamic Leader who offers talent in Medical Insurance Billing, Revenue Cycle Management, Workers Compensation, Claims Analysis, Quality Review, Benefits Administration, Multi-State Billing, Process Improvement, Team Training, and Customer Service, as well as skills in Medicare, Medicaid, HMO, POS, PPO, and EPO Billing.
• Top Performer who contributes an ability to successfully expedite claims for multiple lines of insurance.
• Excellent Communicator who builds synergistic relationships with managers, adjuster, carriers, and customers.
• Ambitious Self-Starter who excels in both autonomous and collaborative environments to achieve objectives.

  Personally worked to consistently exceed company s production requirements by 15%.

  Successfully maintained exceptional quality scores of 99% - exceeding operational standards of 98%.

  Recognized as a Subject Matter Expert for workers compensation billing laws across 30 different states.

  Honored with a competitive Exceptional Employee Rating on all annual reviews for 11+ consecutive years.

  Cited as an Exceptional Employee for actively volunteering to complete wide-ranging departmental projects.

  Capitalize on the opportunity to perform high-volume billing / collections functions for a Patient Financial Services area, including building and sustaining a comprehensive knowledge of collection laws and third-party payer claims processing to meet or exceed a score of 95% in key performance criteria measured by quality assurance audits.

  Expertly perform hospital billing and rebilling as required, and exhibit skill with bid forms and filing requirements.

  Maximize billing success by identifying challenges and recommending process improvements to benefit PFS.

  Continually work to meet and / or exceed customer expectations and requirements to xxxxxxin trust and respect.

  Demonstrated experience in accurately applying workers compensation medical fee schedules and hospital bills for multiple states, including verifying appropriate billing using knowledge of laws and coding requirements, as well as serving as a Subject Matter Expert for workers compensation billing laws in 30 states.

  Proactively liaised between audit department teams and claims adjusters to meet and / or exceed objectives.

  Contributed solid communication skills toward assisting adjusters in resolving wide-ranging payment issues.

  Led targeted support for the seamless implementation and training of a new paperless billing system.

  Contributed sharp analytical abilities toward performing medical billing for wide-ranging insurance types and self-pay using proper CPT and ICD-9 procedures, including reconciling and collecting outstanding payments.

  Optimized administrative efficiency by scheduling patients for various outpatient surgical procedures.

  Played a vital role in accurately filing electronic insurance claims for carriers, including posting charges and payments for two high-volume hospitals, as well as generating diverse insurance, patient, and supplier reports.

Baccalaureate Business Administration Studies Xxxxxx State University

CPT-4 ￨ ICD-9 Codes Dental, Hospital & Medical ￨ Hospital Rev

DRG Codes ￨ BR4 ￨ MedData ￨ Microsoft Word ￨ Types 60+ WPM

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Dear__________________:

I am seeking a challenging [ Insert Job Title ] role, and am submitting my resume for your review.

I am excited to build a rewarding career with your company, and can offer cross-functional experience in Medical Insurance Billing, Revenue Cycle Management, Workers Compensation, Compensation Billing, Claims Analysis, Quality Review, Benefits Administration, Multi-State Billing, Process Improvement, Team Training, and Customer Service. I am also well-versed in Medicare, Medicaid, HMO, POS, PPO, and EPO Billing, with specializations in CPT-4 and ICD-9 Codes (Dental, Hospital & Medical), Hospital Rev, DRG Codes, BR4, MedData, and Microsoft Word.

Currently, as a Job Title for Optum360 UnitedHealth Group (via Robert Half), I expertly perform high-volume billing / collections functions for a Patient Financial Services area, including building and sustaining a comprehensive knowledge of collection laws and third-party payer claims processing to meet or exceed a score of 95% in key performance criteria measured by quality assurance audits. Within this role, I also handle hospital billing and rebilling as required, and exhibit skill with bid forms and filing requirements. Furthermore, I consistently identify and resolve challenges and recommend process improvements to benefit PFS.

A sampling of my career achievements include:

  Personally working to consistently exceed company s production requirements by 15%.

  Successfully maintaining exceptional quality scores of 99% - exceeding operational standards of 98%.

  Receiving a competitive Exceptional Employee Rating on all annual reviews for 11+ consecutive years.

  Attaining Exceptional Employee status for actively volunteering to complete diverse departmental projects.

  Achieving recognition as a Subject Matter Expert for workers compensation billing laws in 30 different states.

[ Suggestion! Address Here Any Skills / Qualifications / Achievements Relevant to the Job Posting ]. As this is just a sampling of my abilities, please kindly refer to my enclosed resume for additional experience.

I look forward to hearing from you, and thank you in advance for your careful consideration.

Sincerely,

Yyyyyy x. yyyyyy