Medical Biller Resume Guidance

A Medical Biller is responsible for preparing and submitting medical claims to insurance companies, as well as managing patient accounts. They review patient bills for accuracy, ensuring that they meet insurance company guidelines.

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1. Contact Information

Include at the top of your resume:

• Full Name
• Phone Number
• Professional Email Address
• LinkedIn Profile or Portfolio (optional)
• Location (City, State)

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2. Professional Summary or Objective

Write a summary that showcases your qualifications, skills, and experience relevant to medical billing.

Example:
Detail-oriented Medical Biller with over 5 years of experience in managing healthcare claims, insurance verification, and revenue cycle processes. Proficient in ICD-10, CPT, and HCPCS coding, as well as industry-standard billing software such as Kareo and Epic. Adept at resolving claim denials, optimizing reimbursements, and maintaining compliance with HIPAA and regulatory standards. Seeking to leverage expertise in a fast-paced healthcare organization to improve billing accuracy and efficiency.

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3. Key Skills

List technical, analytical, and interpersonal skills relevant to medical billing. Tailor this section to match the job description.

Example:

• ICD-10, CPT, and HCPCS coding
• Insurance claim submission and follow-up
• Medical billing software (e.g., Epic, Kareo, Medisoft)
• Knowledge of Medicare, Medicaid, and private insurance policies
• Revenue cycle management
• Claim denial management and appeals
• HIPAA compliance and medical records management
• Patient account reconciliation
• Strong attention to detail and accuracy
• Excellent communication and problem-solving skills

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4. Certifications

Certifications are essential for medical billers as they validate your expertise. Include certification details here.

Example:

• Certified Professional Biller (CPB) – AAPC
• Certified Coding Specialist (CCS) – AHIMA
• Certified Billing and Coding Specialist (CBCS) – NHA
• HIPAA Compliance Certification
• Certified Medical Reimbursement Specialist (CMRS)

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5. Professional Experience

List your work experience in reverse chronological order, highlighting accomplishments and responsibilities that demonstrate your expertise.

Example:

Medical Biller
Advanced Healthcare Solutions, Chicago, IL
June 2018 – Present

• Process an average of 250 insurance claims weekly, ensuring accuracy and adherence to ICD-10 and CPT codes.
• Collaborate with healthcare providers to verify coding accuracy and resolve discrepancies, reducing claim denials by 20%.
• Manage account reconciliations and patient billing inquiries, achieving a 95% satisfaction rate.
• Monitor accounts receivable and follow up on outstanding claims to ensure timely payments.
• Stay updated on changes in Medicare, Medicaid, and private insurance policies to maintain compliance.

Billing Specialist
Community Health Services, Denver, CO
March 2015 – May 2018

• Prepared and submitted insurance claims electronically and via paper for a multi-specialty clinic.
• Conducted audits on claims to minimize errors, improving overall billing accuracy by 15%.
• Assisted patients with billing inquiries, payment plans, and financial counseling.
• Collaborated with insurance companies to resolve claim rejections and maximize reimbursements.
• Trained new team members on billing procedures and software usage.

Medical Billing Intern
City Hospital, Denver, CO
June 2014 – February 2015

• Supported the billing team by entering patient data into billing software and verifying insurance coverage.
• Assisted with coding and claims submission, gaining hands-on experience with ICD-10 and CPT systems.
• Shadowed senior billers to learn denial management and appeals processes.

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6. Education

List your educational background, including relevant coursework if applicable.

Example:
Associate Degree in Health Information Technology
Denver Technical College, Denver, CO
Graduated: May 2014

High School Diploma
Westview High School, Denver, CO
Graduated: June 2012

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7. Software Proficiency (Optional)

If applicable, list the medical billing software and tools you’re skilled in.

Example:

• Epic
• Kareo
• Medisoft
• Athenahealth
• Microsoft Excel and Access

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8. Volunteer Work or Internships (Optional)

Include any unpaid or internship experience related to billing or administrative tasks.

Example:
Medical Billing Volunteer
Health Outreach Clinic, Chicago, IL
January 2018 – December 2018

Helped update patient records and verify insurance eligibility

Assisted in submitting claims for low-income patients to Medicaid and other insurance providers.

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