Billing Specialist Resume Examples and Templates

This page provides you with Billing Specialist resume samples to use to create your own resume with our easy-to-use resume builder. Below you'll find our how-to section that will guide you through each section of a Billing Specialist resume.

Billing Specialist Resume Sample and Template
Billing Specialist Resume Sample and Template
Billing Specialist Resume Sample and Template
Billing Specialist Resume Sample and Template

What do Hiring Managers look for in a Billing Specialist Resume

  • Attention to Detail: Precision in reviewing billing documents, coding entries accurately, and ensuring compliance with billing regulations.
  • Analytical Skills: Ability to analyze billing data, identify discrepancies, and reconcile accounts to ensure accuracy and completeness.
  • Organizational Skills: Capacity to manage multiple billing tasks, prioritize deadlines, and maintain organized records.
  • Communication Skills: Clear and effective communication with clients, colleagues, and insurance companies to resolve billing inquiries and discrepancies.
  • Problem-Solving Abilities: Aptitude to address billing issues such as denied claims, late payments, or billing errors, and implement solutions to resolve them efficiently.

How to Write a Billing Specialist Resume?

To write a professional Billing Specialist resume, follow these steps:

  • Select the right Billing Specialist resume template.
  • Write a professional summary at the top explaining your Billing Specialist’s experience and achievements.
  • Follow the STAR method while writing your Billing Specialist resume’s work experience. Show what you were responsible for and what you achieved as a Billing Specialist.
  • List your top Billing Specialist skills in a separate skills section.

How to Write Your Billing Specialist Resume Header?

Write the perfect Billing Specialist resume header by:

  • Adding your full name at the top of the header.
  • Add a photo to your resume if you are applying for jobs outside of the US. For applying to jobs within the US, avoid adding photo to your resume header.
  • Add your current Billing Specialist position to the header to show relevance.
  • Add your current city, your phone number and a professional email address.
  • Finally, add a link to your portfolio to the Billing Specialist resume header. If there’s no portfolio link to add, consider adding a link to your LinkedIn profile instead.

Bad Billing Specialist Resume Example - Header Section

Mylee 682 Fifth St. South Plainfield, NJ 07080 Marital Status: Married, email:

Good Billing Specialist Resume Example - Header Section

Mylee Walters, Plainfield, NJ, Phone number: +1-555-555-5555, Link: linkedin/in/johndoe

Make sure to add a professional looking email address while writing your resume header. Let’s assume your name is John Doe - here is a formula you can use to create email addresses:

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For a Billing Specialist email, we recommend you either go with a custom domain name ( or select a very reputed email provider (Gmail or Outlook).

How to Write a Professional Billing Specialist Resume Summary?

Use this template to write the best Billing Specialist resume summary: Billing Specialist with [number of years] experience of [top 2-3 skills]. Achieved [top achievement]. Expert at [X], [Y] and [Z].

How to Write a Billing Specialist Resume Experience Section?

Here’s how you can write a job winning Billing Specialist resume experience section:

  • Write your Billing Specialist work experience in a reverse chronological order.
  • Use bullets instead of paragraphs to explain your Billing Specialist work experience.
  • While describing your work experience focus on highlighting what you did and the impact you made (you can use numbers to describe your success as a Billing Specialist).
  • Use action verbs in your bullet points.

Billing Specialist Resume Example

Billing Specialist

  • Liaise with insurance companies to address denials.
  • Review Explanation of Benefits (EOB).
  • Process billing for AMX.
  • Manage accounts receivable (AR) logs.
  • Scrutinize payment remittances.
  • Conduct insurance research and verification.
  • Adjust payments from patients and insurance companies accordingly.

Billing Specialist Resume Example

Billing Specialist

  • Processed medical claims submissions.
  • Interpreted explanation of benefits for necessary follow-up actions.
  • Provided pre- and post-surgical care support.
  • Conducted training sessions for new staff on records management systems.
  • Handled review and dispatch of medical records to other physicians upon request.
  • Investigated and resolved denied claims.
  • Managed electronic records database and fulfilled file requests.
  • Submitted electronic and paper claims to insurance companies, including Medicare and Medicaid, for payment collection.
  • Reviewed patient records, assigned medical codes, and generated invoices for billing.
  • Recorded surgical charges for seven doctors in a private practice.
  • Managed an average of 67 daily inquiries via calls, emails, and faxes, resolving customer issues and providing necessary paperwork.

Medical Billing Specialist Resume Example

Medical Billing Specialist

  • Registered patients, directed calls to appropriate satellite offices, and collected specimens.
  • Managed check-in/out procedures, answered phones, prepared charts, assigned patient rooms, and supervised referral program.
  • Provided support for accurate data entry of patient information, charges, and procedures.
  • Assisted in rectifying numerous outstanding claims resulting from past billing errors.
  • Demonstrated adeptness in rapid data entry, earning recognition for speed, time management, and communication skills.
  • Handled billing for medical and commercial carriers.
  • Followed up on unpaid or denied claims to track their status.
  • Managed filing, faxing, and copying of documents for doctors and patients.

Medical Billing Specialist Resume Example

Medical Billing Specialist

  • Provided support to physician's office with multiple partners.
  • Processed claims, refunds, and billing.
  • Handled adjustments to monthly statements.
  • Conducted account reconciliations.

Medical Billing Specialist Resume Example

Medical Billing Specialist

  • Addressing insurance denials and managing patient-related issues.
  • Utilizing coded data to generate and submit claims to insurance companies.
  • Reviewing and appealing unpaid and denied claims.
  • Collaborating with insurance companies, healthcare providers, and patients to process and resolve claims.
  • Processing patient payments via credit card.
  • Handling billing for hospital, office, and skilled nursing facility services.
  • Proficient in obtaining dental insurance breakdowns.

Part-Time Medical Billing Specialist Resume Example

Part-Time Medical Billing Specialist

  • Processed and scanned dental patient files, statements, and x-ray images into the appropriate medical charts in the patient management system promptly. Assisted in transitioning the business to a paperless system.
  • Verified the accuracy of all documentation meticulously and in a timely manner. Maintained strict confidentiality of patient records through comprehensive OSHA and HIPAA training.
  • Acquired proficiency in medical terminology and insurance groups swiftly, exhibiting exceptional typing speed and accuracy in documenting information with close attention to detail.
  • Conducted various clerical tasks as assigned, including telephone reception, inventory organization, and office sanitization, demonstrating efficiency in multitasking.

Billing Specialist Resume Example

Billing Specialist

  • Dedicated billing specialist managing a high volume of inbound calls daily.
  • Handling complaints and following up with financial institutions.
  • Addressing issues, correcting and/or rebilling as necessary.
  • Processing refunds and credits while multitasking efficiently.
  • Scheduling future follow-ups and maintaining updated account information in company systems.
  • Resolving discrepancies in accounts and reconciling histories with bank statements.
  • Keeping customers informed via emails and outbound calls regarding issue resolution progress and providing updated estimated times of resolution on an ongoing basis.

Medical Billing Specialist Resume Example

Medical Billing Specialist

  • Reviewed patients' insurance coverage, deductibles, insurance carrier payments, and outstanding balances.
  • Communicated with insurance providers to address denied claims and resubmitted as necessary.
  • Conducted research on CPT and ICD-9 coding discrepancies to ensure compliance and accurate reimbursement.

Top Billing Specialist Resume Skills for 2023

  1. Medical billing software proficiency (e.g., Epic, Cerner, Meditech)
  2. Insurance billing procedures
  3. Medicare billing guidelines
  4. Medicaid billing guidelines
  5. Commercial insurance billing procedures
  6. Third-party payer billing procedures
  7. Government payer billing procedures
  8. ICD-10-CM/PCS coding proficiency
  9. CPT coding proficiency
  10. HCPCS Level II coding proficiency
  11. Revenue codes knowledge
  12. DRG (Diagnosis Related Group) coding (if applicable)
  13. UB-04 (CMS-1450) form completion
  14. CMS-1500 form completion
  15. Electronic claims submission
  16. Paper claims submission
  17. Claim denial management
  18. Claim rejection resolution
  19. Claim appeals process
  20. Prior authorization procedures
  21. Coordination of benefits (COB) verification
  22. Insurance eligibility verification
  23. Patient demographic data entry
  24. Charge entry
  25. Payment posting
  26. Adjustment posting
  27. Refund processing
  28. Account receivable follow-up
  29. Aging accounts management
  30. Bad debt management
  31. Denials and underpayments analysis
  32. Accounts receivable reconciliation
  33. Patient billing inquiries handling
  34. Financial counseling for patients
  35. Payment plans setup
  36. Collection agency coordination
  37. Compliance with HIPAA regulations
  38. Compliance with billing and coding regulations
  39. Compliance with payer policies and guidelines
  40. Compliance with healthcare fraud and abuse laws
  41. Regulatory compliance reporting
  42. Revenue cycle management (RCM)
  43. Key performance indicator (KPI) tracking
  44. Reporting on billing metrics and performance
  45. Continuous learning and professional development in billing practices
  46. Knowledge of industry trends and emerging technologies in healthcare billing
  47. Communication skills with patients, providers, and payers
  48. Problem-solving skills in resolving billing issues
  49. Decision-making skills in determining appropriate billing actions
  50. Ethics and professionalism in billing practices

How Long Should my Billing Specialist Resume be?

Your Billing Specialist resume length should be less than one or two pages maximum. Unless you have more than 25 years of experience, any resume that’s more than two pages would appear to be too long and risk getting rejected.

On an average, for Billing Specialist, we see most resumes have a length of 2. And, that’s why we advise you to keep the resume length appropriate to not get rejected.

Billing Specialist Resume Sample and Template
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