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Jesse Price
Bill Adjuster
Summary
Highly accomplished Bill Adjuster with over 5 years of experience in the healthcare industry. Proven ability to resolve billing disputes effectively, recover overpayments, and improve billing efficiency. Expertise in medical terminology, insurance policy analysis, claim investigation, negotiation, and billing software. Strong communication, analytical, and problem-solving skills. Demonstrated leadership and training experience.
Education
Bachelor’s Degree in Business Administration
September 2019
Skills
- Medical Terminology
- Insurance Policy Analysis
- Claim Investigation
- Negotiation and Dispute Resolution
- Billing Software Proficiency
- Coding and Classification
Work Experience
Bill Adjuster
- Managed a team of bill adjusters, providing guidance and support to ensure timely and accurate resolution of billing disputes.
- Trained new employees in billing adjustment processes and industry best practices.
- Utilized knowledge of healthcare billing regulations to ensure compliance and prevent overbilling.
- Worked closely with insurance companies to resolve billing issues and obtain timely reimbursements.
Bill Adjuster
- Investigated and resolved over 100 billing disputes per month, resulting in a 95% resolution rate.
- Utilized analytical skills to identify billing errors and discrepancies, leading to the recovery of $500,000 in overpayments.
- Collaborated with clients to negotiate payment plans and resolve outstanding balances, minimizing financial losses.
- Developed and implemented new billing procedures to improve efficiency and reduce invoice processing time by 20%.
Accomplishments
- Negotiated and resolved over 500 disputed bills with average savings of 15% per claim, exceeding performance targets by 20%
- Developed and implemented a streamlined billing review process, reducing processing time by 30%
- Identified and corrected billing errors totaling over $500,000, preventing revenue loss for the organization
- Collaborated with crossfunctional teams to resolve complex billing disputes, ensuring customer satisfaction and maintaining strong relationships
- Developed and delivered training on billing procedures to improve accuracy and reduce errors
Awards
- Bronze Medal for Outstanding Performance in Bill Adjustment, from [Organization Name]
Certificates
- Certified Bill Adjuster (CBA)
- Certified Professional Healthcare Insurance Adjuster (CPHIA)
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How To Write Resume For Bill Adjuster
- Quantify your accomplishments with specific metrics and results.
- Highlight your expertise in medical terminology and insurance policy analysis.
- Emphasize your ability to resolve disputes amicably and negotiate favorable outcomes.
- Showcase your leadership and training experience if applicable.
Essential Experience Highlights for a Strong Bill Adjuster Resume
- Investigated and resolved billing disputes, identifying errors and discrepancies.
- Negotiated payment plans with clients, minimizing financial losses.
- Developed and implemented new billing procedures, improving efficiency by 20%.
- Managed a team of bill adjusters, providing guidance and support.
- Trained new employees in billing adjustment processes and industry best practices.
- Utilized knowledge of healthcare billing regulations to ensure compliance.
Frequently Asked Questions (FAQ’s) For Bill Adjuster
What is the primary role of a Bill Adjuster?
A Bill Adjuster is responsible for investigating and resolving billing disputes between healthcare providers and insurance companies or patients. They analyze billing statements, identify errors or discrepancies, and work to resolve them in a timely and accurate manner.
What skills are essential for a Bill Adjuster?
Essential skills for a Bill Adjuster include medical terminology, insurance policy analysis, claim investigation, negotiation and dispute resolution, billing software proficiency, and coding and classification.
What are the career prospects for Bill Adjusters?
Bill Adjusters with experience and expertise can advance to roles such as Billing Manager, Healthcare Revenue Cycle Analyst, or Insurance Claims Examiner.
What are the common challenges faced by Bill Adjusters?
Common challenges faced by Bill Adjusters include complex medical billing regulations, high claim volumes, and the need to balance accuracy with efficiency.
What is the earning potential for Bill Adjusters?
The earning potential for Bill Adjusters varies depending on experience, location, and employer. According to the U.S. Bureau of Labor Statistics, the median annual salary for Bill Adjusters and Collectors was $42,910 in May 2021.