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Billing representative skills for your resume and career

Updated January 8, 2025
4 min read
Billing representative example skills
Below we've compiled a list of the most critical billing representative skills. We ranked the top skills for billing representatives based on the percentage of resumes they appeared on. For example, 18.3% of billing representative resumes contained patients as a skill. Continue reading to find out what skills a billing representative needs to be successful in the workplace.

15 billing representative skills for your resume and career

1. Patients

Here's how billing representatives use patients:
  • Handled heavy incoming calls from patients and Insurance companies, effectively answering questions and resolving problems to ensure customer satisfaction.
  • Contacted patients regarding ineligibility and primary insurance carriers Submitted appeal requests to health insurance Company s decision for denied payments.

2. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how billing representatives use customer service:
  • Contacted physician offices and patients to resolve problematic accounts, exceeding job performance standards for customer service skills and productivity.
  • Work closely with insurance company customer service representatives and supervisor in order to resolve claim processing or possible billing errors.

3. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how billing representatives use data entry:
  • Operated various data entry terminals and automated data systems to record and verify billing/accounts receivable information.
  • Facilitated daily billing and commission obligations including customer billing, data entry and invoicing.

4. Medical Billing

Here's how billing representatives use medical billing:
  • Work closely with teams of co-representatives to make sure guidelines are followed and requirements met regarding medical billing and insurance settlements.
  • Handled incoming telephone inquiries from individual policy holders regarding medical benefits, medical billing, and claims.

5. Medicaid

Here's how billing representatives use medicaid:
  • Ensured accuracy of billing information and payment, corrected account balances in accordance with Medicaid disposition using Medicaid remittance advice.
  • Implemented a Billing System to enable Mainstream Transportation the capability to provide Medicaid recipients transportation.

6. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how billing representatives use patient accounts:
  • Tasked with receiving payments electronically and physically using TrustCommerce and remote deposit capture, then posting payments to patient accounts.
  • Managed patient accounts, analyzed customer needs, educated medical suppliers on company products and negotiated insurance payments.

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7. Medical Terminology

Here's how billing representatives use medical terminology:
  • Translated medical terminology and abbreviations into expanded forms to ensure the accuracy of patient and health care facility records.
  • Communicate with other offices/facilities for records, understanding of and ability to use medical terminology.

8. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how billing representatives use cpt:
  • Responded to physician inquiries regarding CPT codes and cost of laboratory tests, allowing physicians to accommodate the patient financial concerns.
  • Review all denials including but not limited to updating ICD10 and CPT codes in order to get claim processed efficiently.

9. Appeals

Here's how billing representatives use appeals:
  • Processed appeals with proper documentation, explanation of benefits, and identify any contractual errors.
  • Ensured accurate patient/insurance account collection filing effective appeals on denied and under reimbursed claims.

10. Medical Claims

Here's how billing representatives use medical claims:
  • Handled and processed medical claims for major insurance companies contracted with Quest for laboratory services rendered.
  • Performed medical claims billing and insurance/patient collections for inpatient, outpatient and skilled nursing facility claims.

11. HIPAA

Here's how billing representatives use hipaa:
  • Enforced accountability on medical records documentation and dissemination of patient's information in compliance with HIPAA.
  • Posted confidential medical information and documents into patient files, observing HIPAA regulations.

12. Billing System

A billing system is a system for issuing invoices related to fees payable by each party under an access agreement. Billing systems often include payment software that automates the process of collecting payments, sending recurring invoices, tracking expenses, and tracking invoices, and generates reports for management and records payments to the accounts of the customers.

Here's how billing representatives use billing system:
  • Followed standard operating procedures, by preparing monthly billing adjustments, obtaining required approvals and entering adjustments into the billing system.
  • Researched missing billing information utilizing the internal billing system and other sources, supporting accurate billing for timely reimbursement.

13. EOB

EOB stands for explanation of benefits. This is a common outline provided as part of many health insurance plans to explain what services were completed, the co-pay required for each appointment, and how much of your payment is covered by health insurance. EOB is an indication that your insurance claim has already been processed.

Here's how billing representatives use eob:
  • Reviewed explanation of benefits (EOB) documentation for primary and secondary billing criteria and problem resolution.
  • Researched detailed account disputes and billing discrepancies through EOB s and completed account/payment reconciliations.

14. ICD-10

Here's how billing representatives use icd-10:
  • Translate patient information and into alphanumeric medical code using ICD-10 Coding.
  • Educated physicians to use current ICD-9 diagnostic coding and preparation to begin ICD-10 coding requirements.

15. Billing Issues

Billing issues are the mistakes made by the company resulting in a wrong bill for the customer. An example of a billing issue might be adding what is owed incorrectly or accidentally omitting a service the customer bought. The billing issues are the company's responsibility and are caused by the one who calculates the bill. The customer does not need to pay it, however, the dispute may take some time to resolve.

Here's how billing representatives use billing issues:
  • Facilitated customer service calls from patients, insurance carriers and occupational employers regarding billing issues.
  • Provided strong operational support to other areas within company; communicated billing issues internally.
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List of billing representative skills to add to your resume

Billing representative skills

The most important skills for a billing representative resume and required skills for a billing representative to have include:

  • Patients
  • Customer Service
  • Data Entry
  • Medical Billing
  • Medicaid
  • Patient Accounts
  • Medical Terminology
  • CPT
  • Appeals
  • Medical Claims
  • HIPAA
  • Billing System
  • EOB
  • ICD-10
  • Billing Issues
  • Insurance Claims
  • Insurance Carriers
  • Outbound Calls
  • Unpaid Claims
  • Insurance Verification
  • ICD-9
  • Insurance Coverage
  • Computer System
  • Accounts Receivables
  • HCPCS
  • Patient Billing
  • Billing Inquiries
  • Hippa
  • Insurance Billing
  • Patient Demographics
  • Electronic Billing
  • Insurance Payments
  • Customer Inquiries
  • Account Balances
  • Inbound Calls
  • Delinquent Accounts
  • CMS
  • Billing Process
  • Insurance Benefits
  • Submit Claims
  • Billing Errors
  • Durable Medical Equipment
  • Patient Payments
  • Payment Arrangements
  • Insurance Eligibility
  • HMO
  • Billing Reports
  • Paper Claims
  • Past Due Accounts
  • Front Desk

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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