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Billing specialist skills for your resume and career

Updated January 8, 2025
3 min read
Quoted experts
Francisco Depusoir,
Francisco Depusoir
Billing specialist example skills
Below we've compiled a list of the most critical billing specialist skills. We ranked the top skills for billing specialists based on the percentage of resumes they appeared on. For example, 16.3% of billing specialist resumes contained patients as a skill. Continue reading to find out what skills a billing specialist needs to be successful in the workplace.

15 billing specialist skills for your resume and career

1. Patients

Here's how billing specialists use patients:
  • Verified insurance information, requested prior authorization for patients from doctors or insurance to establish coverage and medical necessity.
  • Completed eligibility checks daily and monthly for all patients to assure accurate billing information is updated.

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 specialists use customer service:
  • Provided excellent customer service ensuring expectations have been met in reference to billing, existing services or potential service enhancements.
  • Verified validity of account discrepancies by obtaining and investigating information from sales, customer service departments, and customers.

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 specialists use data entry:
  • Answered telephone inquiries in a timely and courteous manner Utilized data entry skills to maintain customer orders and assured proper processing
  • Assembled and maintained confidential patient charts containing current personal demographics and review data entry to ensure accurate and complete files.

4. Medical Billing

Here's how billing specialists use medical billing:
  • Recruited into position to assist 6 billing professionals in administrative support functions in a busy, medical billing/insurance preparation office.
  • Maintained Medical Billing records, entered financial transactions into bookkeeping ledgers, mailed monthly patient statements, maintained Reconciliation Logbook.

5. Medicaid

Here's how billing specialists use medicaid:
  • Maintain up-to-date knowledge and understanding of procedures related to Medicare, Medicaid and third-party insurance billing and reimbursement.
  • Reviewed work performed and evaluated employee performance to ensure fulfillment of organizations and Medicaid s policies and procedures.

6. 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 specialists use cpt:
  • Reviewed insurance explanation of benefits and verified medical ICD-9 and CPT coding for accuracy to ensure proper allocation of benefits.
  • Conducted all CPT and ICD-9 coding for Physicians and Chiropractor office Accounts receivable Filled-in nursing responsibilities

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7. 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 specialists use patient accounts:
  • Obtained patient financial status, performed routine computations to facilitate development of patient payment plan, accurately applied payments to patient accounts
  • Entered and worked collaboratively with patient account department to ensure accurate billing and resolve claim denials and medical-necessity issues.

8. Submit Claims

Here's how billing specialists use submit claims:
  • Review claims for accuracy and obtained missing information to submit claims electronically to various insurance companies for processing of payments
  • Match paper medical claims for patient office visits/services with required insurance referrals/authorizations and submit claims to insurance company.

9. Medical Terminology

Here's how billing specialists use medical terminology:
  • Possessed basic knowledge of medical terminology and diagnostic codes to ensure accuracy of medical claims and procedures.
  • Performed secretarial duties, utilizing knowledge of medical terminology and hospital, clinic and laboratory procedures.

10. 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 specialists use billing issues:
  • Ensured customer satisfaction by providing quality service, identifying customer needs and assisting them with issues/concerns related to billing issues.
  • Submit electronic bills, troubleshoot electronic billing issues, and update Billing Manager regularly regarding unresolved billing issues and workload.

11. Medical Claims

Here's how billing specialists use medical claims:
  • Monitored for and resolved relevant system or technical errors directly with insurance adjusters to ensure proper evaluation of medical claims.
  • Processed secondary and third party medical claims with follow up on collections Verified insurance and authorizations for processing claims

12. Appeals

Here's how billing specialists use appeals:
  • Investigated reason for non-payment, set-up appeals process and provided necessary information and documentation to insurance carriers.
  • Contacted hospitals for patient demographic information and/or requested and obtained medical records when necessary for appeals.

13. HIPAA

Here's how billing specialists use hipaa:
  • Follow the privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Resubmitted insurance claims as necessary knowledgeable in timely filing restrictions are in compliance with HIPAA regulations

14. Insurance Claims

Here's how billing specialists use insurance claims:
  • Accessed and processed documentation from contracted medical facilities and outside billing companies in order to successfully process insurance claims.
  • Reviewed for accuracy and forwarded numerous insurance claims with a specific emphasis on behavioral health and occupational medicine clients.

15. 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 specialists use eob:
  • Review non-payment EOB to determine responsibility of non-covered/ineligible charges and post appropriate denial code.
  • Handle eligibility verification, electronic billing, denial resolution, and EOB reconciliation.
top-skills

What skills help Billing Specialists find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on billing specialist resumes?

Francisco Depusoir

Associate Professor of Accounting, University of the Virgin Islands

The following skills could open the door to various opportunities for an accounting graduate on their resume.
-Excellent analytical skills
-Knowledge of Microsoft Excel
-Knowledge of Quickbooks

What soft skills should all billing specialists possess?

Francisco Depusoir

Associate Professor of Accounting, University of the Virgin Islands

-Analytical and problem-solving skills
-Strong written and oral communication
-Critical thinking
-Time Management
-Active learning
-Organization and attention to detail

What hard/technical skills are most important for billing specialists?

Francisco Depusoir

Associate Professor of Accounting, University of the Virgin Islands

-Basic knowledge of Generally Accepted Accounting Principles (GAAP)
-Experience with business intelligence software.
-Independent research skills.
-Data management abilities.
-Preparation and understanding of financial statements.
Do you want to know more?
Read more about what experts have to say about billing specialist

List of billing specialist skills to add to your resume

Billing specialist skills

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

  • Patients
  • Customer Service
  • Data Entry
  • Medical Billing
  • Medicaid
  • CPT
  • Patient Accounts
  • Submit Claims
  • Medical Terminology
  • Billing Issues
  • Medical Claims
  • Appeals
  • HIPAA
  • Insurance Claims
  • EOB
  • Billing Statements
  • ICD-10
  • Billing System
  • Insurance Carriers
  • ICD-9
  • Patient Payments
  • Insurance Verification
  • Unpaid Claims
  • Billing Process
  • Insurance Billing
  • Charge Entry
  • HCPCS
  • Insurance Payments
  • EMR
  • Patient Demographics
  • Patient Billing
  • Insurance Coverage
  • Accounts Receivables
  • Front Desk
  • Hippa
  • Electronic Billing
  • Computer System
  • Payment Arrangements
  • Billing Inquiries
  • Delinquent Accounts
  • Insurance Eligibility
  • Customer Accounts
  • Insurance Benefits
  • Billing Data
  • Billing Software
  • Clean Claims
  • CMS
  • Patient Statements
  • Paper Claims
  • Electronic Claims

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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