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Medical billing, receptionist skills for your resume and career

Updated January 8, 2025
4 min read
Medical billing, receptionist example skills
Below we've compiled a list of the most critical medical billing, receptionist skills. We ranked the top skills for medical billings, receptionist based on the percentage of resumes they appeared on. For example, 21.0% of medical billing, receptionist resumes contained patients as a skill. Continue reading to find out what skills a medical billing, receptionist needs to be successful in the workplace.

15 medical billing, receptionist skills for your resume and career

1. Patients

Here's how medical billings, receptionist use patients:
  • Evaluated and reviewed patients accounts to establish any duplicate payments to either primary insurance, secondary insurance, or patient reimbursement.
  • Facilitated medical billing and coding by interfacing with insurance companies and patients to ensure proper billing procedures.

2. Medical Billing

Here's how medical billings, receptionist use medical billing:
  • Worked in a temporary capacity on a variety of assignments including medical reception, medical billing, and medical customer service
  • Developed a working knowledge and understanding of Federal HIPAA Privacy and Security Regulations as they relate to medical billing.

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 medical billings, receptionist use data entry:
  • Provided administrative support when needed including reception duties, greeting patients, updating demographics and data entry onto Electronic health records.
  • Applied comprehensive body of regulations related to health information management medical records, and computerized data entry and retrieval.

4. 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 medical billings, receptionist use customer service:
  • Verified eligibility customer service obtain authorization and verify medical insurance
  • Provided customer service relations which included scheduling appointments and assisted with the department call center and any training assistance as requested.

5. 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 medical billings, receptionist use cpt:
  • Prepare and proofread invoices (for patient accuracy and correct coding for CPT codes, Provider codes and A/R Class).
  • Worked with HCFA forms, ICD-9 an 10 coding, posted CPT and diagnostic codes from super bill into computer database.

6. Medicaid

Here's how medical billings, receptionist use medicaid:
  • Analyzed data accumulated, such as disability allowances, Medicare, Medicaid, social security and insurance.
  • Follow up with major insurance companies regarding outstanding claims including Medicare, Medicaid and commercial insurances.

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7. Medical Claims

Here's how medical billings, receptionist use medical claims:
  • Ensured high accuracy and privacy by communicating effectively with various insurance companies regarding medical claims while using multiple types of software.
  • Processed inpatient and outpatient medical claims with accurate coding and insurance information for proper reimbursement.

8. 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 medical billings, receptionist use patient accounts:
  • Managed office responsibilities included: record keeping, regulatory compliance, Patient/Physician Relations, Patient Account Management, and Office Management.
  • Provided management with an accurate and detailed reconciliation identifying all activities that affected respective patient accounts.

9. 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 medical billings, receptionist use eob:
  • Contacted insurance companies regarding any EOB or discrepancy in payments if necessary.
  • Submitted secondary insurance claims with primary insurance EOB.

10. Appeals

Here's how medical billings, receptionist use appeals:
  • Executed adjustments usually through corrections and/or appeals for reconsideration, made required corrections and properly resubmitted the claim for processing.
  • Investigate payer rejections/denials for accuracy of claim information, obtained retro authorizations and generate appeals following payer guidelines.

11. Medical Terminology

Here's how medical billings, receptionist use medical terminology:
  • Utilize specific knowledge in medical terminology, hospital, clinical or laboratory procedures to provide quality patient care and assistance.
  • Updated and filed patient s medical records and registration in a business office setting using medical terminology and abbreviations.

12. ICD-9

Here's how medical billings, receptionist use icd-9:
  • Worked for a group of Physicians submitting medical charges, CPT and ICD-9 coding, verify patient insurance information for accuracy.
  • Reviewed and researched ICD-9 and CPT codes that were denied by payers, and contacted physician offices to assist with correction.

13. ICD-10

Here's how medical billings, receptionist use icd-10:
  • Revised CPT codes and ICD-10 codes before submitting to insurance for chiropractic services and durable medical equipment.
  • Provided accurate assignment of ICD-9-CM (ICD-10) diagnosis, CPT-4 and HCPCS procedure codes.

14. Insurance Verification

Here's how medical billings, receptionist use insurance verification:
  • Assess patient eligibility for insurance verification and reconcile patient's history with accounts receivable and verification of Medicaid numbers.
  • Provided medical coding, insurance verification, payment arrangement/collections, spreadsheet analysis, data reporting and claim investigation

15. Unpaid Claims

Here's how medical billings, receptionist use unpaid claims:
  • Contacted insurance providers/attorney offices for status on unpaid claims.
  • Verified patients insurance coverage, followed-up on unpaid claims within time allotted by the insurance companies and appealed claims when necessary.
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List of medical billing, receptionist skills to add to your resume

Medical billing, receptionist skills

The most important skills for a medical billing, receptionist resume and required skills for a medical billing, receptionist to have include:

  • Patients
  • Medical Billing
  • Data Entry
  • Customer Service
  • CPT
  • Medicaid
  • Medical Claims
  • Patient Accounts
  • EOB
  • Appeals
  • Medical Terminology
  • ICD-9
  • ICD-10
  • Insurance Verification
  • Unpaid Claims
  • Insurance Claims
  • EMR
  • Patient Payments
  • Insurance Payments
  • Insurance Coverage
  • Front Desk
  • Submit Claims
  • HIPAA
  • Patient Demographics
  • Patient Insurance
  • Insurance Carriers
  • Charge Entry
  • Insurance Eligibility
  • Patient Billing
  • Scheduling Appointments
  • Computer System
  • Accounts Receivables
  • Hippa
  • HCPCS
  • Medi-Cal
  • Patient Statements
  • Billing Software
  • Medical Insurance
  • Billing System
  • HMO
  • Billing Issues
  • CMS
  • Delinquent Accounts
  • Diagnosis Codes
  • Paper Claims
  • Patient Appointments
  • Physical Therapy
  • Insurance Billing
  • Patient Charts
  • Insurance Benefits

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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