Your buddies might think that being a medical billing expert is just another clerical position. You compile invoices and chase patients to get in the money.
But there’s a whole lot more to medical billing as we know. Since this is your chosen career path, it isn’t just another job!
Now you’ve decided to apply for a new, better medical billing position, you’re going to have to make your application stand out. The best way to do this is with a winning resume – and we’re going to show you how.
Resume objective for medical billing
As the American College For Medical Careers (ACMC) states, the purpose of a resume is to market yourself. It’s the one opportunity you have to paint a picture of yourself, very briefly, in words, to show hiring managers or recruiters that you have the education, experience, and skills for the job.
But where do you start?
With an objective statement, if you decide to include one.
As ACMC points out, objective and summary statements at the top of a resume are optional. But they can be incredibly helpful because, properly structured, they will draw attention to you as a promising candidate and put you in the running for the interview – the shortlist!
They also emphasize that the objective should sum up your immediate career goal and show how your work will benefit your potential employer.
Many people argue that a resume is outdated and unnecessary, but even the American Academy of Professional Coders (AAPC), which is the largest association that represents medical billers and coders, as well as auditors, and compliance and practice managers, believes in resume objectives.
They suggest starting with a short, simple objective statement that clearly states your goal.
Certified professional medical biller with three years of experience in a hospital setting seeking a change of environment. Team player with proven computer, accounting, and interpersonal skills.
Resume skills for medical billing
Most resources list important soft skills that are important for all fields of healthcare, even those that involve numbers and technical skills.
The career consultants at Daymar College list 17 qualities (or skills) that they believe a good medical billing specialist needs.
In addition to enjoying, and being good at, the paperwork that involves spreadsheets and calculators, they rate communication skills and active listening as the two most important qualities.
Medical billers also need to be able to solve problems, and not just those that involve figures. They deal with patients and insurance companies and need to identify what’s gone wrong if payments from either side are late. Then they need to find solutions.
Time management, a solid organizational system, and consistent attention to detail are also important. For instance, medical billers have to pick up discrepancies and sort them out timeously. They also need to multitask all the time.
Conflict management skills are also important, as is a positive attitude because things can get stressful. Teamwork is essential and so is reliability, humility, empathy, and compassion – all vital soft skills that take a strong personality to carry them through.
Good medical billing specialists need to be proactive. Intuitive learning is another essential skill, because of a lot of intricacies and on-the-job learning opportunities.
What you list must be relevant to the job.
Analysis | Accounting | Detail-oriented | Problem solving | Integrity | Compassion | Time management | Intuitive and proactive | EHR systems | Coding & classification software | Medical terminology
Medical billing work experience
Medical billers and coders play a vital role in the medical industry. An increasing number of people have access to health insurance today, so claims made by (or on behalf of) patients, need more bills to be submitted for insurance reimbursement.
When you specify your work experience, you will need to state which of the three basic systems you worked in: closed, open, or isolated.
You will also need to show that the experience you have is relevant to the job you are applying for.
If you have experience navigated through various insurance rules and regulations, add this to your work experience schedule. If you provided successful follow-ups including appeals processes for claims that were denied, this is an accomplishment – add it to your resume.
If you can, show that you have experience implementing best practices for insurance and patient collections while maintaining great public relations.
If you don’t have much experience to show, perhaps you volunteered at some stage or did a formal internship, however short.
If you didn’t achieve anything outstanding, highlight responsibilities that match the tasks you are going to do in the new job.
An excellent tip from ACMC is to be alert to what could be keywords. For instance, if the job is for a health information technician (which is what a medical biller is), include this wording in your resume, even if your post was a medical billing specialist.
Sample Work Experience
Medical Billing Specialist, 2019 – 2020
Worked as a health information technician in the company’s Patient Service Center handling medical billing. Also assisted patients and their caretakers and answered their non-medical questions and concerns.
- Coordinated and facilitated new orders from our field reps.
- Verified benefits and contacted patients to inform them of their benefits and collected co-insurance.
- Handled patient registration and checkout procedures.
- Undertook a wide range of admin tasks including billing.
- Served as a point-of-contact for sales and service reps regarding updates to orders, patient communication, and account issues.
- Helped to reduce the company’s debt by 30% using Fair Debt collection practices.
Medical Billing Specialist, 2017 – 2018
Worked in a company that specializes in physical therapy services. Had access to state-of-the-art technology and all the top tools to do the job.
- Posted insurance payments using paper and electronic medical record (EMR) methods.
- Managed the company’s medical billing department and accounts receivable.
- Printed paper claims for Workers Compensation and Auto Carriers.
- Clarified Explanation of Benefits (EOB) to more than 40 patients who didn’t understand the procedure.
Quest National Services, FL
Medical Billing Intern, 2016
Worked as an unpaid intern for three weeks assisting the team in processing claims and analyzing reimbursement in a timely and appropriate way.
- Checked more than 60 claims to ensure that the information on them was accurate.
- Found six claims that needed clarification and corrections.
- Submitted all the accurate claim forms.
- Handled reimbursements that had been submitted before I did my internship.
Medical billing education
A certificate or associate’s degree in health information technology is commonly required for medical billing jobs. Certification is often required.
Some employers will accept a high school or equivalent diploma if the applicant has some sort of experience in a healthcare environment. It can also be helpful if the applicant took computer science, math, biology, and/or health courses in high school.
The AAPC is the world’s largest training and certification association for medical coding and billing.
They offer an online medical billing course that takes four to six months to complete. During this time, students have access to expert AAPC certified coaches who answer questions and offer advice.
Those who pass the exam qualify to write the AAPC’s Certified Professional Billing (CPB) certification exam (see Certifications, below). However, they do prefer candidates with associate’s degrees, which is something to bear in mind.
Associate Degree in Health Information Technology (AAS HIT), 2016 – 2017
American Academy of Professional Coders
CPC-A credential, 2017 – 2018
- Qualified to take the CPC exam after two years of experience, in 2021
Medical billing requires quite specific knowledge, and there are lots of short courses available from schools and colleges, and online, where you can learn elements of the job, or brush up on topics you aren’t sure about.
It’s important to understand medical terminology, particular terms that are used by the medical coders you work with.
Important terms relate to pathology, diseases, industry terminology, and procedural issues.
Coders refer to three books for their medical terminology information, and medical billers can use them too:
- Current Procedural Terminology (CPT) produced by the American Medical Association (AMA)
- Healthcare Common Procedure Coding System (HCPCS) which is the source for the Unified Medical Language System (UMLS) produced by the Centers for Medicare and Medicaid Services (CMS)
- The World Health Organisation’s (WHO) International Statistical Classification of Diseases (ICD)
It’s also important to have a basic knowledge of human anatomy, and of course, accounting, general business processes, and good computer software skills.
- CPT Codes to streamline reporting of SARS-CoV-2 (COVID-19) – AMA
- CPT Update – short course
We sampled dozens of job postings to see what companies employing specialists in medical billing required in the form of licenses and certifications.
While there is no licensure for medical billing, certification is strongly recommended because it shows physicians and employers that you are proactive in your work ethics.
The AAPC CPB certification mentioned earlier is considered to be the gold standard in the industry. The Academy’s training prepares medical billers with all the skills they need to maintain the revenue cycle without compromising the healthcare provider’s reimbursement.
You need to be a member of the AAPC to be admitted to the exam, and the Academy recommends having an associate’s degree.
There are several exams and a minimum of 70% result is required for each one. Continuing education is also compulsory to keep up to date and be able to renew the certification.
The American Medical Billing Association (AMBA) also offers medical billing certification to promote professional, ethical billing practices. This is also a voluntary credential, and, created in 2000, it boasts being the oldest.
The Certified Medical Reimbursement Specialist (CMRS) credential is awarded by AMBA’s certifying board.
You have to be a member of AMBA and you must have the knowledge required to pass the exam. A high school diploma is an acceptable qualification.
Certification also impacts on salary, and you will earn considerably more if you are certified.
- CPB (AAPC)
- CMRS (AMBA)
Complete medical billing resume sample
The advert for a medical billing associate is a real advert, and we are going to use it to show you how to tailor your resume to the position. The job you apply for will be different, but your approach should be the same.
You will see that this company values employees who are team players and who help them to get new clients. But this position is for a medical billing associate who will spend most of their time working with accounts and coordinating with the operations team lead.
The successful medical biller will be working with large physician groups and helping them with professional billing processes.
The general duties of the job are clearly stated and so are the knowledge, skills, and abilities that they are looking for.
While they don’t need a degree, applicants are going to need between three and five years of medical accounts receivable experience and both CPT and ICD10 knowledge. We mentioned both of these in the section on courses above.
Medical billing specialist with six years of experience in varied fields. Looking for new challenges.
Reliable | Accurate | Communication | Positive | Energetic | Teamwork | Software systems | PMDS | CPT | ICD10 | Well organized | Computer skills including medical billing | Athena
Captivate Billing, CO
EMS Billing Specialist, 2018 – 2020
Worked in the headquarters of the company doing a wide range of tasks including reviewing ambulance patient care records for accuracy and completeness, and obtaining missing information.
- Obtained insurance information and confirmed patient demographics via official insurance eligibility websites.
- Reviewed and obtained permission for ambulance transports from transport brokers and facilities.
- Prepared, reviewed, and transmitted claims using billing software.
- Followed up on more than 150 unpaid claims within standard billing cycle timeframes.
- Worked with insurance companies researching and resolving about 35 denials and other issues.
Downtown Healthcare, CO
Medical Biller, 2016 – 2017
Tracked claim status, denials, and insurance verifications. Communicated with patients and insurance companies. Solved hundreds of problems and earned respect for being a team player.
- Verified medical benefits.
- Processed medical insurance billings.
- Took control of data entry and posting of charges as well as daily deposits.
- Made personal contact with at least 200 patients regarding outstanding balances and other issues.
Zynex Medical, CO
Worker’s Compensation Billing Specialist, 2015
Worked in an entry-level job for 11 months mainly obtaining billing authorizations for the use of durable medical equipment from insurance companies, including third-party administrators.
- Negotiated the best prices for Zynex devices and other supplies.
- Provided insurance carriers with information regarding billing and coding.
- Filed 16 denial appeals.
- Performed code corrections and evaluated numerous EOBs.
- Met 100% of the daily goals outlined by the Billing Department Supervisor.
- CPC (AAPC)
American Academy of Professional Coders
- Athena Management Software
Medical billing is a position that requires typical entry-level education but is open to people with experience in health-related fields.
- Medical billers work alongside medical coders and need some insight into coding, even though they don’t code themselves.
- When you write your resume you need to target the job you are applying for. Even though an objective isn’t obligatory, people in the industry believe it can be a deciding factor when it comes to who is chosen for the job interview.
- The skills medical billers need to be successful are far-ranging and include lots of hard and soft skills. Be honest about the skills you can offer and try to match them to the skills the job description highlights. Use them as keywords if you can.
Tips from Experts
“Writing a resume is not the most fun task in the world. Sometimes it can be daunting or frustrating. However, a skills-based resume can help you emphasize all the skills you’ve learned in medical billing and coding school. A skills-based resume can help highlight your internship experience, education, and technical skills if you don’t have a lot of professional work experience in your field.” – Branford Hall Career Institute
“Your resume should not be about past jobs; it should be about you, how you performed and what you accomplished in those past jobs. Begin with an objective. Use a simple short statement to clearly state your goal. Then add content that sells. Use active verbs to describe your experience, and be specific about your accomplishments. Identify how your skills will benefit the organization instead of just providing a list. Use PAR statements (Problem-Action-Result) to showcase how you contributed in previous jobs, and focus on achievements instead of responsibilities.” – American Academy of Professional Coders
“The healthcare industry is booming, but while jobs are in-demand, competition is fierce. You have to make a good first impression before you ever get your foot in the door, and it begins with your resume. If you’re ready to sit down and put together a professional resume to pursue your medical billing and coding career, remember that it’s your resume. You don’t need to include your life story. Make sure to hit the strong points: Who you are; Where you received your training; Your experience in the field.” – EBI Career College
Presuming you’ve found a medical billing position that appeals to you, your next step is to create a resume that will get you an interview. That’s when you can do a full-on sales job to persuade the employer or recruitment agency that you are the person they are looking for.
We’ve given you lots of tips and made suggestions. Use what you need to get where you want to get!