Medical Billing Specialist resume example

Billing managers scan Medical Billing Specialist resumes for coding systems (CPT, ICD-10, HCPCS), payer mix, and hard numbers — claim volume, denial rate, and days-in-AR — before anything else registers.

The resumes that get callbacks show before-and-after metrics: a denial rate cut, AR days shortened, or an appeal-win rate. This example is built on a structured, metrics-forward layout suited to revenue-cycle roles.

Rebecca Nguyen

Medical Billing Specialist

Tampa, FL rebecca.nguyen.billing@email.com +1 (813) 555-0116 linkedin.com/in/rebeccanguyenbilling

Summary

Certified Professional Biller (CPB) with 5+ years of experience managing full-cycle medical billing, revenue cycle management, and accounts receivable reconciliation across multi-specialty healthcare practices. Expert in ICD-10, CPT, and HCPCS coding compliance, cutting claims rejection rates from 14% to 3% and recovering $1.8M in outstanding balances.

Experience

Medical Billing Specialist

Bayshore Multi-Specialty Group · Tampa, FL

Apr 2021 — Present

Processed and submitted 500 electronic and paper insurance claims weekly across Medicare, Medicaid, and private commercial payers.
Audited medical records and clinical encounter forms for ICD-10 and CPT coding accuracy, reducing initial claims rejection rates from 14% to 3%.
Appealed and overturned 85% of denied insurance claims, recovering $1.8M in outstanding receivables within 12 months.

Medical Billing Specialist

Tampa General Physician Network · Tampa, FL

Jan 2018 — Mar 2021

Reconciled patient ledger balances, insurance remittance advices, and electronic funds transfers (EFT) in Kareo EHR over 18 months.
Educated clinic registration staff on insurance eligibility verification requirements, reducing front-end eligibility denials by 40%.
Accelerated days in accounts receivable (A/R) from 52 days to 31 days, optimizing cash flow liquidity across 4 outpatient clinic locations.

Skills

CPT & ICD-10 Coding · HCPCS · Claims Processing · Denial Management · AR Follow-Up · EOB Reconciliation · Medicare/Medicaid Billing · Clearinghouse Systems · Insurance Verification · HIPAA Compliance · Revenue Cycle Management · ICD-10 · CPT Coding

Education

Hillsborough Community College

Certificate in Medical Billing & Coding

2016 — 2017

AAPC exam preparation coursework

Certifications

Certified Professional Biller (CPB, AAPC) · Certified Professional Coder (CPC, AAPC) — in progress

Medical Billing Specialist · Slate Professional template · single-column, ATS-safe.

ATS keywords for a Medical Billing Specialist resume

Applicant tracking systems match your resume against the job description's vocabulary. Mirror the terms below that are true of you — ideally with a metric attached.

CPTICD-10HCPCSClaims ProcessingDenial ManagementEOBAR Follow-UpMedicare/Medicaid BillingPrior AuthorizationClearinghouseInsurance VerificationRevenue Cycle ManagementPayment PostingAppeals

What recruiters look for

Coding credentials (CPB, CPC) and coding systems named.
Claim volume and denial-rate metrics.
AR days or aged-claims figures.
Payer mix experience (Medicare, Medicaid, commercial).
Clearinghouse and practice-management software listed.

Before & after: one bullet

Weak

Handled billing and insurance claims for the office.

Strong

Processed 300+ weekly claims across CPT/ICD-10/HCPCS and cut denial rate from 11% to 5% through front-end eligibility audits.

Common mistakes to avoid

No denial-rate or AR-days metrics to show impact.
Listing 'processed claims' without coding systems used.
Omitting coding certification or exam status.
Not distinguishing front-end (eligibility) from back-end (appeals) billing work.