Billing Specialist Resume Example and Template

A strong Billing Specialist resume shows accuracy with complex billing systems, solid knowledge of healthcare codes or revenue cycles, and a track record of resolving payment issues quickly. Highlight your experience with claims processing and customer communication.

Healthcare facilities and service providers want specialists who reduce claim denials, follow up on unpaid invoices, and communicate clearly with insurance companies and patients.

Also searched as

Billing Specialist II, Medical Coding Assistant

Jennifer Rodriguez: Billing Specialist

Phoenix, Arizona, United States

Summary

Medical Billing Specialist with 5 years of healthcare revenue cycle experience in hospital and outpatient clinic settings. Proficient in ICD-10, CPT coding, and insurance claim processing. Consistently reduced claim denial rates and accelerated payment turnaround. Processed 8,200 claims annually with 99.2% accuracy, recovering $340,000 in previously denied or aged receivables.

Work Experience

Billing Specialist II, Desert Health Systems

Apr 2022 – Present. Multi-specialty outpatient clinic network with 12 locations

• Manage billing for 5 clinic locations, processing 350 claims weekly across multiple payers and plan types.
• Reduced claim denial rate from 8.3% to 2.1% by identifying and correcting coding errors and missing documentation.
• Recovered $127,000 in aged A/R over 18 months through systematic follow-up and appeals on denied claims.
• Trained 4 new billing staff on coding standards and claim submission protocols.

Billing Specialist, St. Catherine Medical Center

Aug 2020 – Mar 2022. Community hospital, 180 beds

• Processed 9,100 inpatient and outpatient claims annually for internal medicine, orthopedics, and cardiology departments.
• Responded to insurance inquiries and patient billing questions, resolving 94% within 2 business days.
• Assisted billing director with quarterly revenue cycle audits and identified $52,000 in billing process improvements.

Medical Coding Assistant, Phoenix Urgent Care

Nov 2019 – Jul 2020. Urgent care clinic network

• Assisted coders with patient chart documentation and code lookups for compliance review.
• Learned ICD-10 and CPT coding fundamentals through on-the-job training and online courses.

Education

Arizona College of Health Sciences

Certificate, Medical Billing and Coding. Jun 2019 – Oct 2019

Phoenix High School

High School Diploma, General Education. Sep 2013 – Jun 2017

Skills

Medical Billing, ICD-10 Coding, CPT Coding, Claims Processing, Insurance Verification, Accounts Receivable, Revenue Cycle, TriZetto, Athenahealth, Patient Communication, Attention to Detail

Languages

English, Spanish

Certificates and Awards

• Certified Professional Coder (CPC), American Academy of Professional Coders, 2021

Why this look works

Billing roles demand accuracy and trust. A clean, organized template with clear sections reassures healthcare employers that you're detail-oriented and can manage complex workflows.

Resume tips for this job

• Lead with claim denial rates and recovery amounts. Healthcare revenue cycle leadership cares about these metrics more than process descriptions.
• Name the specific billing software you've mastered: TriZetto, Athenahealth, NextGen, or 3M. Facilities hire for skills that reduce training time.
• Show improvement over time: reduced denials by X%, improved collections by Y%, processed Z% more volume. Growth signals confidence.

Common questions

Should I list CPC or CCA certification even if I'm not using it actively?

Yes. If you've earned it, include the credential. It proves you've studied coding standards and healthcare compliance, which remains valuable even if your role is primary billing management.

How do I explain gaps between billing roles?

Be honest and brief: if you left to care for a family member or took time off, that's normal. Employers understand. Keep the focus on your billing and coding skills when you did work.

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The person, employers and numbers in this example are fictional, written to show what a strong resume for this job looks like.