Medical Billing Specialist resume example. Plus the keywords recruiters search for.
A medical billing specialist resume that shows clean claims, fast denial work and lower A/R — with the coding, payer and certification keywords revenue cycle managers search for.
Reviewed by Nazir Elmurodov · Updated
/ The example
Medical Billing Specialist resume example.
Andrea Kowalski
Medical Billing Specialist, CPB
Milwaukee, WI · andrea.kowalski@email.com · (414) 555-0189
Summary
Medical billing specialist with 6 years in multi-specialty and orthopedic billing. I keep clean claim rates high, work denials fast and bring old A/R down.
Experience
Senior Medical Billing Specialist, Lakecrest Physician Group · Feb 2023 – Present
- • Submit 1,200+ professional claims a week on the CMS-1500 (837P) for a 40-provider multi-specialty group
- • Raised the first-pass clean claim rate from 89% to 96% by adding claim scrubber edits for the top 10 denial reasons
- • Work denials and appeals for Medicare, Medicaid and commercial payers; recovered $310K in underpaid claims in 2025
- • Cut A/R over 90 days from 24% to 13% of total accounts receivable in 18 months
- • Post ERA (835) and manual payments and reconcile daily deposits in Epic
Medical Billing and Coding Specialist, Bluff Street Orthopedics · Jun 2020 – Jan 2023
- • Checked CPT, ICD-10-CM and HCPCS codes and modifiers against documentation before claims went out for 6 surgeons
- • Handled insurance verification and prior authorizations for surgeries and imaging
- • Answered patient billing questions and set up payment plans, following HIPAA rules for every call
Education & certifications
A.A.S. Health Information Technology, Lake Ridge Technical College, 2020 · Certified Professional Biller (CPB), AAPC
Skills
Claims submission · Denial management · Appeals · Payment posting · Accounts receivable (A/R) · CPT · ICD-10-CM · HCPCS · Modifiers · Insurance verification · Epic · Excel
Andrea Kowalski
Medical Billing Specialist, CPB
andrea.kowalski@email.com · Milwaukee, WI
(414) 555-0189
Summary
Medical billing specialist with 6 years in multi-specialty and orthopedic billing. I keep clean claim rates high, work denials fast and bring old A/R down.
Experience
Senior Medical Billing Specialist — Lakecrest Physician Group
Feb 2023 – Present
• Submit 1,200+ professional claims a week on the CMS-1500 (837P) for a 40-provider multi-specialty group
• Raised the first-pass clean claim rate from 89% to 96% by adding claim scrubber edits for the top 10 denial reasons
• Work denials and appeals for Medicare, Medicaid and commercial payers; recovered $310K in underpaid claims in 2025
• Cut A/R over 90 days from 24% to 13% of total accounts receivable in 18 months
• Post ERA (835) and manual payments and reconcile daily deposits in Epic
Medical Billing and Coding Specialist — Bluff Street Orthopedics
Jun 2020 – Jan 2023
• Checked CPT, ICD-10-CM and HCPCS codes and modifiers against documentation before claims went out for 6 surgeons
• Handled insurance verification and prior authorizations for surgeries and imaging
• Answered patient billing questions and set up payment plans, following HIPAA rules for every call
Education
Lake Ridge Technical College
A.A.S. Health Information Technology · 2020
Certifications
Certified Professional Biller (CPB), AAPC
Skills
Claims submission, Denial management, Appeals, Payment posting, Accounts receivable (A/R), CPT, ICD-10-CM, HCPCS, Modifiers, Insurance verification, Epic, Excel
Why it works
It measures billing work the way managers do — clean claim rate, A/R over 90 days, dollars recovered — and names the claim forms, code sets, payers and certification in the exact terms used in job posts.
Use this as your starting point
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Start from this exampleSample resume. Names, companies and figures are illustrative.
/ Summary examples
Three summary examples. Pick the one closest to you.
Two or three lines: your level, your field and one result.
- Entry level
Health information technology graduate with an externship in a hospital billing office. Practiced claim entry, payment posting and ICD-10-CM and CPT code review; preparing for the CPB exam.
- Mid level
CPB-certified medical billing specialist with 6 years in physician billing. I raised the clean claim rate from 89% to 96% and cut A/R over 90 days nearly in half.
- Senior
Revenue cycle supervisor with 11 years in billing who leads a team of 8, owns payer contract follow-up and reports monthly A/R and denial trends to practice leadership.
More for other jobs and situations (no experience, career change, senior): resume summary examples.
/ Bullet points
Bullet point examples. From duty to result.
Turn duties into results: what you did, how, and what changed.
Clean claims
Instead of: Submitted claims
Write: Raised the first-pass clean claim rate from 89% to 96% with scrubber edits for the top 10 denial reasons
Denials
Instead of: Worked on denials
Write: Worked denials and appeals across Medicare, Medicaid and commercial payers, recovering $310K in a year
A/R
Instead of: Followed up on old claims
Write: Cut A/R over 90 days from 24% to 13% of total A/R in 18 months
Payment posting
Instead of: Posted payments
Write: Posted ERA and manual payments and reconciled daily deposits with no unresolved variances at month-end
Coding review
Instead of: Checked codes
Write: Checked CPT, ICD-10-CM and HCPCS codes and modifiers against documentation for 6 surgeons before submission
Patient billing
Instead of: Answered patient calls
Write: Answered 30+ patient billing calls a day and set up payment plans that cut patient balances over 120 days
/ Keywords
Keywords and skills for medical billing specialists.
These come up often in medical billing specialist job posts. Include only the ones you can back up in an interview, and use the exact wording from the post you're applying to.
- Medical billing
- Certified Professional Biller (CPB)
- Claims submission
- CMS-1500
- UB-04
- Denial management
- Appeals
- Accounts receivable (A/R)
- Payment posting
- ERA
- CPT
- ICD-10-CM
- HCPCS
- Modifiers
- Insurance verification
- Prior authorizations
- Medicare
- Medicaid
- HIPAA
- Epic
/ ATS tips
ATS tips for medical billing specialists.
Lead with billing metrics
Clean claim rate, denial rate, days in A/R and dollars recovered show your impact better than "processed claims."
Name forms, code sets and payers
CMS-1500, UB-04, CPT, ICD-10-CM, HCPCS, Medicare and Medicaid are standard screening terms — use the ones you've worked with.
Say professional or facility
Physician (professional) billing and hospital (facility) billing use different forms and rules. Make your side clear.
List your systems
Practice management systems, EHRs and clearinghouses you've used — Epic, athenahealth, eClinicalWorks — help you match the post.
Keep patient data out
Use totals and percentages. Never include patient names, account numbers or anything protected under HIPAA.
How does your medical billing specialist resume compare?
Free ATS score, missing keywords and fixes in about 10 seconds.
/ Questions
Medical Billing Specialist resume FAQ.
Writing the cover letter too? See Andrea's cover letter, annotated
What's the difference between medical billing and medical coding?
Coders assign CPT, ICD-10-CM and HCPCS codes from clinical documentation; billers submit claims, post payments and work denials and appeals. Many jobs combine both, so lead with the side you do most.
Which certification should I list?
Common ones include the Certified Professional Biller (CPB) and Certified Professional Coder (CPC) from AAPC, the Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association and the Certified Coding Associate (CCA) from AHIMA. Write the full name and the issuing organization.
Do I need a certification to get hired?
Not always, but many employers prefer one. If you're studying for an exam, write "CPB exam scheduled for March 2027" so it still shows up in a search.
How do I show results in billing?
Use the numbers your office tracks: first-pass clean claim rate, denial rate, A/R over 90 days, days in A/R and money recovered from appeals or underpayments.
Should I mention remote work?
Yes, if you've billed remotely. Say so in the job line and mention the systems you used, since many billing roles are fully or partly remote.