Medical Billing Specialist Resume Sample and Example

Resume Objective

Accurate and process-driven Medical Billing Specialist with 5 years of experience managing OHIP billing, claims submissions, and accounts receivable for Ontario physician offices and multidisciplinary clinics. Seeking a billing specialist role where I can apply my deep knowledge of Ontario health billing to maximise clinic revenue and minimise claim rejections.

Key Skills to Highlight

• OHIP billing and schedule of benefits
• Medical claims submission and tracking
• Remittance advice reconciliation
• Rejection and appeal management
• ICD-10 and OHIP fee code application
• Third-party and WSIB billing
• Practice management software (OSCAR, PS Suite)
• Patient accounts and collections

Sample Work Experience Bullets

• Processed daily OHIP claims for a 5-physician family medicine practice, achieving a first-pass acceptance rate of 97%.
• Reviewed remittance advice, identified rejected claims, corrected errors, and resubmitted within billing cycle deadlines.
• Managed third-party billing for WSIB, MVA, and private insurer claims, following up on outstanding balances.
• Performed monthly reconciliation of billing accounts and prepared summary reports for the practice manager.
• Trained new administrative staff on OHIP billing procedures and proper fee code assignment.

Education

Diploma in Health Information Management or Medical Office Administration from an Ontario college.

Relevant Certifications

• Certified Health Information Management Professional (CHIM), if applicable
• OHIP Billing Specialist Certificate