Updated for 2026

Billing Specialist
Resume Example

A proven, ATS-optimized resume structure for billing specialists. Copy it, adapt it, land more interviews.

ATS Score
86
Excellent
Keywords · Impact · Format
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Melissa Torres

Phoenix, AZ  |  [email protected]  |  (602) 718-3294  |  linkedin.com/in/melissatorres
Summary

Billing Specialist with 6 years of experience in medical and commercial billing, claims processing, and revenue cycle management. Processes $2.1M in monthly claims with a 97.4% clean claim rate and 12-day average turnaround. Skilled in ICD-10/CPT coding, insurance verification, and EHR billing systems.

Skills
Billing: Claims Submission, Payment Posting, Denial Management, Charge Entry, Insurance Verification, Prior Authorization
Coding: ICD-10-CM, CPT, HCPCS, Medical Terminology, Revenue Cycle Management
Software: Epic, Athenahealth, AdvancedMD, Microsoft Excel, Waystar, Availity
Certifications: Certified Professional Biller (CPB), HIPAA Compliance
Experience
Senior Billing Specialist - Crestview Medical Group
  • Process $2.1M in monthly claims across 14 providers, maintaining a 97.4% clean claim rate and reducing rejections by 22%
  • Reduced average claim turnaround from 18 days to 12 days by standardizing charge entry workflows and automating eligibility checks
  • Resolved 150+ denied claims monthly through appeals and resubmissions, recovering $185K in previously written-off revenue over 12 months
  • Trained 4 new billing team members on Epic billing modules and payer-specific submission requirements, reducing onboarding time by 3 weeks
Billing Specialist - Summit Healthcare Partners
  • Submitted 300+ claims weekly across Medicare, Medicaid, and commercial payers with a 96.8% first-pass acceptance rate
  • Verified insurance eligibility and benefits for 60+ patients daily, reducing claim denials related to coverage gaps by 30%
  • Identified and corrected $92K in undercoded charges over 18 months by auditing provider documentation against CPT guidelines
  • Generated weekly AR aging reports and escalated accounts over 90 days, contributing to a 25% reduction in aged receivables
Education
B.S. Health Information Management - Arizona State University
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Why This Resume Works

This resume scores well with ATS systems and hiring managers because it follows three principles:

1
Dollar amounts and claim volumes in every bullet

Monthly claim totals, clean claim rates, recovered revenue, denial reductions. Every bullet ties to a measurable outcome.

2
Billing-specific terminology and coding systems

ICD-10, CPT, HCPCS, clean claim rate, denial management, revenue cycle. These are the terms ATS systems scan for.

3
Clean, single-column format

Standard section headings that ATS parsers expect. No tables, columns, or graphics.

Section-by-Section Breakdown

Summary

Lead with your years of experience and the type of billing you handle (medical, commercial, or both). Include your monthly claims volume, clean claim rate, and turnaround time. Mention your coding certifications and EHR platform experience. Keep it to 2-3 sentences.

Skills

Group skills into Billing, Coding, Software, and Certifications. Name the specific EHR and clearinghouse platforms you use. Include all coding systems you are proficient in.

Tip: If the job posting mentions a specific EHR like Epic or Athenahealth, make sure that exact name appears in your skills section. Generic "billing software" will not match ATS keyword filters.

Experience

Use this formula for every bullet point:

[Action verb] + [what you did] + [volume or scope] + [measurable result]

Start bullets with strong verbs: Processed, Reduced, Resolved, Submitted, Verified, Identified, Trained. Avoid "Responsible for" or "Helped with" since they obscure your individual contribution.

3-5 bullets per role. Lead with your most impressive achievements.

Education & Certifications

List your degree, school name, and graduation year. Include billing and coding certifications like CPB, CPC, or CBCS prominently. HIPAA compliance training should also be listed since many employers require it.

Key Skills for Billing Specialist Resumes

Based on analysis of thousands of job postings, these are the most frequently required skills:

Claims Processing ICD-10 / CPT Coding Denial Management Revenue Cycle Management Insurance Verification Epic / Athenahealth Payment Posting HIPAA Compliance Prior Authorization AR Aging Reports CPB / CPC Certification

Common Mistakes on Billing Specialist Resumes

  • Not listing your clean claim rate - this is the single most important billing metric. "97.4% clean claim rate across $2.1M monthly" immediately tells the hiring manager your accuracy level.
  • Omitting coding systems from your skills section - if your ICD-10 or CPT proficiency only appears in bullet points, ATS systems may miss it. List all coding systems in the skills section.
  • Writing "processed claims" without volume or dollar amounts - include the number of claims, dollar totals, and payer mix. "300+ weekly claims across Medicare, Medicaid, and commercial" is specific and credible.
  • Leaving out denial recovery results - if you handled appeals and recovered revenue, include the dollar amount. "$185K recovered through appeals" shows you protect the bottom line.

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