Updated for 2026

Medical Billing Specialist
Resume Example

A proven, ATS-optimized resume structure for medical billing specialists and revenue cycle professionals. Copy it, adapt it, land more interviews.

ATS Score
85
Excellent
Keywords · Metrics · Format
Build Your Resume With This Template

Rachel Nguyen

Tampa, FL  |  [email protected]  |  (555) 492-8173  |  linkedin.com/in/rachelnguyen
Summary

Medical billing specialist with 6 years of experience in multi-specialty practices and hospital outpatient settings, processing 400+ claims weekly with a 97.2% first-pass acceptance rate. CPC-certified with deep expertise in ICD-10, CPT, and HCPCS coding systems. Track record of reducing denial rates by 35% through root cause analysis and payer-specific appeal workflows.

Skills
Coding & Billing: ICD-10-CM, CPT, HCPCS Level II, Medical Coding, Charge Entry, Payment Posting, EOB Analysis
Software: Epic, Athenahealth, AdvancedMD, Kareo, Microsoft Excel, Availity, Change Healthcare
Revenue Cycle: Claims Submission, Denial Management, Appeals, A/R Follow-Up, Prior Authorization, Patient Collections
Compliance: HIPAA, CMS Guidelines, Payer Contract Interpretation, Audit Preparation
Experience
Senior Medical Billing Specialist – BayCare Health System, Tampa, FL
  • Processed an average of 450 claims per week across 6 specialty departments, maintaining a 97.2% first-pass acceptance rate and reducing rejections by 22%
  • Identified and resolved $1.2M in underpaid claims over 18 months by auditing EOBs against contracted payer rates and filing targeted appeals
  • Reduced accounts receivable aging over 90 days from 18% to 9% by implementing a weekly A/R prioritization workflow for high-balance accounts
  • Trained 4 new billing staff on Epic charge entry, denial coding, and payer-specific submission rules, cutting onboarding time from 8 weeks to 5
Medical Billing Coordinator – Suncoast Medical Group
  • Managed end-to-end billing for a 12-provider multi-specialty practice generating $8.5M in annual revenue, handling 350+ claims weekly
  • Decreased claim denial rate from 14% to 9% by conducting monthly denial trend analysis and updating coding templates for top 5 rejection reasons
  • Reconciled patient balances and processed 300+ payment postings daily, maintaining a posting accuracy rate of 99.4%
  • Coordinated prior authorizations for 60+ procedures monthly, achieving a 94% approval rate and reducing authorization turnaround from 5 days to 2
Education & Certifications
A.S. Health Information Technology – Hillsborough Community College
Certified Professional Coder (CPC) – AAPC
Build Your Resume With This Template

Free to start. No credit card required.

Why This Resume Works

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

1
Revenue impact in every bullet

Dollar amounts recovered, denial rate reductions, A/R aging improvements. Every bullet ties to money.

2
Industry-specific coding keywords

ICD-10, CPT, HCPCS, Epic, denial management, A/R follow-up. ATS filters depend on these exact terms.

3
Clean, single-column format

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

How the ATS Score Is Calculated

ATS systems evaluate medical billing resumes across three dimensions:

40%
Keywords

Coding systems, billing software, certifications, and revenue cycle terms that match the job description.

25%
Performance Metrics

First-pass rates, denial percentages, claims volume, A/R aging, and dollar amounts recovered.

35%
Structure & Formatting

Proper section headings, consistent formatting, parseable layout, and appropriate resume length.

Section-by-Section Breakdown

Summary

Keep it to 2-3 sentences. Lead with years of experience and the type of practice (multi-specialty, hospital, outpatient). Include your certification, claims volume, and your biggest operational win like a denial rate reduction or A/R improvement.

Skills

Group skills by category (Coding, Software, Revenue Cycle, Compliance). List specific coding systems and billing platforms by name. Include HIPAA and CMS compliance terms since many ATS filters scan for these.

Tip: Mirror the exact software names from the job posting. If they use "Epic," don't write "Electronic Health Records" alone. Use both terms.

Experience

Use this formula for every bullet point:

[Action verb] + [what you did] + [scale/context] + [measurable result]

Start bullets with strong verbs: Processed, Resolved, Reduced, Audited, Reconciled, Coordinated. Avoid "Responsible for" or "Assisted with" since they say nothing about your impact on the revenue cycle.

3-5 bullets per role. Lead with volume and financial outcomes.

Education & Certifications

For billing specialists with 3+ years of experience, keep education brief: degree, school, year. Always list your CPC, CCS, or CBCS certification prominently. Many employers filter specifically for AAPC or AHIMA credentials.

Key Skills for Medical Billing Specialist Resumes

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

ICD-10 Coding CPT Coding Claims Submission Denial Management Epic A/R Follow-Up HIPAA Compliance Payment Posting Prior Authorization EOB Analysis

Common Mistakes on Medical Billing Specialist Resumes

  • No claims volume or accuracy rates – "Processed medical claims" tells hiring managers nothing. "Processed 450 claims weekly with a 97.2% first-pass acceptance rate" proves you can handle the workload.
  • Missing dollar amounts – billing is about money. If you recovered underpaid claims or reduced write-offs, quantify it. "$1.2M recovered" is far more compelling than "identified underpayments."
  • No certification listed – CPC, CCS, or CBCS credentials are table stakes for most billing roles. Many ATS systems filter specifically for these. If you have them, make sure they are clearly visible.
  • Generic software mentions – listing "EHR software" without naming the specific system is vague. Specify Epic, Athenahealth, AdvancedMD, or whichever platforms you have used.

Related Guides

Ready to build yours?

Upload your existing resume or start fresh. Get an ATS score and AI-powered suggestions in 30 seconds.

More Resume Examples