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The sample below is for Third Party Billing Specialist Resume Sample. This resume was written by a ResumeMyCareer professional resume writer, and demonstrates how a resume for a Third Party Billing Specialist Resume Sample should properly be created. Our Certified Professional Resume Writers can assist you in creating a professional document for the job or industry of your choice. A professional resume writing service can significantly increase your changes of securing employment in a quick time manner.

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Results-focused, quality-driven professional with extensive expertise in handling accounts receivable and operations management demonstrating consistent achievement of objectives, strong multi-tasking and service skills, and dedication to organizational goals. Analytical and logical thinker recognized ability to handle various financial functions. Highly organized and dependable with acknowledged reputation for integrity, sound business acumen and versatility in adapting to new roles, tasks, applications, and environments. Innovative and reliable individual with proven ability to achieve organizational goals while displaying effective time management skills. Excellent analytical skills with keen attention to detail, ability to analyze situations, and research information to develop sound and ethical business solutions. Enthusiastic individual and an excellent communicator, recognized ability to establish and maintain effective working relationships across cross-functional teams and diverse individuals at any levels and build strategic relationships with clients.

Core Competencies
Organizational Leadership • Accounts Receivable • Team Management • Policy & Procedure Compliance • Customer Service • Staff Training & Development • Operations Management • Financial Report • HR Functions


Guardian Pharmacy 6/2007 – 8/2012
Director, F&A
Managed accounts receivable for large regional business office including billing for facility, guarantor, Medicaid, 3rd party, and Medicare D, collections, cash application and reconciliation, revenue qualification and customer service for 6 large pharmacy locations. Handled office staff and twenty direct reports. Served as HR and payroll representative, handled hiring, training and termination of employees. Conducted annual evaluations, enforced discipline and provided counseling. Managed and oversaw multiple company aging, ensured compliance with company DSO standards, including participating in collection efforts. Prepared end of month close and financial reports, including roll forward, reconciliation, and corporate reporting. Handled oversight of accounting controls, HIPAA, and SOX compliance. Generated financial data analyses used for trend comparison and corporate review. Participated in multiple national company committees to identify and implement change to corporate P&P. Served as project manager for multiple corporate initiatives.
• Received several honors/awards for outstanding air management as part of the team.
NeighborCare (formerly Asco Healthcare) 9/1995 – 4/1997
Third Party Billing Specialist
Handled eligibility verification, electronic billing, denial resolution, and EOB reconciliation of third party insurance claims for a regional billing office. Identified and resolved patient billing complaints. Reviewed and corrected invoice with other dealers when billing discrepancies are discovered. Monitored annual rate increases passed down from other dealers to ensure pricing and coverage structure is accurate. Provided sales and customer support regarding contract pricing, coverage options, invoice review, invoice revisions, and contract cancellations.
Choice Drug Systems (formerly Rombro Health Services) 12/1992 – 9/1995
Billing Supervisor
Performed billing functions for all payer types for large pharmacy provider. Accomplished billing human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees. Communicated job expectations, planned, monitored, appraised job contributions, recommended compensation actions and ensured adherence to policies and procedures. Provided annual billing budget information, monitored expenditures, identified variances and implemented corrective actions.
Rom bro Health Services 2/1991 – 12/1992
Pharmacy Technician
Received and filled prescriptions from patients. Counted, poured, measured and weighed tablets and medications. Mixed medication, selected the proper prescription container and created prescription labels. Maintained patient profiles and completed cash register transactions.


Business Administration, 1991-1995
Anne Arundel Community College, Arnold, MD

General Studies, 1988-1990
Brevard Community College, Titusville, FL

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