Executive Assistant Medical

Pamela N. Chambers

*** ******** **

Hampton, GA *0228

H# (516) 214 - 4944

C# 516-***-****

Professional Experience:

Northwell Health, Manhasset, NY 11030 (January, 2014 to Present)

Provider Relations Specialist

Provider enrollment via nominations into the IPA network

Facilitate the process to credential providers

Responsible for the annual dues collection of premium providers

Handle inquiries/discrepancies regarding claims issues with payors

Create files for each new entry into the network

Daily duties including answering of phones, filing, scanning

Submitting weekly demographic change requests in excel format

Managed Value Based Programs with participating payors

Conducted provider education regarding MSSP, ACO and DSRIP

Healthcare Partners, Garden City, NY 11530 (January, 2012 to December, 2012)

Determined approval and/or denial of authorization requests

Discussed prior authorization retrieval methods with providers

Submit correspondence on behalf of the company to patients and/or providers

Regulated accounts in batch for maintenance

Weekly meetings regarding any issues or updates for assigned region

Created denial letters for correspondence to members

Liberty Health Advantage, HMO Melville, NY 11754 (October, 2010 to October, 2011)

Health Services Representative

Examined claims for approval and/or denials

Heavy patient and doctor contact via phone and/or correspondence

Advised patient on insurance policies

Doctor referrals for patients based on geographical location

Set up hospital discharge for patients entering nursing homes

Arranged in home patient care via nursing agencies

Getty Petroleum Marketing, Inc. East Meadow, NY 11554 (April, 2010 to October, 2010)

Executive Assitant to the Director of Terminals and Transportation

Draft all official company correspondence, documents.

Maintain proper insurance certificates

Schedule conference calls, business meetings

Data entry for all terminals

Responsible for weekly report submissions.

Manage office supplies.

Accounts payables, accounts receivables

Simon Property Group Garden City, NY 11530 (October, 2005 to June, 2008)

Executive Assistant to Mall Manager, Assistant Manager, Operations Director

Provide support to three Property Real Estate Directors.

Coordinate corporate luncheons and revise staff meeting reports.

Draft all official company correspondence, documents.

Maintain proper insurance certificates for retail tenants.

Schedule conference calls, business meetings for tenants and clients.

Potential employee screening, scheduling interviews.

Handle payroll using PeopleSoft program for more than twenty employees.

Sales retrieval and data entry for over 300 retail tenants.

Responsible for bank deposits, cash applications.

Manage office supplies and kitchen inventory.

Accounts payables, accounts receivables, commercial tenant rent coordination.

Geico Woodbury, NY 11793 (August, 2004 to May, 2005)

Insurance Claims Examiner – Personal Injury Protection Assistant

Set up independent medical exams (IME)

Determined financial reserve for file

Handled customer inquiries

Follow up on IME

Created correspondence

Dealings with attorneys, doctors with regard to patient files

American Academy Pediatrics Woodbury, NY 11793 (Sept., 2002 to August, 2004)

Medical Receptionist

Scheduled appointments for patients

Insurance verification, MRI authorizations, X-ray approvals

Clean and set up exam rooms

Collect copayments, Accounts Receivables

Created LOMN (letters of medical necessity) and other correspondence

ALC, Productions Inc. Hempstead, NY (June, 1995 to August, 2001)

Executive and Personal Assistant to CEO

Scheduled studio time for music artists

Arranged luncheons and dinners for clients/business colleagues

Created excel spreadsheets for special projects

Responsible for credit card reconciliation

Personal Shopper for special musical events, business trips, personal/business gifts

Bookkeeper for personal and business expenditures

Managed office inventory, replenished office supplies

Preserved and upgraded personal files

Coordinated flight itinerary, hotel accommodations and appointments

Excellent Gatekeeper skills

Drafted company documents, official letters and contracts

Dictation of staff meetings, devised contractual agreements

Revised office filing system

Maintained heavy calendar

SKILLS: SalesForce, ppoONE, PeopleSoft, Lotus Notes, Office Suite, Quick Books, MS Word, MS Excel, Open Office Launcher, Power Point, Outlook

EDUCATION:

Ultrasound Diagnostic Garden City, NY 11530 (2002 to 2003)

Medical Assistant Certification

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