Pamela Phillips

Frisco,Tx *****

318-***-****; ad2tnk@r.postjobfree.com

Healthcare REVENUE CYCLE / COLLECTION Analyst

Dedicated Revenue Cycle Operations Auditor Analyst professional with extensive experience in Novitas Medicare and United Medicare Replacement plans pertaining to Appeals billing and coding. Strong knowledge in medical records management, insurance claims, authorization, medical billing, and advanced facilities and physicians coding (CPT, ICD-9, ICD-10, HCPCS). Possess excellent problem solving and interpersonal communication for successfully building and maintaining client relationships.

Education & Training

Asher College – Addison, TX

Medical Billing and Coding Program Certificate, 2016

Coursework: Microsoft Office 2010, Typing, Medical Law and Ethics, Medical Terminology, Human Anatomy and Physiology, Medical Administrative Essentials, Advanced Billing and Reimbursement, Advanced Facility and Physicians Coding (ICD 9 CM, ICD 10 CM, HCPCS, & CPT)

Professional Experience

Steward Healthcare, Richardson, TX May 2019– October 2022

Revenue Cycle / Operations Auditor

•Entered data, such as demographic characteristics, history and extent of disease, diagnostic procedures, and treatment into computer.

•Planned, developed, maintained, and operated a variety of health record indexes and storage and retrieval systems to collect, classify, and analyze information.

•Identified, compiled, abstracted, and coded patient data, using standard classification systems.

•Audited, investigated, identified, and resolved codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or other medical staff.

•Reconciled Appeal claims in a timely manner per insurance’s policy & procedures.

•Processed and expedited Electronic Accounts Payable and Receivable for payments.

•Attended monthly company meetings to stay updated on the laws and ethics pertaining to the healthcare industry.

Tools & Technology

Microsoft Software: Noridian, Availity, Onbase, Realmed, Meditech6.1, Ace, Emdeon, Medicare DDE, Citrix & GlobalProtect Software, Imagine 5/10, Next Gen 5.4, Medical MGR 5.4, Microsoft Office Suite (Word, Excel, Outlook), Coding (ICD9CM, ICD10CM, HCPCS, and CPT), Medicare Appeals, Accounts Payable and Receivable.