Pamela J. Edwards
Spring, TX 77373-8164
Bachelor of Arts in Health Care Administration, 2010
Houston Training Schools
Diploma with Honors in Medical Assisting, 1991
Phillis Wheatley Senior High School
Honors Program, 1989
Certified Clinical Medical Assistant
National Healthcareer Association – December 2015 to Present
Certified Billing and Coding Specialist
National Healthcareer Association – August 2014 to Present
National Registration as a Certified Medical Assistant (NR-CMA):
Administrative and Clinical Competencies
National Association for Health Professionals - 1991 to Present
Microsoft: Word, Excel, Powerpoint, Access, Publisher, Lotus Notes
Medical facility/billing: Medisoft, MDServe, SMS, CMS, FMS, IDX, CUBS
Claims examination/adjustment: ACT, EZ-Cap, HSD Diamond, Payorsoft
Lone Star College System – Montgomery Campus
Adjunct Instructor, October 2010 to Present
Teach courses in medical office administration.
Advanced Revenue Management
Accounts Receivable Representative, April 2012 to October 2015
Insurance follow-up and appeals on medical accounts, payment
adjustments and posting.
Community Healthcare Systems/Tomball Regional Hospital
Patient Accounts Representative, April 2011 to April 2012
Insurance verification and billing, follow-up on accounts
billed to insurance, submit adjustment reports for posting.
Professional Careers Institute
Instructor, May 2010 to May 2011
Taught adult students in the administrative medical assistant and
billing and coding programs; coordinated and proctored career
certification testing; evaluated externship students and sites.
Memorial Hermann Healthcare Systems- Corporate Office
Claims Examiner/Adjuster, November 2007 to May 2010
Adjudicated and adjusted PPO and EPO claims according to established provider contracts.
Texas HealthSpring/GulfQuest, L.L.P.
Medical Claims Examiner, February 2006-November 2007
Adjudicated commercial and Medicare HMO claims.
Insurance Overload Systems
Administrative Medical Contractor, May 2005-February 2006
Adjudicated and audited health, P&C, life claims for Travelers, American General and Gulfquest.
The University of Texas M.D. Anderson Cancer Center – Corporate Office
Patient Business Services Analyst, July 2003-May 2005
Insurance benefit and patient demographic verification/system update, patient and financial data analysis, insurance billing and follow-up; team leadership and unit training.
Available upon request.