Pamela Miller
*** *. ********** ** ****-A Greensboro, NC 27406 adkic6@r.postjobfree.com 336-***-****
CAREER OBJECTIVE
Motivated and energetic professional seeking to transition medical education to the healthcare industry that could use a medical coding and billing specialist with exceptional knowledge and skills obtained at Ultimate Medical Academy
Proficiencies: Greenway; MS Excel; MS Word; MS PowerPoint; PeopleSoft 8 / Kronos, UltiPro, Outlook, Data Entry; Typing Speed: 50 WPM
Skills: Written and verbal communication (letters, emails, presentations, face-to-face communications); Decision-making skills; Problem solving skills; Team player; Customer Service oriented
Languages: American Sign Language
PROFESSIONAL SKILLS
Greenway EMR HIPAA Compliance Insurance Verification & Reimbursement Processing Medicare / Medicaid Government Payers Third Party Payers Medical Billing Medical Office Medical Administrative Patient Registration Medical Practice Management Systems Introduction to CPT & ICD-9 Coding Medical Terminology
EDUCATION
Ultimate Medical Academy Associate of Science in Health Sciences - Medical Office and Billing Specialist, 2020
Brookstone College of Business Business Administration Program, 1999
CERTIFICATIONS
Brookstone College of Business – Greensboro, NC
Business Administrative Specialist
EXPERIENCE
Manpower -Blue Cross Blue Shield – Greensboro, NC 08/2019-10/2019
Customer Service Representative (Seasonal)
Resolved inquiries related to benefits, claims processing, and/or membership/billing, researching questions with resources provided.
Addressed customer inquiries, solving problems, and providing new information. Politely assisted customers calls both inbound/outbound.
Completes research on behalf of the member, provider or group administrator ensure no rework or follow-up issues.
Resolve and respond to issues received through written or electronic communications.
Update customer information and resolves customer inquiries through clear and simple explanations of the applicable policy and/or procedure.
Completed administrative tasks such as email, fax, copy and print documents related job duties.
Joy A Shabazz Center– Greensboro, NC 03/2014-02/2019
Disability Advocate
Individual and community advocacy, presentations, peer mentoring and counseling, and obtaining referrals and follow-ups
Addressed customer inquiries, solving problems, and providing new information. Politely assisted customers in person and via telephone.
Collaborate telephonically with individuals who have pending applications for Social Security Disability (SSI/SSDI) benefits (to include state and local government agencies and nationwide Medical providers)
Gather of all required documentation to include state, federal and medical treating records
Ensure claimants most current information is secured with all required agencies to include, company systems, state, and federal agencies
Review and process medical documentation for submission
Research methods to overcoming roadblocks in the SSI/SSDI application and follow up process
Handled daily heavy flow of paperwork and phone calls, ensured superior customer experience by addressing customer concerns, demonstrating empathy, and resolving problems on the spot.
Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
Urban Institute– Greensboro, NC 03/2013-03/2014
Test Coordinator
Attended a mandatory 3-day training session for Test Coordinators (Washington, DC)
Recruited, screened, and selected a pool of individuals to be utilized as fair housing testers
Assisted in the training of selected testers; prepare test assignments using web-based data system
Briefed and debriefed testers, and accordance with established testing protocols, debrief testers and collect and review test forms and materials following the
Lincoln Financial / AIG United Guaranty– Greensboro, NC 09/2011-11/2012
Research Professional
Researched sources to ensure quality data integrity
Prepared, scan, and index documents Monitored, track all customer issues and inquiries visa service desk express
Checking the AS400, MIGuide, calling internal customers, troubleshoot and respond to customer emails, and phone calls
Prepared and send loan packages to lender, preview mortgage documents with the ability to quickly determine all relevant data for accurate processing through (Capture Software System).
The Fresh Market– Greensboro, NC 05/2006-07/2011
Payroll/Benefits Specialist
Prepared and distributed paychecks, processing new hires and terminations
Managed employee benefits and processing claims, keeping, and tabulating records or employees work hours, verifies employees time sheets for accuracy
Presented and entered information into payroll record-keeping system (Kronos / PeopleSoft)
Tracking of employee vacation, sick, plus other leave time records
Informed supervisor and management of any payroll problems, calculated flex spending accounts,401k enrollments, loan approvals/loan pays offs, hardships, in-service withdrawal, participant distribution forms, cobra, FMLA/PMLA and mailing materials.