Staff Manager Switchboard Operator

PAMELA HOLBROOK

Warren, MI ***** 248-***-**** ***********@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional backed by 17+ years of combined medical records, medical administrative support and healthcare industry experience who possesses consistency in following office policies and guidelines while maintaining and assuring patient privacy and confidentiality.

Manages multiple responsibilities simultaneously while upholding quality in fast-paced office environments.

Well-versed in HIPAA regulations with demonstrated proficiency in utilizing ICD-10-CM / CPT.

KEY QUALIFICATIONS

Medical Billing & Coding Extensive Training in ICD-10-CM, HCPCS, CPT Co-Payments & Deductibles

HIPAA Compliance Insurance Billing Procedures Introduction to ICD-10-CM

Insurance Verification Anatomy & Physiology Medicare, Medicaid, TRICARE CMS 1500, CM 1450 (UB-04), EOB’s Managed Care (HMO, PPO, and POS) Insurance Claim Processing Electronic Payment Posting Appointment Scheduling Medical Terminology Government & Third-Party Payers

Office Management Data Entry & 10-Key Skills Microsoft Office

PROFESSIONAL WORK EXPERIENCE

Pulmonary and Medicine Associates – Warren, MI 2018 – Present

Medical Coder

Code and charge entry and billing services rendered by physicians in the office along with lab testing and pulmonary function testing.

Verify health insurance, enter patient charges and generate receipts.

Communicate with insurance companies and legal practices to obtain patient information for billing purposes

Understand and apply medical terminology.

Silver Pine Medical Group – Sterling Heights, MI 2017 – 2018

Residential Physicians Association – Southfield, MI 2017 – 2017

Medical Biller / Medical Coder

Code and charge entry services rendered by physicians

Answering phone calls pertinent to billing office

Conducted self in accordance with HIPAA regulations

R1/Accountemps – Southfield, MI 2016 – 2017

Customer Service Representative

Resolved questions and performed updates on patient payments, adjustments, co-insurances, co-pays, deductibles, balances and demographics.

Collaborated with attorney offices on billing and medical records issues.

Maintained strict standard of confidentially to ensure Protected Health Information (PHI) is secure.

Residential Home Care – Warren, MI 2015 – 2016

Medical Administrative Assistant

Accurately coded charges rendered by primary and podiatry physicians.

Efficiently answered calls and scanned medical records.

Posted charges and made certain the office remained organized and running smoothly.

Dr. Sarih Dalati, MD – Eastpointe, MI 2014 – 2015

Medical Receptionist

Greeted patients entering office, responsible for all aspects of customer service.

Answered inbound calls, scheduled appointments, verified insurance, and managed accounts receivable.

Worked directly with insurance companies to get claims processed and handled collections on unpaid accounts.

Fairhaven Christian Homes – Decatur, IL 2008 – 2012

Medical Records Support Staff Manager

Maintained resident charts in compliance with HIPAA, state and federal policies.

Managed dentist and optometrist clinics and directed CNA support staff.

Aided in resident admissions and family tours and acted as facility manager on interim basis.

Directed and implemented new electronic charting system and redesigned the cataloging of the archiving system.

Cancer Care Specialists of Central Illinois – Decatur, IL 2007 – 2008

Central Illinois Neuro Health Sciences – Bloomington, IL

Medical Records / Receptionist / Switchboard Operator 2005 – 2007

Acted as a liaison and floater for medical records department and front desk.

Processed medical records for insurance, law and physician offices, SSI and hospitals.

Scheduled patient appointments and processed patient payments.

Consultants in Cardiology – Farmington Hills, MI 1999 – 2005

Medical Records Technician

Reviewed, analyzed, and prepared patient records for physician use.

Entered and prepared data into computer database utilizing an electronic scanning program.

Mailed of patient information for SSI disability, subpoenas, insurance company inquiries and audits.

EDUCATION

Ultimate Medical Academy – Medical Billing and Coding Associate in Science Degree,2014

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