PAMELA

BUCKEL

adrnls@r.postjobfree.com

240-***-****

Grantsville, MD 21536

Online Digital Resume

Experienced Practice Administrator with over 13 years management experience in the medical field. Excellent reputation for resolving problems and improving patient satisfaction.

Also completed some medical consulting to help another practice who was barely able to make payroll. After my help, they are now thriving.

PROFESSIONAL SUMMARY

Proactive Pain & Neurology/Proactive Primary Care - Medical Practice Administrator

Cumberland, United States • 08/2018 - Current

Chapman And Associates HC Now WVU Medicine - Medical Practice Administrator

WORK HISTORY

Credentialing all providers to include physician and new and established nurse practitioners. Keeps information updated on CAQH.

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Opened the business portion of Proactive Primary Care in June 2019 from ground up.

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Created/transferred a new billing system through

CollaborateMD from eClinical Works.

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Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs.

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Maintained up-to-date information in electronic medical records software.

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Communicated with patients, ensuring that medical

information was kept private.

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Recruited, hired and coached employees to offer

high-quality, cost-effective care to all patients.

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Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays.

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Produced monthly financial reports to include end of month charges and payments.

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SKILLS

• Decision Making

Operational Records

Maintenance

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Employee Performance

Evaluations

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• Process Implementation

Verbal and Written

Communication

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Employee Recruitment and

Hiring

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• Employee Supervision

Policy and Program

Development

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• Medicare Compliance

Garrett Community College

McHenry, ND

No Degree: Certified Nursing

Assistant

Northern High School

Accident, MD • 05/1988

High School Diploma

EDUCATION

LaVale, Maryland • 12/2011 - 08/2018

Dr. Robin Bissell Family Medicine - Medical Office Manager Grantsville, MD • 04/2009 - 12/2011

Care Ventures, Inc - Medical Billing Specialist

Cumberland, Maryland • 05/2006 - 11/2008

Enrolled providers and Medicaid, Medicare and private insurance plans.

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Obtained NPI numbers for providers and facilities and updated existing profiles.

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Created the business side of the medical practice from the ground up to include: Templates for patient

scheduling via EMR and built Practice Management billing to include CPT codes and ICD-9 & 10 codes.

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Created all billing aspects to include 90% electronic billing instead of paper claims.

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Processed documentation for employee actions such as new hires, grievance resolutions and terminations.

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Meaningful Use Measurements as well as MIPS with

Medicare.

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Maintained energy and enthusiasm in fast-paced

environment.

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Carried out day-day-day duties accurately and

efficiently.

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Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.

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Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.

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Created and managed electronic patient records,

encompassing data entry and administrative functions related to insurance, billing and accounts receivable.

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Addressed and remedied all patient or team member

issues.

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Developed close working relationships with front office and back office staff.

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Created and implemented organizational policies and procedures.

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Consulted with healthcare professionals on business decisions.

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• Oversaw accounting, budgeting, and financial reporting.

• Examined patients' insurance coverage, deductibles, Steven Coutras, MD, PA - Medical Billing Specialist Cumberland, MD • 03/1998 - 11/2008

insurance carrier payments and remaining balances not covered under policies when applicable.

Posted and adjusted payments from insurance

companies.

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• Located errors and promptly refiled rejected claims.

• Precisely evaluated and verified benefits and eligibility. Identified and resolved patient billing and payment issues.

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Researched CPT and ICD-9 coding discrepancies for

compliance and reimbursement accuracy.

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• Determined prior authorizations for OT and PT.

Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

•

Posted and adjusted payments from insurance

companies.

•

• Located errors and promptly refiled rejected claims.

• Precisely evaluated and verified benefits and eligibility. Identified and resolved patient billing and payment issues.

•

• Created electronic billing instead of paper claims. Researched CPT and ICD-9 coding discrepancies for

compliance and reimbursement accuracy.

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Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly

follow-up calls for proper payments to contracts.

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Determined prior authorizations for outpatient

procedures.

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Printed and reviewed monthly patient aging report and solicited overdue payments.

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Maintained and updated collections tracking spreadsheet to help organize payment information.

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