Health CARE Professional

Experience in a multi-physician facilities and ER; known for dedication to providing premium patient care. Skills include:

— Medical Office Management

— Medical Billing & Coding

— Medical Records Management

Filing

— Taking Patient Vitals

— Blood Draws

— Injections

— Patient Scheduling

— Ancillary Testing

— Patient Education

— HIPAA Knowledge

Education

Medical Assistant, AL Med Academy, 1989 -1991

Certified in First Aid & CPR, 20011-Present

Health Management - University of Phoenix, 2009-Present Professional Experience

Washington University Hospital-St Louis Mo

Per Certification-2022-Present

Completing authorizations and referrals for services, including appointment and procedures Reviewing patient’s medical history and insurance coverage for approval. Appeal insurance Companies after prior authorization refusals. Follow up on missing or incorrect information So patient receive the right reimbursement

Tenet Health System — St. Louis, MO

Clinic Secretary, 2004-2022

Serve as a Clinic Secretary for busy Orthopedic Clinic and ER. Work closely with physicians and all members of the Clinical Team ensuring optimal patient care and smooth daily operations. Orthopedic

• Answered triage calls regarding hospital stay and patient discharges orders; recorded information on charts to be sent to discharge facility.

• Consistently praised for efficient handling of administrative duties (e.g., answering and directing calls, scheduling appointments, maintaining medical records, patient processing, billing and bookkeeping) that allowed doctors and nursing staff to focus on the health concerns of their patients.

• Demonstrated proficiency in taking patient medical histories and vital signs, as well as in performing injections and various diagnostic procedures.

• Ensured the cleanliness, sanitation and maintenance of all facilities, exam rooms and equipment.

• Reacted calmly and effectively in emergency situations, and added the personal, caring touch that immediately put patients at ease.

ER

PAMELA

FALCONER

538 North 24th Street

East St Louis Il 62205

314-***-****

adxvt2@r.postjobfree.com

• Check patients into triage and inform nurse, physician extender, or physician of patients’ condition and problems.

• Cover triage, patient assessment and monitoring; using applicable equipment. PAMELA

FALCONER Continued

Tenet Health System — St. Louis, MO

, 2004-Present

• Obtain and document patient histories.

• Perform a full range of diagnostic support duties which include taking vitals, collecting specimens, obtaining recording and tracking results.

• Operate basic equipment required in the delivery of patient care. Missouri Baptist Hospital — St. Louis, MO

Billing Clerk, 2000-2004

Billing Clerk worked directly with multiple physician and departments. Responsible for posting charges and adjustments, posting payments, managing accounts receivable; contacting insurance companies; making payment arrangements with patients and other claim related tasks.

• Established strong investigative and organizational skills with high attention to details and consistent follow through.

• Productively manage high volumes of

work.

• Posting of payments and reconcile payments to patients ledgers that is past due.

• Balance daily reports at the end of the day with daily batches.

• Displayed good understanding of remittances, denials, ICD-9 & CPT-4 codes; write-offs, payer contracts and EOB’s.

• Demonstrated experience with EDI and ERA posting and familiarity with commercial insurances, private carriers, HMO's, Medicaid and Medicare.

CNA — St. Louis, MO

Worker’s Comp Clerk, 2000-2004

Responsible for providing help to employees with various needs associated with case management.

• Participated in the day-today activities of the District’s workers compensation program.

• Established effective working relationships with a wide range of individuals and groups.

• Responsibilities included responding to emergencies, scheduling appointments’, and working with claims adjusters, physicians, emergency room personnel and doctor’s office personnel.

• Insurance scope included General Liability, Auto, Workmen’s Compensation, Commercial, and Property.

“Pamela Falconer would be an asset to any employer and I recommend her for any endeavor she chooses to pursue. Her communication skills, both written and verbal, are excellent. She is extremely organized and pays attention to detail. She is efficient, extremely competent, and has an excellent rapport with people of all ages.

I would like to recommend Pamela Falconer, as a candidate for a position with your organization.”

- Helen Taylor, RN, BSN, DON

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