Summary
Overview
Work History
Education
Skills
Timeline
Generic

Pam Campbell

Lubbock,TX

Summary

Clinic Supervisor with a track record of managing personnel, finances, facility operations with attention to patients receiving the highest quality of care. Maintaining charge entry & claims filing process to ensure revenue for the clinic.

Overview

32
32
years of professional experience

Work History

Billing Specialist

Lubbock Primary Care
Lubbock, TX
01.2023 - 09.2023

Scrubbed claims for ICD-10 coding errors for electronic submission

Appealed insurance rejected claims

Made appointments & obtained authorizations for testing at other facilities

Obtained authorizations for testing done in clinic by outside technicians

Assisted patients with billing & insurance questions

Sr Billing/Collections

Grace MSO
Lubbock, TX
11.2022 - 01.2023

Appealed rejected claims

Made coding corrections on rejected claims

Assisted patients with billing & insurance questions

Filed secondary claims

Confirmed eligibility on insurance

Provided patients with prices for services

Prepared refunds & processing refund checks

Supervisor

Texas Physicians Group
10.2018 - 03.2020

Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations

Scheduled patient appointment and procedures with GE Centricity

Examined claims for errors, corrected issues and mailed out in a timely manner

Conducted analysis to address collections for all testing which led to increased daily revenue

Prepared weekly reports for Chief Administrative Officer containing totals of weekly deposits & percentages of weekly collections for co-pays & co-insurance for all cardiac related testing

Supervised staff for the front office, telephone operators, eligibility & benefits, billing & coders

Interviewed & hired staff

Conducted yearly performance evaluations, monitoring progress and productivity

Identified and corrected performance and personnel issues negatively impacting team and business operation.

Provided necessary corrective action per HR

Terminated staff per HR policies

Custodian of all money utilized by front staff

Medical Billing Specialist

Grace Health System
Lubbock, TX
04.2016 - 05.2018

Appealed rejected claims

Made coding corrections on rejected claims

Assisted patients with billing & insurance questions

Filed secondary claims

Confirmed eligibility on insurance

Provided patients with prices for services

Prepared refunds & processing refund checks

Director

Special2MeMD-Suzelle L. Moffitt, M.D.
Lubbock, TX
06.2014 - 03.2016

Provided support & direction for starting a new clinic

Directed the installation of work methods and procedures to achieve clinic objectives

Provided supervision for day-to-day operations of facility

Maintained CAQH updates

Handled accounts receivable & accounts payable transactions

Researched and resolved billing and invoice problems


Supervisor

Covenant Medical Group
Lubbock, TX
01.2001 - 06.2014

Supervised staff up to 30+, clerical & clinical

Provided assistance to physicians

During this time period, supervised 2 clinics, West & Southwest

Instrumental in having injection administration fee increased from $11 to $30, therefore creating additional revenue for all of Covenant Medical Group

Maintained office & clinical supplies

Provided guidance in coding & charge entry

Interviewed & hired clerical & clinical staff

Identified and corrected performance and personnel issues negatively impacting team and business operations

Terminated staff per HR policies

Acquired skills to assist occupational medicine staff (collection of specimens, completing required documentation, providing proof of required testing)

Prepared accounts payable for payment

Filled in when short staffed whether clerical or clinical

Conducted yearly performance evaluations of office staff to monitor progress and productivity and recommend promotions, corrective or disciplinary action

Referral Specialist

Methodist Medical Group
Lubbock , TX
01.2000 - 01.2001

Obtained referrals & prior authorizations for 11 pediatricians

Obtained pre-certifications for hospital admissions

Experience in communications with all commercial carriers & Medicaid

Patient Representative

Methodist Medical Group
Lubbock, TX
01.1997 - 01.2000

Continued position with Dr. Asmussen

Scheduled & maintained appointments for schedule

Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information

Collected co-pays or fees for service

Filed insurance claims & handled appeal process

Maintained paper charts

Dispersed incoming mail to correct recipients throughout the office

Made copies, sent faxes and handled all incoming and outgoing correspondence


Receptionist

Dr. Maurice Asmussen
Lubbock , TX
01.1992 - 01.1997

Scheduled & maintained appointments for schedule

Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information

Collected co-pays or fees for service

Filed insurance claims & handled appeal process

Maintained paper charts

Dispersed incoming mail to correct recipients throughout the office

Made copies, sent faxes and handled all incoming and outgoing correspondence

Obtained skills to room patients, taking vitals & reason for visit

Obtained skills for medication refills

Education

Coursestudy in Medical Coding IDC10

AAPC
2015

Coursework in Human Resources

Covenant Health System
2013

Coursework in Medical Coding - ICD9, CPT & HCPCS

AAPC
2007

Some College (No Degree) - Legal Secretary

South Plains College
Levelland, TX

Skills


Staffing management

  • Problem solving
  • Personal and professional integrity
  • Honesty & Loyalty
  • Financial aptitude
  • Relationship and team building
  • Sound decision making
  • Staff training and development
  • Private practice & medical group practice experience
  • Insurance eligibility verification
  • Experience in obtaining referrals & prior authorizations
  • In-depth claims knowledge
  • Claims analysis and review
  • Claims appeal procedures
  • Team/Patient/family focused
  • Chart preparation/filing aptness
  • Medical coding capability
  • Healthcare Industry Best Practices
  • HIPAA Compliance
  • Knowledge of Quickbooks, Word & Excel
  • Proficient typist
  • Experience in EMR & Practice Management in Allscripts, RxNT & GE Centricity

Timeline

Billing Specialist

Lubbock Primary Care
01.2023 - 09.2023

Sr Billing/Collections

Grace MSO
11.2022 - 01.2023

Supervisor

Texas Physicians Group
10.2018 - 03.2020

Medical Billing Specialist

Grace Health System
04.2016 - 05.2018

Director

Special2MeMD-Suzelle L. Moffitt, M.D.
06.2014 - 03.2016

Supervisor

Covenant Medical Group
01.2001 - 06.2014

Referral Specialist

Methodist Medical Group
01.2000 - 01.2001

Patient Representative

Methodist Medical Group
01.1997 - 01.2000

Receptionist

Dr. Maurice Asmussen
01.1992 - 01.1997

Coursestudy in Medical Coding IDC10

AAPC

Coursework in Human Resources

Covenant Health System

Coursework in Medical Coding - ICD9, CPT & HCPCS

AAPC

Some College (No Degree) - Legal Secretary

South Plains College
Pam Campbell