Pamela Blewett
Medical Biller
Somers,CT
Summary
Efficient billing professional with 25 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Familiar with all aspects of revenue cycle management services.
Overview
22
22
years of professional experience
Work History
Medical Billing Specialist
Meridian Medical Management
11.2001 - 07.2023
- Communicated with insurance companies to resolve denied claims.
- Filed appeals and reconsiderations for denied claims.
- Used Insurance websites to dispute claims and upload medical records.
- Identified and resolved patient billing and payment issues.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct payments by Insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Worked billing correspondence.
- Collected payments and applied to patient accounts.
- Released ERA files.
- Verified correct payor ID for electronic billing.
- Balanced client deposit log.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Education
Bachelor of Science - Business Management
Western New England University
Springfield, MA06.1983
Associate of Science - Business Management
Bay Path University
Longmeadow, MA06.1980
Skills
- Time Management
- Physician Interaction
- Professional and Facility billing
- Workers Comp, Motor Vehicle, Medicare, Medicaid, HMO Advantage plans, Commercial plans
- Healthcare Terminology
- Neurosurgery, Orthopedic, Acupuncture, Chiropractic, Physical Therapy, and Pain Management
- CPT Code Modifiers
- Medical Claims Submission
- Insurance Collections
- Payments Posting
- Client Inquiries
Accomplishments
Selected by CEO to be a task force member. I was on a team of five employees who developed a software program named the SmartQ. This billing software program was implemented in our Vertex system for all users. I also developed several robotics programs. For example I wrote a BOT that would automatically print the workers Compensation HCFA1500 claim from the system and then search for the medical note to accompany it.
Timeline
Medical Billing Specialist
Meridian Medical Management
11.2001 - 07.2023
Bachelor of Science - Business Management
Western New England University
Associate of Science - Business Management
Bay Path University
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