Pamela Bradford
Dickson,TN
Summary
Dedicated Patient Benefits Advisor with over 10 years of experience in healthcare. Proven ability to navigate complex eligibility processes and deliver comprehensive patient support. Committed to ensuring timely access to benefits while advocating for patient needs and rights.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Benefits Advisor II
Centennial Medical Center
Nashville, TN
08.2023 - Current
- Conducted eligibility screenings and assessed patient financial requirements for insurance benefits.
- Served as liaison among patients, hospitals, and governmental agencies.
- Screened and evaluated patients for SSI, SSDI, TennCare, and marketplace programs.
- Re-verified benefits using Passport-One Source, Availity, and WPS for Medicare.
- Ensured acquisition of necessary signatures on Social Security forms for SSI and SSDI.
- Obtained medical records and documentation to determine eligibility.
- Completed and filed applications for SSI, SSDI, marketplace, Medicare, and TennCare with timely follow-ups.
- Analyzed medical evidence to support claims and submitted appeals for TennCare, SSI, and SSDI.
Collector
Community Health Systems
Antioch, TN
07.2017 - 08.2023
- Resolve patient hospital and physician outstanding balances.
- Secure credit card and check payments.
- Work daily queues.
- Resolve billing issues.
- Locate patient credits, insurance payments, and patient payments.
- Check passport for eligibility.
- Ensure all insurance, demographic and eligibility is obtained and entered in the system.
- Exceeded monthly productivity.
- Collector of the month.High Rollers Club.
- Pinnacle Club.
Patient Account Representative
The Little Clinic
Nashville, TN
02.2011 - 07.2017
- Worked in customer service, data entry, and billing departments.
- Secure credit card and check payments.
- Process lockbox payments.
- Resolve billing issues.
- Locate missing payments.
- Check Passport for eligibility.
- Create claims for billing.
- Insurance follow up with payers and patients.
- Logged disputes.
Education
Associate - Medical Billing
Day Mar Institute
Nashville, TN09.2005
Skills
- Critical thinking and creativity
- Adaptability and time management
- Effective communication
- Problem solving
- Team player
- Drive to succeed
Accomplishments
- Rewards for service going above and beyond
- Reward for reaching higher
- Reward for team player
Certification
- Certified personal representative to submit TennCare medicaid applications. Testing annually.
- Certified healthcare collector. Tested every 3 years.
Timeline
Patient Benefits Advisor II
Centennial Medical Center
08.2023 - Current
Collector
Community Health Systems
07.2017 - 08.2023
Patient Account Representative
The Little Clinic
02.2011 - 07.2017
Associate - Medical Billing
Day Mar Institute
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