PAMELA BRADFORD
Nashville,TN
Overview
13
13
years of professional experience
Work History
Patient Benefits Advisor II
Centennial Medical Center
Nashville, TN
08.2023 - Current
- Conducted eligibility screenings and assessed patient financial requirements, providing guidance on insurance benefits and co-payments to enhance patient understanding and access.
- Ensure all insurance, demographic and eligibility information is obtained and entered in the system accurately.
- Re-verify benefits through passport-one source, Avality, WPS for Medicare.
- Obtained medical records and documentation for eligibility determination.
- Ensured timely collection of appropriate signatures on all necessary forms to maintain compliance and support efficient processing of patient applications.
- Initiated follow-up with patients and TennCare to facilitate timely processing and completion of applications, ensuring patients receive necessary benefits without delays.
- Liaison between patient, hospital, and governmental agencies.
- Provide coverage and support for both onsite and remote Patient Benefit Advisors during their shifts.
- Submit appeals to TennCare.
Collector
Community Health Systems
Antioch, TN
07.2017 - 08.2023
- Resolved outstanding balances for patient hospital and physician accounts, ensuring timely payments.
- Managed daily queues to prioritize collection efforts and streamline account resolution.
- Located and applied patient credits, insurance payments, and patient payments to accounts, enhancing accuracy in financial records.
- Recognized as top collector for the month, demonstrating exceptional performance in debt recovery.
- Achieved membership in the High Rollers Club for exceptional financial performance.
- Earned membership in the Pinnacle Club for outstanding contributions to company goals.
- Exceeded monthly productivity.
- Ensure all insurance, demographic and eligibility is obtained and entered in the system.
Patient Account Representative
The Little Clinic
Nashville, TN
07.2013 - 07.2017
- Collaborated across customer service, data entry, and billing departments to streamline processes.
- Coordinated follow-ups with payers and patients on insurance claims to ensure timely resolution.
- Resolve billing issues.
- Create claims for billing.
- Check Passport for eligibility.
- Locate missing payments.
- Secure credit card and check payments.
- Process lockbox payments.
- Recorded customer disputes to facilitate effective resolution tracking.
Education
Associate - Medical Billing
Day Mar Institute
Nashville, TN09.2005
Skills
- Data analysis
- Communication
- Problem Solving
- Time Management
- PC Skills
- Critical Thinking
- Adaptivity
- Interpersonal Skills
- Creativity
Accomplishments
Awards for service, adapt to change, productivity, and team player.
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
07.2013 - 07.2017
Associate - Medical Billing
Day Mar Institute