Pamela Buckel
Grantsville,MD
Summary
Experienced Practice Administrator with over 13 years management experience in the medical field. Excellent reputation for resolving problems and improving patient satisfaction.
Also completed some medical consulting to help another practice who was barely able to make payroll. After my help, they are now thriving.
Overview
26
26
years of professional experience
Work History
Medical Practice Administrator
Proactive Pain & Neurology/Proactive Primary Care
Cumberland, United States
08.2018 - Current
- Credentialing all providers to include physician and new and established nurse practitioners. Keeps information updated on CAQH.
- Opened the business portion of Proactive Primary Care in June 2019 from ground up.
- Created/transferred a new billing system through CollaborateMD from eClinical Works.
- Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs.
- Maintained up-to-date information in electronic medical records software.
- Communicated with patients, ensuring that medical information was kept private.
- Recruited, hired and coached employees to offer high-quality, cost-effective care to all patients.
- Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays.
- Produced monthly financial reports to include end of month charges and payments.
Medical Practice Administrator
Chapman And Associates HC Now WVU Medicine
LaVale, Maryland
12.2011 - 08.2018
- Enrolled providers and Medicaid, Medicare and private insurance plans.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Created the business side of the medical practice from the ground up to include: Templates for patient scheduling via EMR and built Practice Management billing to include CPT codes and ICD-9 & 10 codes.
- Created all billing aspects to include 90% electronic billing instead of paper claims.
- Processed documentation for employee actions such as new hires, grievance resolutions and terminations.
- Meaningful Use Measurements as well as MIPS with Medicare.
- Maintained energy and enthusiasm in fast-paced environment.
- Carried out day-day-day duties accurately and efficiently.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Medical Office Manager
Dr. Robin Bissell Family Medicine
Grantsville, MD
04.2009 - 12.2011
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Addressed and remedied all patient or team member issues.
- Developed close working relationships with front office and back office staff.
- Created and implemented organizational policies and procedures.
- Consulted with healthcare professionals on business decisions.
- Oversaw accounting, budgeting, and financial reporting.
Medical Billing Specialist
Care Ventures, Inc
Cumberland, Maryland
05.2006 - 11.2008
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Determined prior authorizations for OT and PT.
Medical Billing Specialist
Steven Coutras, MD, PA
Cumberland, MD
03.1998 - 11.2008
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Created electronic billing instead of paper claims.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Determined prior authorizations for outpatient procedures.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
Education
No Degree - Certified Nursing Assistant
Garrett Community College
McHenry, NDHigh School Diploma -
Northern High School
Accident, MD05.1988
Skills
- Decision Making
- Operational Records Maintenance
- Employee Performance Evaluations
- Process Implementation
- Verbal and Written Communication
- Employee Recruitment and Hiring
- Employee Supervision
- Policy and Program Development
- Medicare Compliance
Timeline
Medical Practice Administrator
Proactive Pain & Neurology/Proactive Primary Care
08.2018 - Current
Medical Practice Administrator
Chapman And Associates HC Now WVU Medicine
12.2011 - 08.2018
Medical Office Manager
Dr. Robin Bissell Family Medicine
04.2009 - 12.2011
Medical Billing Specialist
Care Ventures, Inc
05.2006 - 11.2008
Medical Billing Specialist
Steven Coutras, MD, PA
03.1998 - 11.2008
No Degree - Certified Nursing Assistant
Garrett Community College
High School Diploma -
Northern High School