Pamela Carroll
Dover
Summary
Medical Billing Specialist with extensive experience at Wellstley Inc, specializing in claims processing and regulatory compliance. Proven ability to improve collections performance and resolve complex billing issues. Strong attention to detail and exceptional customer service skills contribute to maintaining accurate records and optimizing financial outcomes.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Wellstley Inc
Overland Park
01.2025 - Current
- Reviewed patient records for accuracy and completeness in medical billing system.
- Processed credit card payments from patients per office policy.
- Generated monthly invoices based on services provided according to established fee schedules.
- Monitored aging accounts receivable balances, ensuring timely resolution of outstanding balances.
- Developed strategies to enhance collections performance and minimize bad debt.
- Conducted research on insurance policies to ensure compliance with applicable regulations.
- Performed quality assurance audits on submitted claims, verifying adherence to industry standards.
- Maintained detailed documentation of all billing activities, including denials and adjustments.
Medical Billing Specialist
Home Care Specialists
Haverhill
09.1999 - 10.2015
- Reviewed patient records for accuracy in medical billing system.
- Processed credit card payments according to office policy.
- Prepared daily reports summarizing payments received from insurers.
- Researched complex billing issues involving multiple providers and services.
- Generated monthly invoices based on established fee schedules.
- Collaborated with clinical staff to ensure accurate coding practices.
- Resolved discrepancies between insurance companies and patients regarding payments.
- Monitored aging accounts receivable to ensure timely resolution of outstanding balances.
Education
Certificate - Medical Insurance Billing
Salter School
MA06-1986
High School Diploma -
Shawsheen Valley Regional Technical High School
Billerica, MA05-1986
Skills
- JavaScript and Python
- React and Nodejs
- Medical billing and coding
- Claims processing and verification
- Accounts receivable and payable
- Financial reporting and analysis
- Regulatory compliance
- Customer service excellence
- Data analysis and problem solving
- Time management and prioritization
- Team collaboration and conflict resolution
- Attention to detail and quality assurance
- Collections management and denial management
- ICD-10 proficiency
- Patient billing processes
- Records maintenance and security
Certification
- Certified Java Developer, 06/01/21
- AWS Certified Solutions Architect, 07/15/22
Timeline
Medical Billing Specialist
Wellstley Inc
01.2025 - Current
Medical Billing Specialist
Home Care Specialists
09.1999 - 10.2015
Certificate - Medical Insurance Billing
Salter School
High School Diploma -
Shawsheen Valley Regional Technical High School
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