Pamela Eubanks
Chattanooga,TN
Summary
Detail-oriented and results-driven Medical Biller with a strong focus on accuracy and deadlines. Adept at managing medical billing processes while ensuring compliance with data confidentiality and privacy practices. Possesses comprehensive knowledge of coding and medical terminology, with a proven track record in efficiently overseeing accounts and managing records. Recognized for exceptional organizational skills and the ability to prioritize tasks effectively in fast-paced environments, consistently delivering high-quality results. A proactive team contributor committed to optimizing processes and supporting team objectives, motivated to exceed expectations in every project.
Overview
10
10
years of professional experience
Work History
Medical Billing Specialist
OrthoAtlanta by Piedmont
04.2024 - Current
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Maintained confidentiality of patient finances, records, and health statuses.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Reviewed provider coding information to report services and verify correctness.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Verified patient insurance coverage and benefits for medical claims.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Liaised between patients, insurance companies, and billing office.
RCM Authorization Specialist
Triumph Orthopedics
01.2023 - 03.2024
- Conducted insurance verifications and obtained authorization for medical procedures, ensuring timely and accurate reimbursement for services rendered.
- Reviewed medical documentation to determine the appropriate level of care and services required for authorization.
- Collaborated with healthcare providers and insurance companies to resolve authorization issues and facilitate the approval process.
RCM Authorization Specialist
Georgia Bone and Joint Surgeons, PC
08.2016 - 01.2023
- Successfully managed and obtained authorizations for medical procedures, ensuring insurance coverage and minimizing denials.
- Developed and maintained relationships with insurance companies, effectively communicating medical necessity and securing timely authorizations.
- Collaborated with healthcare providers to gather and submit necessary documentation for authorization requests.
Front Office Coordinator
Georgia Bone and Joint Surgeons, PC
08.2015 - 08.2016
- Managed front office operations, including greeting visitors, handling phone calls, and scheduling appointments for a fast-paced company with a high volume of daily foot traffic.
- Coordinated and maintained office supplies and inventory, ensuring efficient stock levels and ordering supplies as needed to support team productivity.
- Developed and implemented improved procedures for managing incoming and outgoing mail, resulting in enhanced efficiency and accuracy.
- Responded to customer inquiries and resolved issues with professionalism and courtesy, ensuring a positive customer experience.
Education
Pre-Medical/Biology
Georgia Highlands College
12.2012
Skills
- Microsoft Office proficiency
- HIPAA compliance training
- Athena Health software applications proficiency
- Insurance verification
- Claims review
- Insurance billing
- Medical claims submission
- Electronic claims
- Billing codes
- Quality-oriented team player
- Epic software applications proficiency
Timeline
Medical Billing Specialist
OrthoAtlanta by Piedmont
04.2024 - Current
RCM Authorization Specialist
Triumph Orthopedics
01.2023 - 03.2024
RCM Authorization Specialist
Georgia Bone and Joint Surgeons, PC
08.2016 - 01.2023
Front Office Coordinator
Georgia Bone and Joint Surgeons, PC
08.2015 - 08.2016
Pre-Medical/Biology
Georgia Highlands College
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