Pamela Fickes
Sutherlin,OR
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Enthusiastic, motivated to work with patients, families and care teams efficiently. Friendly, adaptable and collaborative professional successful devising satisfying solutions to complex problems.
Overview
30
30
years of professional experience
Work History
Patient Referral Coordinator
Dr. Luke Herscher
07.2007 - 08.2023
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Assisted with completion of referral forms and verified data accuracy and completion
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Scheduled appointments with specialists on behalf of clients.
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
Medical Billing Specialist
Dr. Brickner
01.2004 - 07.2006
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Filed and updated patient information and medical records.
- Liaised between patients, insurance companies, and billing office.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
Medical Billing Specialist
Los Alamitos Gastroenterology Associates
01.1998 - 12.2003
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Filed and updated patient information and medical records.
Medical Billing Specialist
Dr. Luxenberg/Dermatology
03.1993 - 12.1997
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
Education
GED -
San Jacinto High School
San Jacinto, CA07.1969
Skills
- Organizational Skills
- Scheduling Appointments
- Team Collaboration
- Telephone Etiquette
- Maintaining Confidentiality
- Medical Termin
- Empathy and Compassion
- Decision Making
- Effective Communication
- Multitasking Abilities
- Customer Service
- Attention to Detail
Timeline
Patient Referral Coordinator
Dr. Luke Herscher
07.2007 - 08.2023
Medical Billing Specialist
Dr. Brickner
01.2004 - 07.2006
Medical Billing Specialist
Los Alamitos Gastroenterology Associates
01.1998 - 12.2003
Medical Billing Specialist
Dr. Luxenberg/Dermatology
03.1993 - 12.1997
GED -
San Jacinto High School
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