Pamela Howe
Rogersville,TN
Summary
Insurance Coordinator Supervisor offering 18 years of experience within homecare at a fast-paced, high volume environments. Highly competent in efficiently verifying, coordinating and processing insurance verifications. Skilled in quickly resolving issues and liaising between insurance providers, companies and policyholders.
Overview
16
16
years of professional experience
Work History
Insurance Coordinator Supervisor
Advent Health Homecare West Florida
2012.03 - Current
- Verified insurance and communicated coverage to staff and patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
- Referenced monthly aging reports to follow up on unpaid claims
- Communicated effectively with staff members of operations, finance and clinical departments.
- Verified client information by analyzing existing evidence on file.
- Determined appropriateness of payers to protect organization and minimize risk.
Field/Technician
Enterprise Consulting Solutions
2011.08 - 2012.02
- Communicated with supervisor to report progress, discuss issues and seek guidance.
- Collaborated with other field technicians to resolve complex technical issues.
- Prioritized and managed multiple tasks and projects to meet deadlines and enhance customer satisfaction.
- Trained and guided new technicians to equip with skills and knowledge needed to efficiently perform work.
- Adhered to safety protocols by implementing routine tests and ensuring accurate and safe equipment handling.
- Audited charts at medical locations including physician's offices, medical facilities and clinics.
- Achieved star performer
- Temporary position
Administrative Assistance
At Work Personnel
2010.07 - 2011.08
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Executed record filing system to improve document organization and management.
- Scheduled office meetings and client appointments for staff teams.
- Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
- Assisted coworkers and staff members with special tasks on daily basis.
- Completed forms, reports, logs and records to quickly handle all documentation for human resources.
Medical Biller
Family Medical Billing
2007.06 - 2010.06
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Audited and corrected billing and posting documents for accuracy.
- Collected payments and applied to patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
Certificate - Medical Billing And Coding Certificate
Penn Foster Career School
Scranton, PA03.2014
Associate of Arts - International Business
Central Florida Community College
Ocala, FL06.1998
Certificate - Medical Assistant
Pasco Hernando Community College
Dade City, FL06.1992
Skills
- Insurance Coordination
- ICD-10 Coding
- Prior Authorization Processing
- Excellent Administrative Abilities
- Electronic Authorization Processing
- Insurance Claims and Denial Processes
- Revenue Cycle Management
- Worker's Compensation Insurance
- Medical Billing and Coding
- Patient Benefits Confirmation
- Insurance Plan Verification
- Customer Service and Assistance
Timeline
Insurance Coordinator Supervisor
Advent Health Homecare West Florida
2012.03 - Current
Field/Technician
Enterprise Consulting Solutions
2011.08 - 2012.02
Administrative Assistance
At Work Personnel
2010.07 - 2011.08
Medical Biller
Family Medical Billing
2007.06 - 2010.06
Certificate - Medical Billing And Coding Certificate
Penn Foster Career School
Associate of Arts - International Business
Central Florida Community College
Certificate - Medical Assistant
Pasco Hernando Community College
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