Pamela Kearns
Vermilion
Summary
Accomplished Medical Billing Specialist with expertise in insurance verification and payment posting at HealthSolution Centers of Vermilion. Proven track record in resolving claims efficiently, enhancing collections management, and ensuring HIPAA compliance. A quality-oriented team player skilled in files and records management, driving successful outcomes in patient billing and accounts receivable. Also have front desk capabilities from scheduling new patients, patient follow up appointments, payment collections, and answering phones.
Overview
20
20
years of professional experience
Work History
Medical Billing Specialist/Front Desk Administrator
HealthSolution Centers of Vermilion
01.2024 - 03.2026
- Collected payments and applied to patient accounts.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Greeting patients and Checking patients into the system
- Scheduling patients future appointments
- Inputting patient demographic and insurance information into the system
Medical Billing Specialist/Front Desk Administrato
HealthSolution Centers of Lorain
02.2012 - 01.2024
- Filed and updated patient information and medical records.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Liaised between patients, insurance companies, and billing office.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Overall Same as Health Solutions of Vermilion
Medical Billing Specialist/Front Desk Administrator
HealthSolution Centers of Vermilion
04.2011 - 02.2012
- Precisely evaluated and verified benefits and eligibility.
- Prepared billing correspondence and maintained database to organize billing information.
- Identified and resolved patient billing and payment issues.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Located errors and promptly refiled rejected claims.
- Posted payments and collections on regular basis.
Medical Billing Specialist
Healthsource of Avon
09.2006 - 04.2011
- Communicated effectively and extensively with other departments to resolve claims issues.
- Evaluated patients' financial status and established appropriate payment plans.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Posted and adjusted payments from insurance companies.
- Worked outstanding accounts receivable
Education
Associate of Science - Chiropractic Technology
Palmer College of Chiropractic
Davenport, IA02-2002
Associate of Science - Medical Assistant Degree
ETI Technical College
Youngstown, OH06-1998
Skills
- software applications proficiency
- Files and records management
- Bill payment
- Quality-oriented team player
- Medicare and medicaid process
- HIPAA compliance
- Patient billing
- Insurance verification
- Payment posting
- Collections management
Timeline
Medical Billing Specialist/Front Desk Administrator
HealthSolution Centers of Vermilion
01.2024 - 03.2026
Medical Billing Specialist/Front Desk Administrato
HealthSolution Centers of Lorain
02.2012 - 01.2024
Medical Billing Specialist/Front Desk Administrator
HealthSolution Centers of Vermilion
04.2011 - 02.2012
Medical Billing Specialist
Healthsource of Avon
09.2006 - 04.2011
Associate of Science - Chiropractic Technology
Palmer College of Chiropractic
Associate of Science - Medical Assistant Degree
ETI Technical College