Pamela L. Breland
Petal,MS
Summary
Experienced with practice management, enhancing operational efficiency and patient care. Utilizes effective leadership and project management to streamline workflows and ensure compliance with healthcare standards. Track record of fostering collaborative environments and achieving high standards in practice administration.
Overview
20
20
years of professional experience
Work History
Practice Administrator
Retina Specialists of MS, PLLC
Hattiesburg, MS
04.2022 - Current
- Oversee operations for 6 locations, managing a diverse team of 120+ employees and 7 physicians.
- Successfully executed the launch of 5 new clinic locations, collaborating with team members to transition each site into a profitable business entity.
- Led the recruitment and onboarding of 6 physicians, managing full physician orientations and integration into the practice.
- Completed contracts, account setup, and provider credentialing to ensure immediate operational readiness.
- Direct day-to-day operations, including staff scheduling, patient flow, and office procedures.
- Establish and maintain effective communication with staff, physicians and community organizations to promote high quality patient care.
- Manage budgets, oversee billing/coding, and improved revenue cycle management, reducing costs.
- Facilitate comprehensive training programs and conducted regular performance evaluations to ensure high standards of care.
- Resolve patient and staff grievances and fostered a positive, collaborative environment.
- Ensure compliance with HIPAA, OSHA, and other regulatory standards, protecting patient data and reducing liability.
Billing Administrator
Retina Specialists of MS, PLLC
Hattiesburg, MS
01.2017 - 01.2022
- Supervised 10 employees across 4 locations with day to day clinic activities.
- Oversaw insurance verification, streamlining claims processing for improved turnaround times.
- Prepared and sent accurate monthly client statements
- Trained and mentored staff on billing protocols and software usage.
- Developed efficient workflows to minimize billing discrepancies and enhance operational efficiency.
- Analyzed financial reports, identifying trends to inform strategic decision-making in revenue cycle management.
- Reconciled client accounts, bank deposits, and general ledger accounts to ensure financial accuracy.
- Investigated and resolved billing disputes, payment discrepancies, and overdue accounts.
- Updated client billing data and maintained accurate financial records in Athena Health and Quickbooks
- Performed regular audits of client accounts, identifying potential errors and rectifying them proactively before impacting customer relations.
- Managed billing processes ensuring accuracy and compliance with industry regulations.
Special Billing Coordinator
Hattiesburg Clinic
Hattiesburg, MS
02.2008 - 10.2017
- Facilitated setup of vocational rehabilitation accounts to ensure compliance with authorization timelines.
- Conducted comprehensive research on all active vocational rehabilitation and VA accounts.
- Facilitated setup of VA accounts to ensure patient eligibility within 90-day filing period.
- Executed thorough verification of insurance policies to ensure compliance and accuracy.
- Applied knowledge of CPT codes and payment fee schedules to optimize reimbursement strategies.
- Coordinated communication between departments to resolve billing discrepancies efficiently.
- Managed billing processes, ensuring accurate invoicing and timely submissions.
- Addressed inquiries via telephone and in-person, ensuring a welcoming atmosphere while providing detailed information on Veterans Affairs billing and vocational rehabilitation processes.
- Completed appeals of denied claims on patient bills.
Insurance Specialist
Hattiesburg Clinic
Hattiesburg, MS
11.2006 - 02.2008
- Recorded and managed commercial insurance denials in Plus system to streamline claims resolution.
- Reviewed and classified medical claims and reports to ensure accurate documentation and compliance.
- Analyzed and documented details of open commercial insurance claims to facilitate resolution processes.
- Conducted detailed assessments of insurance documentation to uphold operational standards.
- Processed and resolved denial and payment issues to ensure timely reimbursement for rural health Medicaid services.
- Utilized knowledge of CPT codes to enhance billing accuracy and compliance.
Paser
Forrest General Hospital
Hattiesburg, MS
02.2006 - 11.2006
- Reviewed and confirmed patient personal and insurance information to maintain data integrity and facilitate efficient service delivery.
- Processed patient data to ensure accurate record-keeping in the Misys system.
- Provided assistance and information to clients on insurance inquiries to enhance customer service.
Education
Bachelor of Science - Business Administration, Human Resources Management
The University of Southern Mississippi
Hattiesburg, MSSkills
- Microsoft Office Suite
- Patient relations
- Revenue cycle management
- Medical billing
- Human resources management
- Credentialing management
- Policy and procedure development
- Schedule management
- Workflow management
- Strategic planning
- Records management
- Bookkeeping
- Managing medical practices
- HIPAA and OSHA regulations
Timeline
Practice Administrator
Retina Specialists of MS, PLLC
04.2022 - Current
Billing Administrator
Retina Specialists of MS, PLLC
01.2017 - 01.2022
Special Billing Coordinator
Hattiesburg Clinic
02.2008 - 10.2017
Insurance Specialist
Hattiesburg Clinic
11.2006 - 02.2008
Paser
Forrest General Hospital
02.2006 - 11.2006
Bachelor of Science - Business Administration, Human Resources Management
The University of Southern Mississippi