Summary
Work History
Education
Skills
Timeline
CustomerServiceRepresentative

Pamela N Barber

Nashville,Tennessee

Summary

Position sought to leverage expertise in medical terminology, insurance processes, and coding systems including ICD-10 and CPT. Proven ability to manage time effectively and solve complex problems in fast-paced environments. Strong interpersonal skills enhance collaboration and communication within teams. Committed to continuous professional development and tackling new challenges.

Work History

Customer Service Representative

AeroCare
Nashville, TN
12.2024 - 05.2025
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Responded to customer requests for products, services, and company information.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.

AR/Billing Representative

Addison Group/Vanderbilt University Medical Center
08.2024 - 09.2024
  • Temp to hire position working as pharmacy biller
  • Contact insurance companies to follow up on delinquent accounts
  • Process appeals and keep billing spreadsheet current

Patient Account Representative

PathGroup/Xifin
03.2024 - 08.2024
  • Process claims for payment to insurance companies ensuring all information is correct
  • Process denials and appeals

Medical Account Representative

QTC
Nashville, TN
01.2023 - 02.2024
  • Set appointments and procedures for military patients, past and present
  • Assured all information in medical record is correct
  • Follow up with patient and insurance companies to insure all is correct and updated
  • Filed claims in electronic billing system
  • Communicated with insurance to correct errors and/or file appeals

Referral Services Coordinator

Vanderbilt University Medical Center
Nashville, TN
04.2021 - 01.2023
  • Insurance Verification
  • Insurance coding (ICD-9 and CPT)
  • Medical terminology
  • Multidisciplinary team collaboration
  • Scheduled appointments with specialists on behalf of clients
  • Called insurance companies to get precertification and other benefits information on behalf of patients
  • Collected and verified completeness of intake and enrollment screening packets for facility
  • Coordinating referral appointments, sending referral forms to health records, answering phone calls, transporting patients to specific facilities, and verifying insurance information

Lead Account Reimbursement Specialist

Vanderbilt University Medical
Nashville, TN
08.2015 - 04.2021
  • Responsible for follow-up billing of Medicare claims in Patient Accounting
  • Communicates with insurance companies and patients to provide accurate insurance filing information
  • Correction of billing and coding errors to get timely filing of claims
  • Managed adjustment of device claim credits received from vendors
  • Submits documentation for appeals to Medicare
  • Able to interpret medical terminology and CPT and ICD-10 codes
  • Excellent organizational skills and proficient computer skills
  • Excellent knowledge of medical terminology and insurance procedures
  • Knowledge of CPT and ICD-10 coding

Supervisor

Vanderbilt University Medical
Nashville, TN
08.2012 - 06.2015
  • Patient Accounting, Traditional Medicare
  • Supervise 10 team members in Medicare follow-up and denials
  • Responsible for payroll and HR issues
  • Process RAC request and all corresponding reports to report to the Department of Finance as requested
  • Responsible for gathering appropriated information needed for audits request from various entities such as Price Waterhouse and OIG audits
  • Assist the Assistant Director in various reports and special projects
  • Knowledge of CPT and ICD-9 coding, billing procedures and other insurance guidelines

Account Reimbursement Specialist I/III/RAC Coordinator

Vanderbilt University Medical
Nashville, TN
04.2006 - 01.2012
  • Responsible for follow-up billing of Medicare claims in Patient Accounting Department
  • Communicates with insurance companies and patients to provide accurate insurance filing information
  • Correction of billing and coding errors to get timely filing of claims
  • Excellent organizational skills and proficient computer skills
  • Excellent knowledge of medical terminology and insurance procedures
  • Knowledge of CPT and ICD-9 coding

Billing Coordinator

Larry McNeil, MD
Nashville, TN
04.2001 - 04.2006
  • Responsible for all ICD-9 and CPT coding, charge entry, payment posting and insurance follow-up in small medical practice
  • Knowledge of Medicare, commercial and third-party payer
  • Also, knowledge of referral and front desk process
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
  • Identified, researched and resolved billing variances to maintain system accuracy and currency
  • Updated documentation, reports and spreadsheets with financial information
  • Completed appeals of denied claims on patient bills

Cash Applications Clerk II

St. Thomas Medical Group
Nashville, TN
01.1997 - 01.2001
  • Demonstrate a thorough understanding of Medicare Part B coverage, Medicaid, Managed Care and all third-party reimbursement
  • Ensures all items are properly keyed/posted
  • Calculates appropriate adjustments and post to each patient account as observed by random view of records and reviews patients' accounts for secondary insurance coverage
  • Demonstrates customer service skills by conversing with insurance companies and patients to solve conflicts concerning payment of claims
  • Knowledge of ICD-9 and CPT coding procedures

Licensed Practical Nurse

Vanderbilt University Medical Center
Nashville, TN
01.1991 - 01.1996
  • Perform nursing procedures and treatments under the scope of LPN practice
  • Units worked - GYN Oncology, Pediatric Recovery and Pediatric Surgery as scrub nurse
  • Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels
  • Used aseptic techniques to provide sterilized wound care and dressing applications
  • Comforted and counseled patients and families throughout care process
  • Delivered updates in patient status to charge nurse, recording changes in medical records
  • Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care
  • Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning
  • Administered controlled narcotics, inserted IVs and performed catheterizations
  • Documented accurate and complete patient information to address patient problems and expected outcomes

Education

Practical Nursing -

Nashville Area Vocational Technical School
Nashville, TN
01.1989

Business -

University of Tennessee
Knoxville, TN
01.1978

Skills

  • Invoice processing and accounts receivable management
  • Cash application and payment posting
  • Dispute resolution and auditing support
  • Month-end closing and AR aging reports
  • Organizational skills and attention to detail
  • Team collaboration and customer service
  • Problem-solving abilities
  • Multitasking Abilities
  • Organizational skills
  • Adaptability and flexibility
  • Proactive and Self-motivated
  • Accounts receivable
  • Microsoft Excel
  • Microsoft office
  • Data entry
  • Accounts payable
  • Self motivation
  • Continuous improvement
  • Written communication
  • Computer proficiency
  • Payment verification

Timeline

Customer Service Representative

AeroCare
12.2024 - 05.2025

AR/Billing Representative

Addison Group/Vanderbilt University Medical Center
08.2024 - 09.2024

Patient Account Representative

PathGroup/Xifin
03.2024 - 08.2024

Medical Account Representative

QTC
01.2023 - 02.2024

Referral Services Coordinator

Vanderbilt University Medical Center
04.2021 - 01.2023

Lead Account Reimbursement Specialist

Vanderbilt University Medical
08.2015 - 04.2021

Supervisor

Vanderbilt University Medical
08.2012 - 06.2015

Account Reimbursement Specialist I/III/RAC Coordinator

Vanderbilt University Medical
04.2006 - 01.2012

Billing Coordinator

Larry McNeil, MD
04.2001 - 04.2006

Cash Applications Clerk II

St. Thomas Medical Group
01.1997 - 01.2001

Licensed Practical Nurse

Vanderbilt University Medical Center
01.1991 - 01.1996

Practical Nursing -

Nashville Area Vocational Technical School

Business -

University of Tennessee

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Pamela N Barber