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
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
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
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
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
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
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
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
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
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

Similar Profiles

CREATE PROFILE
Pamela N Barber