Pamela Oerman

• Observed strict data confidentiality procedures to protect patients' information.
• Performed evaluations of competitor actions, legislative changes and collective bargaining results in order to make sound decisions about future company benefits and compensation.
• Reviewed billing and collections process and determined improvements to streamline workflows.
• Expedited benefit delivery by establishing working relationships with benefit providers.
• Applied effective time management techniques to meet tight deadlines
• Completed paperwork, recognizing discrepancies and promptly addressing for resolution

• Weekly perform audits on skin substitute, hyperbaric and Medicare advantage patients through entire revenue cycle.
• OSHA compliant
• Processed denials with necessary documentation needed in preparing submittal for reconsideration of payment.
• Adjusted changes in facility for CMS changes
• Patient Satisfaction rating is 96.9 including review of process, personnel and overall performance.
• Lead Physician Panel of Family Practice, Surgery, Infectious Disease and Vascular Specialties with oversight of their contracts with University Hospital and Augusta University.
• Reviewed performance data to monitor and measure productivity, goal progress, KPI's and activity levels weekly.
• Exceeded compliance expectations for hospital and all governing bodies.
• Controlled costs and optimized spending via restructuring of budgets for labor, capital assets, inventory purchasing and technology upgrades.
• Improved safety procedures to create safe working conditions for workers.

• Planned and executed program with ADP leaders newly developed service line for high profile clients enrolled in Healthcare Compliance Solution.
• Developed and implemented best practices and set milestones across division, including subjects of customer service, client retention, collaboration with Sales and Client Support, delivering hard messages and barrier resolutions.
• Analyzed reporting data and method seeking ways of improvement in processes, preparing contractual legal documents, secure data passage and evaluating work flow of employees.

• Oversight of 18 Management teams that served 189 clients by leading their goals in being compliant with financial guidelines for reimbursement and health compliance guided by CMS.
• Audited CMS guidelines for reimbursement changes in ambulance usage, overall changes in dialysis treatments.

*Took Leave of Absence to care for elderly parent and then resigned*

• Served as corporate resource for compliance and audits to facilitate legal process and appeals.
• Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
• Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
• Managed and monitored program activities and evaluated quality for improvement recommendations.

• Developed Outpatient Wound Care and Hyperbaric program from ground up, laying out framework and defining roles.
• Oversight of revenue cycle audits and implemented reconciliation of charges daily within three days of service rendered for physicians and outpatient department.
• Specifically reviewed all parts of Revenue Cycle for payments on all skin substitutes and hyperbaric.
• Educated staff and physicians on changes in requirements for use of products, specifically skin substitutes.
• Interacted with customers and clients to identify business needs and requirements.