PAMELA SHERMAN-McDADE

• Process/adjust sensitive high profile inventories such as high dollar claims and accumulator adjustments for physicians and hospitals
• Ability to multi-task multiple applications to ensure all proper information is obtained during the adjustment of customer's claims
• Manage a high volume of claims effectively by prioritizing tasks and maintaining excellent organizations skills
• Assist other departments as requested during periods of backlog
• Reduce claim processing errors by conducting thorough investigations and interpreting policy details
• Review insurance documents to verify required information
• Settled complex claims fairly by applying critical thinking and knowledge of insurance policies

Answering numerous calls by providing support through multiple channels such as phone, chat or email

• Making multiple calls to insurance providers obtaining necessary information needed to apply the proper health care coverage for each patient for billing purposes
• Interacting with patients by adhering to concerns and following up with individuals of medical insurance policies such as patient responsibilities and authorization
• Document patient care services by charting in patient and department records
• Provide exceptional customer service to patients addressing concerns promptly and professionally to ensure satisfaction
• Implementation of an effective filing system for patient documentation

• Schedule patient appointments in respective of doctors' calendars and followed up reminder phone calls
• Medical Dictation
• Verification of insurance coverage and making calls to the patients Primary Care Physicians to obtain proper insurance insurance authorizations for dates of service necessary
• Answered incoming calls, routed messages and resolved patient inquiries within targeted timeframes
• Ensured accurate insurance billing and coding reducing claim denials and expediting reimbursements for services rendered
• Managed incoming phone calls efficiently, directing callers to appropriate personnel while providing courteous service at all times
• Medical Dictation
• Streamline front desk operations through the implementation of an effective filing system for patient documentation

• Maintain effective office operations
• Receive patient responsibility payments such as co-pays, co-insurances, and deductibles
• Generated reports and logged patient information for reliable records
• Received and posted payments to accounts and maintained records
• Complete billing, collection, and reporting activities within specific deadlines
• Followed up with insurance companies to ensure timely payment

• Report directly to the Director of Nursing
• Optimize calendar management for executives by scheduling appointments and meetings strategically while considering priorities and minimizing conflicts
• Weekly schedule of entire nursing staff of all shifts to ensure proper patient care
• Assisted Human Resources with payroll, and onboarding of new employees
• Scheduling out-patient appointments for all residents while coordinating with their families
• Answering a multi-line phone system, routing calls, delivering messages to staff and greeting visitors