PAMELA SMITH
Indian Head,MD
Summary
Competent Medical Billing Specialist with 10+ years of experience in handling wide variety of medical coding and billing tasks. Sophisticated, dependable, hardworking individual with excellent analytical and multitasking abilities. Proven history of exceptional time management and customer service.
Overview
16
16
years of professional experience
1
1
Certification
1
1
year of post-secondary education
Work History
Licensed Insurance Agent
INDEPENDENT
INDIAN HEAD, MD
10.2021 - 02.2023
- Provide coverage option information to assist clients in their financial futures
- Ensure that policy requirements are fulfilled, including any necessary medical exams and completion of appropriate forms
- Attend continuing education courses and workshops to gain additional insurance industry knowledge
- Maintain high standards of customer service by building relationships with clients
- Develop prospects from current customers, referral leads, or sales meetings
- Educated clients on insurance policies and procedures.
- Utilized CRM software to manage client relationships.
- Built relationships with clients using active listening and issue resolution to provide excellent service.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
MEDICAL BILLER
UNIVERSAL HEALTH NETWORK
HORNELL, NY
07.2007 - 10.2022
- Coordinated and administered billing process in timely manner for 2 Radiation Oncology Centers
- Ensured all verifications were completed and referrals obtained in accordance with established regulatory and policy requirements
- Traveled to required work sites as necessary in order to facilitate work flow between clients and Employer
- Assisted with Physician’s Credentialing processes
- Handled monthly statements, payment plans, provided collection support, posted transactions
- Analyzed claims, payments, EOB and corrected when necessary
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Communicated with insurance providers to resolve denied claims and resubmissions.
- Liaised between patients, insurance companies, and billing office.
Education
No Degree - Business
09.1982 - 05.1983
Skills
- Microsoft Office
- CPT & HCPCS Coding, Medical Terminology
- Medical Software, Medical Billing ,
- HIPAA Regulatory Compliance
- Analysis skills
- Administrative Support
- Accounts Receivable Management
- Medical Coding Knowledge
- Claims Review
- Medical Claims Submission
- Payments Posting
Certification
- AHIP Medicare Certification
- Life & Health Insurance License - October 2021 to June 2024
Timeline
Licensed Insurance Agent - INDEPENDENT
10.2021 - 02.2023
MEDICAL BILLER - UNIVERSAL HEALTH NETWORK
07.2007 - 10.2022
Middlesex County College - No Degree, Business
09.1982 - 05.1983
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