Pamela Summers
Statesville,NC
Summary
Results-driven Insurance Verification Specialist with expertise in insurance coverage verification, HIPAA compliance, and patient confidentiality. Proven ability to streamline workflows and enhance communication between healthcare providers and patients.
Dedicated Insurance Verification Specialist focused on ensuring patient eligibility and compliance. Skilled in coordinating with healthcare providers and effectively communicating insurance benefits, fostering trust and satisfaction among patients while improving turnaround times for approvals.
Overview
22
22
years of professional experience
Work History
Insurance Verification Specialist
Novant Health Cancer Center
Winston-Salem, NC
02.2016 - Current
- Verified insurance coverage for oncology treatments, ensuring patient eligibility and compliance with policies.
- Coordinated with healthcare providers to obtain necessary documentation for pre-authorization processes.
- Streamlined verification workflows, improving turnaround times for insurance approvals.
- Collaborated with patients to explain insurance benefits and financial responsibilities clearly.
Medical Unit Receptionist Prn
Novant Health, Forsyth Medical Center
Winston-Salem, NC
06.2015 - 02.2016
- Managed front desk operations, ensuring efficient patient check-in and appointment scheduling.
- Coordinated communication between departments to facilitate timely patient care and information flow.
- Maintained accurate patient records and handled sensitive information in compliance with privacy regulations.
- Assisted with billing inquiries, resolving discrepancies to enhance patient satisfaction and trust.
Receptionist Administrator
Piedmont HealthCare
Statesville, NC
02.2004 - 03.2015
- Managed front desk operations, ensuring smooth patient flow and efficient appointment scheduling.
- Coordinated communication between departments, enhancing collaboration and information sharing.
- Implemented electronic health record systems to streamline patient data management and improve accessibility.
- Trained new staff on office procedures and customer service standards, fostering a supportive team environment.
- Managed billing cycles, ensuring timely invoicing and collections processes.
- Analyzed accounts receivable reports to identify discrepancies and implement corrective actions.
- Streamlined collection procedures, improving efficiency in outstanding payment recovery.
- Developed and maintained relationships with clients to resolve payment issues effectively.
Home Health Aide Prn
Samaritan Health Services
Statesville, NC
11.2008 - 01.2009
- Assisted clients with daily living activities, enhancing overall comfort and quality of life.
- Monitored vital signs and reported changes to healthcare team, ensuring timely interventions.
- Provided companionship and emotional support, fostering a trusting environment for clients.
- Collaborated with multidisciplinary teams to develop personalized care plans for clients.
ER Registration Clerk
Iredell Memorial Hospital
Statesville, NC
01.2008 - 01.2009
- Processed patient registrations efficiently, ensuring accurate data entry in electronic health record systems.
- Managed insurance verification and authorization for emergency services, reducing processing time.
- Coordinated communication between patients and medical staff to streamline care delivery.
- Trained new clerks on registration protocols and software usage to enhance team performance.
Education
Cosmologist License - Hair
Hairstylist Academy
Statesville, NC06-1991
High School Diploma -
North Iredell High School
Olin, NC05-1989
High School Diploma -
North Iredell High School
Olin, NC05-1989
Skills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Eligibility determination
Timeline
Insurance Verification Specialist
Novant Health Cancer Center
02.2016 - Current
Medical Unit Receptionist Prn
Novant Health, Forsyth Medical Center
06.2015 - 02.2016
Home Health Aide Prn
Samaritan Health Services
11.2008 - 01.2009
ER Registration Clerk
Iredell Memorial Hospital
01.2008 - 01.2009
Receptionist Administrator
Piedmont HealthCare
02.2004 - 03.2015
Cosmologist License - Hair
Hairstylist Academy
High School Diploma -
North Iredell High School
High School Diploma -
North Iredell High School