Pamela Smith   Pamsmith95@gmail.com

  

Current Address: 3405 Marks DrHuntsville, AL 35805Previous Address:2106 Summer StHuntsville, AL35805

Phone Number:(256) 924-6918

     Education:

  Medical Billing and Coding | Healthcare Reimbursement(Associate Degree) Virginia College at Huntsville, Huntsville, AL GPA: 3.81/4.0

September 2015

     Objective:

  

To acquire an entry level, or other qualified, position within a health care facility that will combine my educational training and customer service experience.

Competencies:Related Courses

Medical Coding I, II, IIIIntermediate CodingAdvanced CodingMedical Billing & Reimbursement I, II, IIIIntermediate Billing and ReimbursementAdvanced Billing and Reimbursement

Anatomy and Physiology I, IIMedical TerminologyMicrocomputer Fundamentals in HealthcareMedical Law & EthicsPathophysiologyMedical Insurance ApplicationsCPT Medical Coding

   Qualifications Knowledge of various body systems and corresponding medical terminology Full knowledge of the importance of confidentiality when dealing with medical

records Advanced training in working claims returned due to rejections and denials from

clearinghouse and insurance companies. Advanced training with working Medicare, Medicaid, Blue Cross Blue Shield, and

many commercial insurances. Specialized training in computer technology pertaining to scheduling, client

information, and payment information Ability to utilize codes in the practical medical reimbursement process. Ability to classify the various coding and billing information into a useful

compendium that will avoid claims rejections Knowledge of customer service Proficiency with Microsoft Office programs, including: Word, PowerPoint, and Excel Gained knowledge and experience with establishing adaptable communication

skills.

   Achievements

   President’s List (6/9 quarters) Dean's List (3/9 quarters)

   Technical   Specialized training and experience in the following: Review, code, and audit medical

records, Appointments, Coding inpatient and outpatient Diagnoses and Procedures. Advanced knowledge of EClinical combined with GE Groupcast.

Accelerated Introduction to three Electronic Healthcare Systems and Electronic Medical Records: CureMD, Medisoft, and SuccessEHS

Ability to learn different computer software programs to input client information Knowledge of management software utilized in maintaining a schedule, client information,

and payment information Specialized training in answering client telephone calls, conversing with clients through the

telephone, and relaying information over the telephone efficiently while communicating Ability to communicate information with clients over the phone effectively Adaptable customer service skills involving various customer situations, resolving customer

issues, conversing with customers over the phone and in person Proficient in Windows XP and Windows 7 as well as knowledgeable with Windows 8 Advanced knowledge in Microsoft Office Word, PowerPoint and Excel 2010, 2007, and 2000. Accelerated knowledge with Microsoft Office 365 for Businesses. Ability to type 55 words per minute

  Experience:   September 2015 To August 2016

Medical Billing Specialist – Medical Data Solutions Entered in new patient information and verified established patient

information correct for the previous day’s office visits. Answer the telephone line and answer any customer questions regarding

insurance questions, billing questions, and to take customer payments. Utilized GE Groupcast to verify patient information correct with the

information put into the Electronic Health Record EClinical. Reviewed claims returned by the clearinghouse and corrected the

information in order to resubmit the claim. Obtained knowledge to work the returned claims from Blue Cross Blue

Sheild, Medicare, Medicaid, and various commercial insurances including TRICARE PGBA and TRICARE For Life.

Reviewed EOBS and electronic returns to resubmit claims, appeal claims, or call the insurance company to have them reprocess.

January 2015 to September 2015Assistant – Summer Shelkey

Assist in creation of daily schedule, including setting up client or tenant appointments and scheduling open house appointments with scheduling software

Answer the telephone line and answer any customer questions regarding appointments or issues, confirm client appointments, and resolve scheduling conflicts that may occur

Utilize Property Management Software by inputting client information, property information, payment information, and any other important information pertaining to a certain client and/or property

Input Client or tenant rental payments and any updates to client information, or property information.

April 2015 to March 2015All Women’s OB/GYN (Medical Externship)

Assist Office Manager with medical coding, billing, and auditing patient’s information.

Code previous day’s encounters through utilizing the Electronic Healthcare System (CureMD)

Addressed potential auditing risks by reviewing previous information throughout the software and performing any necessary corrections.

April 2014 to March 2015 Sales Associate – Ladies Shoes, Dillard’s Inc.

Assist customers with finding the type and style of shoe they are in search of, as well as make suggestions based on specific problems and concerns.

Operate, open, and close cash registers when necessary. Answer customer telephone lines and help resolve any questions or issues

concerning merchandise or questions about their credit card. Use Dillard’s software to open, edit, or organize personal and financial client

information.

References Available upon request