Pamela Holbrook

PAMELA L. HOLBROOK Address: Austintown, Ohio 44515 | Phone: - | Email:- PATIENT ACCESS REPRESENTATIVE Patient Care Coordinator | Emergency Medical Services (EMS) | HIPAA Compliance | Customer Service & Relationship Management PROFILE SUMMARY Dedicated Patient Access Representative with a robust background in patient care, insurance management, and customer service, and over 15 years of comprehensive experience in the healthcare sector, encompassing roles as a certified YSU EMT-I / EMT-B, pre-billing specialist, medical assistant, and Patient Care Coordinator. Adept at obtaining pertinent information for patient claims, resolving billing issues, and conducting follow-ups with insurance companies. Proficient in ICD-10 and CPT codes, and experienced with commercial insurance, Medicare, and Medicaid. Expert in facilitating seamless patient admissions, managing complex billing processes, and delivering exceptional patient care. Proficient in medical coding, and electronic health records management, ensuring accuracy and efficiency. Skilled in biometric screenings, medical documentation, and vital sign monitoring. Proven ability to manage medical records, administer allergy treatments, and maintain strong patient relationships. AREAS OF EXPERTISE Billing Systems & Software | Prior Authorization Utilization | Payer Portal Knowledge | Insurance Verification | Data Entry Proficiency | HIPAA Compliance | Medical Coding & Terminology | Knowledge Customer Engagement | Patient Account Management | Record Preparation | Research & Due Diligence | Contract Preparation | Procedure Development | Audit Procedures | Microsoft Office | Customer Service | Decision-Making | Paperwork & Documentation | Billing Data Verification | Patient Claims Validation | Customer Service | Claims Processing | Insurance Knowledge | Medical Coding | Remote Training | Clinical Administration | Medical Records Management | Emergency Medical Services (EMS) PROFESSIONAL EXPERIENCE PRE-BILLING SPECIALIST | November 2018 - Present Quadax Inc. - Cleveland, OH. Delivered exceptional customer service, building and maintaining strong client relationships that led to increased customer satisfaction and loyalty. Monitored and managed customer accounts to identify, address, and resolve billing discrepancies promptly, ensuring accurate account statements. Conducted timely follow-ups with insurance companies and medical offices, ensuring the smooth processing of claims and reducing payment delays. Demonstrated thorough knowledge of various insurance plans including commercial, Medicare, and Medicaid, improving claim processing efficiency. Navigated payor portals to verify patient insurance details, ensuring accurate billing and timely reimbursements. Utilized ICD-10 and CPT codes daily to ensure accurate medical coding and billing, reducing errors and improving claim acceptance rates. Collaborated with multiple departments to verify accurate billing information, leading to enhanced interdepartmental communication and efficiency. Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to secure timely and accurate payments, improving cash flow. Added additional data and utilized strong problem-solving and decision-making skills under minimal supervision to streamline processes. BIOMETRIC SCREENER | January 2015 - November 2018 Quest Diagnostics (Previously Summit Healthcare) - Ohio Conducted thorough screenings, including detailed history taking, precise documentation, and stringent quality control measures. Administered accurate blood pressure measurements using both automatic and manual cuffs, ensuring reliable results. Achieved precise BMI and body fat percentage measurements using advanced hand-held devices, contributing to comprehensive health evaluations. Improved biometric screening accuracy by integrating cutting-edge technology and adhering to updated protocols, resulting in higher quality assessments. Updated industry knowledge and best practices through continuous professional development courses and seminars, maintaining a high standard of service. Streamlined client registration for biometric screenings, significantly reducing check-in times and improving overall efficiency. Delivered exceptional service to clients, fostering long-term relationships and creating opportunities for future business engagements. Maintained clear and effective communication with clients throughout the screening process, ensuring they were informed of progress and any issues promptly addressed. MEDICAL ASSISTANT ASTHMA-IMMUNOLOGY | March 2015 - January 2018 Dr. William Houser; Allergy/Immunology Spearheaded the administration of allergy vaccines, precise mixing of individual serums, and proficiently conducted skin testing, ensuring accurate monitoring and measurement to optimize patient care outcomes. Transitioned between clinical and administrative roles, proficiently handling front desk duties including managing calls, messages, and prescriptions, ensuring efficient patient communication and satisfaction. Implemented rigorous sanitation protocols, consistently restocked and meticulously organized exam rooms and medical equipment, fostering a safe and welcoming environment for patients and staff. Demonstrated proficiency in medical records management, including meticulous filing, organization, and scanning of documents, ensuring compliance with regulatory standards and facilitating streamlined access to patient information. Facilitated seamless communication with pharmacies through prompt calls and faxes to submit prescriptions and refills, ensuring timely access to medications for patients. Documented vital signs and health history for patients in both clinic and hospital settings, contributing to accurate diagnosis and treatment planning. MEDICAL ASSISTANT | July 2012 - February 2015 Dr. Thomas S. Burkert - Youngstown, OH Spearheaded comprehensive patient care initiatives, ensuring meticulous documentation and adept preparation of patients for examinations, thereby enhancing overall healthcare delivery. Orchestrated seamless scheduling operations, adeptly managing appointments and medical records both in traditional paper charts and Electronic Medical Records (EMR) systems, optimizing efficiency and accuracy. Gathered and documented detailed client medical histories, medication information, symptoms, and allergies, fostering a comprehensive understanding of patient needs and enabling personalized care strategies. Executed impeccable medical records management procedures, including meticulous filing, organization, and scanning of documents, ensuring compliance with regulatory standards. Demonstrated proficiency in appointment scheduling, patient registration, and pharmaceutical distribution, optimizing clinic workflow and enhancing patient experience. Captured and documented vital signs and health history for patients across diverse clinical and hospital settings, showcasing precision and attention to detail in healthcare documentation. ASSISTANT EMS DIRECTOR-FIREFIGHTER-EMT-I | June 2003 - January 2012 Beaver Fire/Rescue - North Lima, OH Achieved Advanced EMT and Firefighter Level 1 certification, showcasing proficiency in high-pressure emergencies. Formed strategic alliances with community organizations and healthcare providers, facilitating broader access to essential EMS services in underserved areas. Directed Advanced Life Support interventions for critically ill and injured individuals, employing a diverse range of advanced techniques and capabilities to optimize patient outcomes. Cultivated a robust culture of safety within the department by conducting thorough investigations into incidents, fostering accountability, and implementing preventive measures to mitigate risks. Managed departmental budgets, optimizing resource allocation without compromising the delivery of high-quality services. Evaluated departmental performance metrics to identify areas for enhancement, driving targeted initiatives to elevate operational efficiency and service quality. MEDICAL ASSISTANT | March 2004 - January 2005 Dr. Booker T. Bair Managed billing processes, insurance claims, and patient care coordination, ensuring accuracy and efficiency in a high-volume medical practice. Leveraged medical training to conduct various laboratory tests, administer vaccinations, and perform comprehensive patient assessments, including vital signs and medical history documentation. Obtained and documented client medical histories, medication information, symptoms, and allergies, contributing to comprehensive patient records. Guided patients to exam rooms, addressed inquiries and prepared for physician examinations, enhancing the overall patient experience and clinic workflow. Collected and accurately recorded essential patient medical information, such as blood pressure and weight, contributing to comprehensive patient assessments. Built and maintained strong patient relationships through exceptional communication skills, fostering trust and enhancing the clinic’s reputation for quality care. EDUCATION ITT Tech Phlebotomy Program | January 2016 EMT-P Trumbull Memorial Hospital | January 2008 YSU EMT-I / EMT B Certification | January 2005