Medical Assistant

Pamela S Giles

500 Ravine Road   Birmingham, AL 35210

Contact Preference: 205-490-6269      pamelagiles53@yahoo.com

_____________________________________________________________________________________RESUME

Certified Medical Assistant

 EXPERIENCE:

08/2011 – Present      Virginia College - Estimated Graduation date 03/27/2014   See Skills List below       

03/2008 – 07/2011     

The Outsource Group

Customer Service Representative/Insurance Verification and Bill Collector

  • Call to patients and insurance companies for the reason as to why bill not paid
  • Calls to and mailed to attorneys on third party claims for automobile and workers compensation all documentation bills needed to be court approved, paid by the court
  • Third party biller for Children’s Hospital
  • Insurance verification
  • Billing
  • Working knowledge of the ICD-9 and CPT codes for billing purposes
  • Always attending meetings to stay on top of the latest insurance information that was breaking with Blue Cross /Blue Shield of Alabama

11/2004 – 01/2008

Alabama Orthopedic Spine & Sports Medicine Assoc.  Birmingham, AL

  • Patient Coordinator & Floater
  • Worked front desk
  • Entered all patient demographics
  • Checked in patients
  • Worked cashier desk for checking out patients and making return appointments.
  • Patient transport to the lab, Birmingham Radiological Group & Same Day Surgery Admitting & to the
  • Hospital Floors upon room assignment.
  • Was working collections department, all front end duties during lunches, vacations and others sick leave.

12/2003 - 09/27/2004

Assurant Employee Benefits   Birmingham, Alabama

Group Sales Assistant

  • Receive all requests from brokers for employers seeking plans for voluntary life, voluntary dental & voluntary short and long term disability plans.
  • Entered into solar system and assigned a number.
  • Given to the appropriate salesman to determine what type of current coverage they have versus what they could be supplied with. 
  • Other duties: filing, answering phones, general office clerical activities, upkeep of files, making and maintaining all files.
  • Working office equipment:  Postage, FedEx, Copier, and Fax.
  • Ordering all Office supplies and monitor usage thereof.

HRH Risk Services (Hilb, Rogal & Hobbs)  Birmingham, Alabama

Workers’ Compensation Claims Adjuster

  • Managed case load of approximately 150 Alabama Business Market Claims.
  • Determined casual relationship/compensability; including evaluating medical records,  taking
  • recorded interviews, witness statements and accident investigation.
  • Assigned Medical Case Managers, Attorneys, Physicians and other vendors for case handling.
  • Responsible for resolution of claim whether there is return to work, settlement, mediation or  
  • litigation.
  • Attended claims reviews with Business Market Clients to review case handling and case disposition.
  • In adjudicating medical bills have worked with the HCFA 1500 forms and the UB92 forms,
  • Worked with the CPT and ICD-9 codes in making determinations of compensability of medical
  • charges incurred as a direct result of the on-the-job entry.

8/1994 - 10/1996

Winn Dixie – Cahaba Heights   Birmingham, Alabama

Assistant Head Cashier

  • All office operations to run the front end of the store, including customer relations.
  • Made nightly deposit, picked-up from registers and maintained a computer of all entries for each
  • cashier working under my shift.
  • As assisted head cashier made out weekly work schedule.
  • Transmitted grocery orders via computer & phone.
  • Worked evening shift for approximately three months (11:00pm until 7:00am).

 

12/1991 - 1/1994

Baptist Medical Centers – Corporate  Birmingham, Alabama

Administrative Assistant

  • Worked in the Comptrac Program, discounting BMC physician bills that were part of the Comptrac Program.
  • Customer Service Representative, responsible for managing all employees’ medical treatment and payment of incurred bills.

04/1979 - 12/1991

Liberty Mutual Insurance   Birmingham, Alabama

Workers’ Compensation Claims Adjustor

  • Strategically planned, organized and managed multiple tasks and multiple employers and developed working relationships.
  • Responsible for contacting the employers, employees and physician’s office for updates on current condition of return to work status.
  • Skilled in employee relations and legal consultations as well. Vast communications with all parties involved (whether written or verbal). 
  • In adjudicating medical bills have worked with the HCFA 1500 form and the UB92 forms, as well as, worked with the CPT and ICD-9 codes in making determinations of compensability of medical charges incurred as a direct result of the on-the-job entry. 

 

SKILLS

Skills List #2 Certified Medical Assistant (training) - actual learned skills

  • Medical Law and Ethics
  • Hand Washing
  • Surgical Hand Washing
  • Gloving
  • Venipuncture
  • Blood Glucose taken
  • How to use PPD Equipment
  • Taking Blood Pressure manually and by blood pressure machine
  • EKG (placing leads on patient to have EKG done)

 

REFERENCES:       Available upon request

  • ID#: 77835
  • Location: Birmingham, AL , 35210

Don't Be Fooled

  • When selling, do not put your home address in your ad.
  • To avoid scams, buy and sell with people you can meet locally, in person.
  • When meeting with someone you don't know, meet in a public place. If that's not possible, have a buddy with you. Also, carry a cell phone; if you feel unsafe, you can call a trusted friend, and stay on the line.
  • Never give out financial or private information like account numbers, PayPal login, or social security number.
  • If an offer sounds too good to be true, it is. Walk away!

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