1. PAMELA FAILS
9109 Wesley Providence Parkway , Lithonia GA 30038 ▪ Phone: 678.206. 3308 ▪ failspamela@yahoo.com
PROFESSIONAL SUMMARY
Versatile, Results-Driven, Healthcare Professional with over 20 years of customer service and support experience. Proven
track record of developing, implementing, and maintaining excellent relationships to ensure that account maintenance,
problem-solving,trouble-shooting, sales staff support, and planning/implementation of proactive procedures and systems.
Able to meet deadlines while monitoring data, maintaining confidentiality information electronically and paper files.
Exceptional capacity to multi-task by managing numerous priorities with ease while providing superior service at all levels of
organization. Excellent interpersonal, communication, and administrative skills such as developing a plan,conducting audits in
a healthcare environment..
SUMMARY OF SKILLS
Microsoft Office ~ Word ~ Word Perfect ~ Excel ~ PowerPoint ~ Emory Healthcare Systems ~EMR/Healthquest
IDX~Medconnect~Web mail complete~PowerChart~I-Suite~Medical Terminology course
EDUCATION AND PROFESSIONAL DEVELOPMENT
University of Phoenix, Bachelor of Science in Health Management 04-2011 – 01-2013 (Graduation date)
University of Phoenix, Associate of Art in Health Care Administration 09-15-2008 – 07 (Graduation date)
Continue: Strayer University , Master of Health Services Administration/Management 2016 (Graduation date)
PROFESSIONAL EXPERIENCE
EMORY HEALTHCARE,(THE EMORY CLINIC), Decatur, GA
Patient Account Representative II
11/2002-Present
 Receive inbound and outbound calls utilizing the Avaya Predictive dialing system
 Efficiently and effectively train new hire staff on the IDX,Avaya, and I-Suite software systems as well as the
collection sections updating patient information in GECB
 Explain medical terminology to patients in reference to procedures and provide interpretation to patients about
explaination of benefits
 Product verification (HMO,PPO,EPO) explaining billing processing (Private pay, Medciare,Medicaid) and
supplement products
 Verified all insurance of patients using services
 Process a full knowledge of insurance guidelines and verification procedures with capability to discuss denial
and rejection codes with patients
 Research and review denied claims,file claims and EOB’s as well as transfer balances to responsible parties
 Make daily collection verifications, research and complete all paperwork and forms to bill all types of claims for
reimbursement
SLEEP SCIENCES,Atlanta, GA
Adminstrative Assistant /Billing Referral Coordinator
04/1998 – 10/2002
 Performed various computer applications and maintained database for sleep study in Access
 Monitored accounts receivable performance and developed action plans if appropriate for any negative
balances charge posting, compliance with regulatory standards and regulations, point of service payment
collections, deposit validation and ensuring daily payment deposits
 Handled all EOB’s that were returned from insurance companies and made sure that all HCFA-1500 claim
forms were processed in a timely manner .

2.  Responsible for coordinating resources and communicating schedule changes and update
PONY EXPRESS, Atlanta, GA
Auto Liability/Administrative Assistant
03/1997 – 03/1998
 Performed various computer applications and maintained database for auto accidents
 Developed and maintained filing system to maximize insurance and patient billing errors
 Created and electronic filing system for optimal organizational purposes
 Faxed and filled paperwork as needed
 Created and looked at disiciplinary action forms issued by the field locations for all claims
References upon Request