Pamela Bradshaw Email & Phone Number

Richmond, VA, US

Chester, Virginia, United States

Richmond, Virginia, United States

Richmond, Virginia, United States

Handle all billing activities associated with globally billed payers, such as transplant case rates and clinical research. Coordination of claims submission and reimbursement so that the MCVP and MCVH goals for collecting accounts receivable and standards for account follow-up are met and maximum collections realized.

Glen Allen, Virginia

• VA PREMIERClaims AdministrationClaims Customer Service Representative III 06/4/2018-03/06/2020
• Handle all incoming request for reconsideration for all lines of business
• Maintain claims processing goal of 80 per day
• Identify trends in resonsideration requests by the individual provider to share those findings with the corresponding Provider Service Representative to ensure provider education to avoid future denials and claims.
• Identify potential system issues and report to Claims Customer Service Manager
• Handle miscellaneous duties/activities as directed by Management

8701 Park Central Drive Richmond, VA 23227

• Answer incoming calls from customers reporting workplace injuries, answer inquiries and questions, offering provider lookup assistants using Corvel PPO website, and 247 Account Instructions and provide information.
• Answer calls and responds to emails from account managers about pending claims. Handle customer inquiries both telephonically and by email using CareMC. Research required information using available resources.
• Provide customers with provider and service information. Enter new claims information into the system by updating existing claim information.
• Route calls to the appropriate support. Make follow up customer calls where necessary.
• Document all call information according to standard operating procedures. Complete claim reports logs and document detail oriented notes. Produce call reports.
• Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Perform additional duties as assigned.

10 South 6th Street Richmond, Virginia 23219

Directly supervise Enrollment Specialists and activities as well as assist/report to the Senior Supervisor/ Workforce Analyst. Monitor the performance of Enrollment Specialists and provide feedback and education to staff to improve performance. Assist with the development and implementation of procedures pertinent to the effective and efficient operation.

701 Liberty Way Chester, VA

• Direct operations within call center, including supervising and coaching Customer Service Representatives. Manage incoming communications via email, written correspondence, telephone, and web-chat TTY for Medicare and.
• Led team of up to 16 staff members in ensuring quality control and compliance for Medicare and marketplace consumers.
• Drove process improvements that resulted in implementation of Enhanced Escalation Queue for repeat callers and reduced turnaround time for resolution to less than two days.
• Analyzed reports to identify negative trends and oversaw training materials and implementation to reverse trends through coaching of personnel.

Chester, VA

• Managed incoming calls from insurance companies, healthcare providers, and Medicare beneficiaries. Processed and coded claims for services and equipment, including ensuring compliance with regulations and policy.
• Conducted internal audits of calls to ensure quality control and compliance by Associates.
• Partnered with Secondary Insurance Specialist to ensure proper claims filing and processing.
• Developed comprehensive training in LEAN Six Sigma principles, including Yellow Belt Certification, as well as implemented MIND TAPP team to drive process improvements that resulted in reduced call handling times and.

Richmond, Virginia Area

• Collaborated with management team on directing daily operations for retail environment. Interacted with customers and assisted with product selection, as well as account management. Communicated daily with Operations.
• Supervised 20 Cashiers and provided ongoing coaching to ensure adherence to brand standards and customer service guidelines.

Sandston, VA

• Provided statistical data analysis and support to team of Technical Engineers. Monitored production lines to ensure achievement of all targets. Collected and recorded data utilizing MS Excel. Ensured compliance with.
• Identified and implemented preventative maintenance procedures to improve efficiency.

Bachelors In Business Administration, Management, 4.0

The Bachelor of Business Administration with the concentration in Management is helping me to develop dynamic leadership skills needed for.

Associates, Information Technology

The Associate of Arts in Information Technology/Networking specialization focuses on information systems and the analysis,design, and.

Diploma, Business Administration And Management, General

Activities and Societies: Future Business Leaders of America