1. Pamela L. Shumate
7 Colt Ave. Little Rock, AR 72209 * Cell (501) 412-9503
Email: p.shumate@sbcglobal.net
EDUCATION
Masters in Adult Education Expected Graduation 12/2016
University of Arkansas at Little Rock – Little Rock, Arkansas
Bachelors of Science in Health Science 6/2011
University of Arkansas at Little Rock – Little Rock, Arkansas
Associates of Arts 2007
Pulaski Technical College – N. Little Rock, Arkansas
PROFESSIONAL EXPERIENCE
Patient Educator – Intern (1/2011 – 6/2011)
University of Arkansas for Medical Sciences Little Rock, AR
Provide group and individual education to patients and family members on
educational topics such as diabetes, breast feeding, prenatal education, Central
Line Care, Smoking Cessation, Stoke education and other educational topics as
assigned. Conducted assessments that included data collection, analysis,
identification of underserved committees and high risk populations; also created,
implemented and performed follow up surveys to evaluated patient satisfaction
for possible improvement. Knowledgeable of Clinical Research (standard
operation procedure) SOP.
Business Analyst II (02/2015 – present)
Hewlett Packard (HP) Enterprise Services Little Rock, AR
Consult with client to identify, define and document business needs and
objectives, current operational procedures, problems, input and output
requirements, and levels of systems access. Acts as a liaison between
departmental end users, technical analysts, information technology analysts, and
other state governmental organizations. Read and interpret customer service
request and translates in terms understandable to the end-users. Research and
prepare statistical reports using data from computer systems. Consolidates
information into cohesive and understandable correspondence or other written
form for use in management decision-making. Provide work direction to one or
more technical or clerical staff or acts as team lead on designated projects or
assignments.
Medical Diagnostic Analyst (6/2004 – 2/2015)
2. University of Arkansas for Medical Sciences Little Rock, AR
Reviews and analyzes EOBs for identified under-allowed claims.
Verifies applicable contract by, as dictated by operational procedures: reviewing
EOB messages, review patient ID cards, verifying member information for
managed care plans. Batch appeals by payer or network, by CPT/HCPCS code
combination, by error type, or by provider. Analyze payments, denials, payment
posting, corrections, initiate debit/credit, refunds, analyze allowed charges in
relation to physician fee schedule, research unpaid invoices, review CPT/ICD-9
diagnosis, modifiers and initiate medical appeals and follow-up.
Account Representative (11/2001-5/2002 & 3/2004-6/2004)
Nuvell Financial Services Little Rock, AR
Contact customers on the phone to collect payments on past due accounts,
updated customers records on a continuous basis, negotiate with customers to
bring account current including, but not limited to extensions and short term
arrangements, also Responsible for skip.
Contract Negotiator (6/2002 – 3/2004)
Value Options Coppell, TX
Managed contracts with providers (e.g. physicians, ancillary facilities)-Specific
responsibilities include, but are not limited to: strategic positioning for contracting
with providers and developing out-of-network contracts. Negotiated rates with
out-of-network providers for patients, Maintained and improved out-of- network
provider database Track financial performance of contracts and ensure
compliance with contracting guidelines. Assists in resolving elevated and
complex provider service complaints. Researched problems and negotiates with
internal/external partners/customers to resolve highly complex and/or escalated
and sensitive issues. Other projects and duties as assigned, -Respond to
provider inquiries, concerns, complaints, appeals and grievances.
Financial Counselor, Unit Coordinator &Certified Nurse’s Assistant
University of Arkansas for Medical Science Little Rock, AR
(8/1994 – 9/2000)
Financial Counselor-Supervised and trained clerical staff, record the day-to-day
financial transactions of clinic, responsible for Monthly Clinic money collection
report, balance petty cash daily, resolved patient complaints, patient and
employee advocate, identified clinic needs that required intervention and
revision, ICD-9/CPT coding; other duties as assigned, triage patients.
Unit Coordinator- coordinated schedules, answering phones, abstracted physician’s
orders and provide administrative support; this can include typing documents, entering
patient medical information into a database, filing medical records
Certified Nurse’s Assistant- responsible for monitoring and obtaining vital signs
and reported information to the nurse, assisted nurses and physicians with
exams and other duties as assigned.