Pamela L. Shumate
7 Colt Ave. Little Rock, AR 72209 * Cell (501) 412-9503
Email: p.shumate@sbcglobal.net
EDUC ATION
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
Skills: Microsoft Office Suite 2003 and 2007 Excel, Word, PowerPoint, Access, MMIS,
PES and Level III Administrator. Operate general office equipment. Analytical,
communication skills, interpersonal, ability to work independently, leadership abilities,
management skills, multi-task oriented, negotiation/conflict resolution skills,
organizational skills, problem solving skills, result oriented, team player and time
management skills, ability to work well with others and willingness to learn new tasks.
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. Operate as a team member
advising on methods to improve business processes.
Business Analyst II (02/2015 – present)
Hewlett Packard (HP) Enterprise 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 HP and the State of Arkansas Department of
Medicaid and Human Services Department, 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. Gather and document requirements based on requests from the client to
determine scope of work. Formulate and define system changes based on both user
needs and understanding of requirements obtained through research. Develop and
execute testing of system changes implemented by developers to ensure defects are not
introduced to the production environment and that functionality requested by the client is
complete. Document test results in order to present them to the client staff for approval
before notifying the developer that changes can moved to production. Research,
identify, and specify solutions to problems. Support requirements management and
change management processes. Document requirements and translate into proper
system requirements specifications using established processes and tools. Develop and
maintain internal and external relationships to support management of scope and
expectations. Provides time / resource estimates for assigned tasks. Complete
assignments given within required timeframes. Be responsive to client requests and
keep them updated on project status. Train and mentor new Business Analyst and
peers. Develop training documentation for peers. Participate in interview/hiring
processes for new applicants. Operate as a team member advising on methods to
improve business processes.
Medical Diagnostic Analyst (6/2004 – 2/2015)
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.

updated resume

  • 1.
    Pamela L. Shumate 7Colt Ave. Little Rock, AR 72209 * Cell (501) 412-9503 Email: p.shumate@sbcglobal.net EDUC ATION 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 Skills: Microsoft Office Suite 2003 and 2007 Excel, Word, PowerPoint, Access, MMIS, PES and Level III Administrator. Operate general office equipment. Analytical, communication skills, interpersonal, ability to work independently, leadership abilities, management skills, multi-task oriented, negotiation/conflict resolution skills, organizational skills, problem solving skills, result oriented, team player and time management skills, ability to work well with others and willingness to learn new tasks. 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. Operate as a team member advising on methods to improve business processes. Business Analyst II (02/2015 – present) Hewlett Packard (HP) Enterprise 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 HP and the State of Arkansas Department of Medicaid and Human Services Department, 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. Gather and document requirements based on requests from the client to determine scope of work. Formulate and define system changes based on both user needs and understanding of requirements obtained through research. Develop and execute testing of system changes implemented by developers to ensure defects are not introduced to the production environment and that functionality requested by the client is complete. Document test results in order to present them to the client staff for approval
  • 2.
    before notifying thedeveloper that changes can moved to production. Research, identify, and specify solutions to problems. Support requirements management and change management processes. Document requirements and translate into proper system requirements specifications using established processes and tools. Develop and maintain internal and external relationships to support management of scope and expectations. Provides time / resource estimates for assigned tasks. Complete assignments given within required timeframes. Be responsive to client requests and keep them updated on project status. Train and mentor new Business Analyst and peers. Develop training documentation for peers. Participate in interview/hiring processes for new applicants. Operate as a team member advising on methods to improve business processes. Medical Diagnostic Analyst (6/2004 – 2/2015) 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.
  • 3.
    Unit Coordinator- coordinatedschedules, 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.