Nicole Anderson
Monroe
Summary
Detail-oriented Benefits Verification Specialist with expertise in health insurance processes. Proven ability to streamline verification workflows, verify benefits, manage patient accounts for multiple locations, and deliver excellence in customer service in a fast-paced environment. Demonstrates initiative, and is a self-starter with strong oral and written communication skills, excellent relational abilities, and proven success in prioritizing and organizing workloads to meet tight deadlines.
Known for delivering exceptional customer service, and applying critical thinking to resolve discrepancies, ensuring accurate benefit verifications, and enhancing patient satisfaction.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Benefits Verification Specialist
Asthma And Allergy P.A
Charlotte
10.2019 - Current
- Demonstrated extensive knowledge across all health insurance domains.
- Verified healthcare insurance benefits to enhance patient access.
- Navigated multiple insurance portals for clear and correct benefits for patients and billing.
- Applied CPT coding for accurate billing and reimbursement.
- Managed patient accounts across multiple locations to ensure comprehensive care.
- Maintained documentation accuracy and compliance with industry standards.
- Operated multi-line phone systems for effective call triage and customer service.
- Collaborated with billing and clinical teams to streamline processes and improve efficiency.
- Managed discrepancies in insurance information to ensure accuracy.
- Trained new staff on benefits verification processes and tools.
- Maintained up-to-date knowledge of insurance policies and regulations.
- Adhered to HIPAA regulations when handling confidential patient information.
- Participated in meetings with upper management on ways to streamline the process of verifying patient eligibility.
- Managed daily workloads while meeting deadlines set by management.
- Provided detailed information about insurance plans and benefits to health care providers, patients, and staff members.
- Worked closely with internal teams such as the billing department and utilization management team to resolve any issues related to benefit verifications.
- Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
- Collaborated with other departments to ensure proper data entry into the system.
- Researched discrepancies between patient records and insurance company records.
- Maintained accurate records of all verification activities in a timely manner.
- Developed strategies for improving workflow processes related to benefit verifications.
- Communicated with patients about their insurance coverage and options.
Office Manager
Total Cleaning and Restoration
Monroe
01.2010 - 10.2018
- Coordinated schedules for team members and service appointments to optimize workflow.
- Resolved customer inquiries promptly and professionally, enhancing client satisfaction.
- Organized files and documentation for efficient access and retrieval.
- Implemented office policies to improve communication and collaboration across teams.
- Managed subcontractor arrangements for restoration of homes following fire or water damage.
Physician Assistant
Dr William Roberts
Charlotte
02.2008 - 08.2010
- Conducted patient assessments and gathered medical histories.
- Assisted in developing and implementing treatment plans.
- Educated patients on health management and preventive care.
- Collaborated with healthcare team to coordinate patient care.
- Documented patient interactions and maintained accurate medical records.
- Facilitated communication between patients and physicians for better outcomes.
- Reviewed patient records to assess quality of care provided by other health professionals.
- Documented lab results, diagnoses and treatments for review by attending physician.
- Interviewed patients and reviewed patient files to determine medical histories, previous treatment and therapies and medication history.
- Maintained strict patient privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
- Coordinated services between primary care providers and specialists.
Education
Ward Secretary -
Stanley Community Collage
Monroe, NC 01-1994
GED -
Stanley Community Collage
Monroe, NC06-1993
Skills
- Process improvement and procedural implementation
- Critical thinking in EMR navigation and insurance issue resolution
- Strong oral and written communication skills
- Fast-paced, high-volume work adaptability
- Collaboration with billing
- Extensive knowledge in all areas of health insurance
- Experienced in multiple insurance portals
- CPT coding
- Patient account management (multi-location)
- Customer service excellence
- Microsoft Word and Excel (spreadsheets)
- Documentation accuracy and compliance
- Customer relationship management
- Conflict resolution
- Problem solving
- Attention to detail
- Time management
- Accuracy and precision
- Workflow optimization
- Patient communication
- Policy interpretation
Affiliations
- Loves gardening and all plants
- Photography
- Spending time with my Grandchildren
Accomplishments
- Multiple patient reviews of customer services excellence
Certification
- Ward Secretary and Medical terminology
References
References available upon request.
Timeline
Benefits Verification Specialist
Asthma And Allergy P.A
10.2019 - Current
Office Manager
Total Cleaning and Restoration
01.2010 - 10.2018
Physician Assistant
Dr William Roberts
02.2008 - 08.2010
Ward Secretary -
Stanley Community Collage
GED -
Stanley Community Collage
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