Alicia Nichols
Spanish Fork,UT
Summary
Background in healthcare with ability to work independently, as well as in a team environment, with excellent time management skills and attention to detail. Seeking a position where I can utilize my strong skills and coding knowledge.
Overview
7
7
years of professional experience
Work History
Provider Reimbursement Admin
Elevance Health Remote
08.2019 - Current
- Ensure accurate adjudication of claims, by translating medical, reimbursement and clinical editing policies for provider education to prevent fraud, waste, and abuse.
Medical Biller & Coder
Premier Family Medical
Lindon, UT
12.2017 - 08.2019
- Responsibilities include assigning, verifying and confirming diagnosis codes, procedure codes, HCPCS codes and modifiers for 50 primary care providers
- Reviewing and Leveling out E/M charts
- Following up with insurance companies on unpaid or rejected claims
- Resolving issues, denials, and resubmitting claims; preparing appeal letters to insurance carriers when not in agreement with claim denial and collecting necessary information to accompany appeal
- Accurately posting insurance payments
- Communicating and resolving patient’s accounts.
Medical Biller & Coder
Utah Surgical Associates
Provo, UT
08.2015 - 12.2017
- Responsibilities include assigning, verifying, and confirming diagnosis codes, procedure codes, HCPCS codes and modifiers for 12 general surgeons specialize in digestive system, lymphatic system, reproductive system, and trauma care
- Following up with insurance companies on unpaid or rejected claims
- Resolving issues, denials, and resubmitting claims; preparing appeal letters to insurance carriers when not in agreement with claim denial and collecting necessary information to accompany appeal
- Accurately posting insurance payments
- Communicating and resolving patient’s accounts.
Education
Bachelor of Science - Health Information Management
Southern New Hampshire University
Certified Evaluation and Management Coder - undefined
American Academy of Professional coders
2019
Medical Billing & Coding, Certified Professional Coder, ICD-10 Proficiency - undefined
Mountainland Applied Technology College
2015
Certified Nursing Assistant - undefined
Mountainland Applied Technology College
2010
Skills
- ICD-10
- CPT
- HCPCS
- 95/97 E/M
- Medical Billing
- Electronic Medical Office
- Medical Terminology
- Medical Insurance
References
References available upon request
Timeline
Provider Reimbursement Admin
Elevance Health Remote
08.2019 - Current
Medical Biller & Coder
Premier Family Medical
12.2017 - 08.2019
Medical Biller & Coder
Utah Surgical Associates
08.2015 - 12.2017
Bachelor of Science - Health Information Management
Southern New Hampshire University
Certified Evaluation and Management Coder - undefined
American Academy of Professional coders
Medical Billing & Coding, Certified Professional Coder, ICD-10 Proficiency - undefined
Mountainland Applied Technology College
Certified Nursing Assistant - undefined
Mountainland Applied Technology College
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