Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Heather Nichols

DeLand,FL

Summary


Meticulous Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives illustrated over 21 years of revenue cycle success.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Licensed Health Insurance Agent

Healthcare Lifesavers Insurance
12.2023 - Current
  • Use Health Sherpa for enrollments.
  • Analyzed customer needs to provide customized insurance solutions.
  • Educated clients on insurance policies and procedures.

Lead Optimization Specialist - Revenue Cycle Mgmt

Modernizing Medicine
04.2022 - 07.2024
  • Identify data gaps and risks and create solutions to be implemented per client and across the board.
  • Liaised between clients, operations, implementation, product, and clearinghouse teams to ensure seamless onboarding and revenue cycle success.
  • Coaching and performance management for team of 3. Assisted in hiring process.
  • Create and utilize plans of action to manage concurrent high-priority projects.
  • Created presentations and monthly reporting outlining process improvement solutions, strategies, and KPI metrics for both clients and internal review
  • Identified process or policy deficiencies and worked with key players to drive process improvement.

Optimization Specialist

Modernizing Medicine
04.2021 - 04.2022
  • Revenue cycle optimization for over 10 physician specialties including Dermatology, Orthopedics, Ophthalmology, Pain, Plastics, Otolaryngology, Allergy, Women's Health, G.I., and Podiatry specialty providers as well as their respective surgery centers and inpatient visits.
  • Analyze every client onboarding with the revenue cycle management service to optimize both client & internal processes, software configurations, and change management expectations.
  • Analyzed clients' legacy KPIs to identify payer and provider trends and leveraged internal benchmark KPIs to create EHR configuration recommendations prior to implementation of our EHR
  • Created payer database to be configured in the software and used for EDI enrollments

Software Trainer - Practice Management

Modernizing Medicine
04.2017 - 04.2021
  • Onsite and Virtual Practice Management software training.
  • Consulted with users to determine hardware, software and system functionality specifications.
  • Listened to practice staff, communicated training and translated technical information into easily understood terms.
  • Utilized Salesforce and Cloud Coach to track training progress
  • Work with escalated established client to provider refresher training and revenue cycle guidance
  • Managed approximately 26 clients concurrently through their 90 day implementation period

Education

High School Diploma -

Marjory Stoneman Douglas High School
Parkland, FL

Skills

  • Customer Success
  • Salesforce & Cloud Coach
  • Data Analysis & Project Management
  • Implementation/Onboarding
  • Time Management & Organization
  • Problem Solving & Analytic Reasoning
  • Adaptability & Agility
  • Power BI
  • Microsoft Office and Google Workplace
  • Change Management
  • Teamwork & Collaboration

Certification

  • Certified Lean Six Sigma Green Belt - 2023

Timeline

Licensed Health Insurance Agent

Healthcare Lifesavers Insurance
12.2023 - Current

Lead Optimization Specialist - Revenue Cycle Mgmt

Modernizing Medicine
04.2022 - 07.2024

Optimization Specialist

Modernizing Medicine
04.2021 - 04.2022

Software Trainer - Practice Management

Modernizing Medicine
04.2017 - 04.2021

High School Diploma -

Marjory Stoneman Douglas High School

Similar Profiles

CREATE PROFILE