Hi, I’m
Nichole Hamilton
Management
Anderson,CA
Summary
Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
25
years of professional experience
Work History
Northstate Dental
Office/Insurance Billing Manager
05.2023 - Current
Job overview
- Optimized organizational systems for payment collections, AP/AR, deposits, and record keeping.
- Reduced error rates in claims submissions through meticulous review and verification procedures.
- Evaluated and negotiated contracts to procure favorable financial terms.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Increased revenue by accurately coding medical procedures according to industry guidelines.
- Achieved timely resolution of denied or underpaid claims through thorough research and concise appeals submissions.
- Boosted office productivity by creating user-friendly templates for common forms and reports in billing.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Managed accounts receivable process, ensuring prompt payments from clients and minimizing outstanding balances.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Cass Family Dentistry
Office/Insurance Billing Manager
08.2015 - 05.2023
Job overview
- Utilized financial software to prepare consolidated financial statements.
- Analyzed trends in denied claims data to identify patterns and develop targeted strategies for improvement efforts.
- Enhanced team productivity by providing targeted training and support for staff members in insurance billing procedures.
- Reviewed complex cases involving multiple payers or unique circumstances, applying problem-solving skills to secure optimal reimbursement outcomes.
- Oversaw day-to-day operations of insurance, making strategic decisions regarding staffing levels, resource allocation, budgeting, and growth opportunities.
- Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
- Implemented data-driven decision-making processes within insurance billing, supporting informed choices in resource allocation and process improvement initiatives.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Ensured timely submission of claims by diligently meeting deadlines for coding assignments, reducing risk of delayed payments from insurers.
- Optimized organizational systems for payment collections, AP/AR, deposits, and record keeping.
Western Dental
Supervisor of Operations
10.2014 - 08.2015
Job overview
- Optimized organizational systems for payment collections, AP/AR, deposits, and record keeping.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Conducted thorough audits of coded data to identify areas for improvement and implement corrective actions, leading to higher quality results.
- Maintained accuracy, completeness, and security for medical records and health information.
- Ensured compliance with company policies, industry regulations, and safety standards in daily operations.
- Coordinated cross-functional teams, ensuring successful completion of projects and meeting deadlines.
Dr. Andrew Norman
RDA/Insurance Biller
09.2007 - 11.2013
Job overview
- Processed eligibility and benefits verification and authorization requests.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Communicated effectively with members of operations, finance, and clinical departments.
- Analyzed customer needs to provide customized insurance solutions.
- Trained new hires on company policies and procedures, ensuring a seamless transition into Insurance Specialist role.
- Enhanced patient comfort by providing thorough explanations of dental procedures and answering questions with patience.
- Maintained detailed patient records, contributing to better-informed treatment decisions and continuity of care.
Shasta Community Health Center
RDA
04.2004 - 09.2007
Job overview
- Gained extensive knowledge in data entry, analysis and reporting.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Developed strong organizational and communication skills through coursework and volunteer activities.
Education
J ProductionsSacramento County, Ca
EF2 from Dental
04.2022
DALE Foundation Remote, Online
Medical Coding from Terminology And Insurance Coding
07.2015
UCSFSan Francisco, Ca
Registered Dental Assistant from Dental Assisting
04.2004
Skills
- ICD-10-Coding
- Insurance Billing Knowledge
- CPT Coding
- Auditing proficiency
- Medical Terminology
- Dispute Negotiation
- Account Reconciliation
- Accounts Receivable
- System Updates
- Project Leadership
- Accounts Payable and Receivable
Timeline
Office/Insurance Billing Manager
Northstate Dental
05.2023 - Current
Office/Insurance Billing Manager
Cass Family Dentistry
08.2015 - 05.2023
Supervisor of Operations
Western Dental
10.2014 - 08.2015
RDA/Insurance Biller
Dr. Andrew Norman
09.2007 - 11.2013
RDA
Shasta Community Health Center
04.2004 - 09.2007
J Productions
EF2 from Dental
DALE Foundation
Medical Coding from Terminology And Insurance Coding
UCSF
Registered Dental Assistant from Dental Assisting
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