Nichole Holmes
Prior Authorization Representative
Saginaw,MI
Summary
- Seasoned Warranty Support Specialist with extensive experience in the automotive industry.
- Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
- Seeking a position within a thriving organization that will allow me to utilize my skills and experience for a chance at advancement.
Experienced with managing warranty claims and client relationships. Utilizes effective communication and problem-solving skills to resolve disputes and enhance customer satisfaction. Track record of meticulous documentation and adherence to company policies, ensuring compliance and operational efficiency.
Overview
13
13
years of professional experience
Work History
Prior Authorization Representative-Remote
Advantage Technical Solutions
Cincinnati, OH
08.2024 - Current
- Reviewed prior authorization requests for accuracy and completeness to ensure compliance.
- Communicated policy changes to internal teams regarding prior authorization processes.
- Ensured adherence to state and federal regulations related to prior authorizations.
- Evaluated claims lacking valid pre-authorization codes and implemented corrective actions.
- Followed up on pending requests to guarantee timely processing of prior authorizations.
- Trained new staff on company policies and prior authorization procedures.
Home Health Caregiver
Advisacare Home Care
Saginaw, MI
03.2020 - Current
- Ensured HIPAA compliance regarding confidentiality of patient information.
- Maintained clean and safe environment by changing bed linens, cleaning bathrooms, vacuuming carpets, washing dishes, and doing laundry.
- Assisted clients with rehabilitation exercises to promote recovery.
- Administered prescribed medications as directed by physician.
- Provided support for activities of daily living, including bathing, grooming, and toileting.
- Documented care delivered and submitted notes to supervisor for review.
Prior Authorization Representative-Remote
MSX International Inc.
Fountain Valley, CA
11.2023 - 08.2024
- Reviewed prior authorization requests for accuracy and completeness.
- Guided customers in completing warranty claim paperwork effectively.
- Ensured adherence to laws, regulations, and policies regarding warranties.
- Checked documentation for correct coding, identifying and correcting errors.
- Processed claims for payment or escalated to appropriate personnel for further investigation.
- Collaborated with team members to manage high volumes of claims efficiently.
- Participated in training sessions and compliance activities regularly.
- Maintained strong working relationships with staff and management.
Warranty Support Specialist-Remote
Morley Company
Saginaw, Michigan
01.2017 - 11.2023
- Assisted dealers with inquiries regarding claims and processes to enhance support efficiency.
- Processed claims for payment or escalated to appropriate personnel for further investigation.
- Collaborated with team members to manage high volumes of claims effectively.
- Checked documentation for proper coding and signatures, identifying errors with clear direction.
- Resolved issues promptly to maintain connectivity and minimize claim turnaround time.
- Maintained current knowledge of changes in guidelines and technical developments through continuous training.
- Cultivated positive relationships with dealers and warranty administrators to facilitate communication.
- Responded to dealer phone calls and emails promptly to ensure timely resolutions.
Administrative Assistant/Warranty Clerk
Gateway Financial Solutions
Saginaw, MI
09.2012 - 01.2017
- Coordinated project materials by managing physical and digital files, updating reports, and monitoring spreadsheets.
- Ensured effective business correspondence through timely responses to phone calls and emails.
- Addressed sensitive inquiries and complaints with professionalism and efficiency.
- Maintained accurate records for departments and customers to support operational integrity.
- Assisted claimants, providers, and clients with inquiries regarding warranty claims.
- Entered new vehicle deals into the system to ensure accuracy and prompt processing.
- Managed billing activities related to warranty submissions to streamline financial processes.
Education
BBA - Business Administration And Management
Northwood University
Skills
Attention to detailundefined
Education and Training
other
References
Shadonna Boose
Experienced Truck Driver
989-443-4648
Pamela Badger
Hair Stylist/Barber
214-779-8953
Jamaela Johnson
Registered Nurse
989-482-9190
Timeline
Prior Authorization Representative-Remote
Advantage Technical Solutions
08.2024 - Current
Prior Authorization Representative-Remote
MSX International Inc.
11.2023 - 08.2024
Home Health Caregiver
Advisacare Home Care
03.2020 - Current
Warranty Support Specialist-Remote
Morley Company
01.2017 - 11.2023
Administrative Assistant/Warranty Clerk
Gateway Financial Solutions
09.2012 - 01.2017
BBA - Business Administration And Management
Northwood University
Similar Profiles
Matthew GuerreroMatthew Guerrero
New Equipment Technology Instructor at Advantage Technical / General Dynamics Land SystemsNew Equipment Technology Instructor at Advantage Technical / General Dynamics Land Systems
Shawn IrbyShawn Irby
Material Coordinator/Aviation Driver at Airborne Technical Advantage CompanyMaterial Coordinator/Aviation Driver at Airborne Technical Advantage Company
JOSHUA SMITHJOSHUA SMITH
Chevron Phillips Safety Lead Coach at Advantage Technical ResourcesChevron Phillips Safety Lead Coach at Advantage Technical Resources
Shawn CurtisShawn Curtis
Web Developer at Wildfire Credit UnionWeb Developer at Wildfire Credit Union
Aidan BeltAidan Belt
Traffic Coordinator at Yeager AsphaltTraffic Coordinator at Yeager Asphalt