Nichole Johnson
West Valley City
Summary
Recent graduate with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Overview
16
16
years of professional experience
Work History
Utilization Review Specialist
Modivcare
Salt Lake City
08.2017 - 08.2023
- Sustained thorough records of reviews and decisions facilitating adherence to regulatory compliance.
- Assessed patient's health needs and identified potential risk areas through review of records and interviews with providers.
- Conducted concurrent reviews to monitor the ongoing appropriateness of services provided to members.
- Created Utah Medicaid’s Utilization Review program to submit certification forms and get them processed faster and more accurately.
Project Manager/ Claims Specialist
Denials Management
Midvale
05.2014 - 01.2016
- Insurance Policy Review, timely insurance billing and follow‑up.
- Gather required documentation for Appeals.
- Verification of Benefits.
- Use of EMR to include records in the appeal.
- Would provide Live phone and email support to clients.
Medical Assistant
Intermountain Healthcare
Sandy
05.2007 - 02.2014
- Read and record the temperature, pulse, and respiration.
- Completed and submitted clinical documentation in accordance with agency guidelines.
- Called and obtained prior authorizations for prescriptions and procedures.
- Scheduled appointments and coordinated follow-up care for patients.
- Administered medications and vaccinations as directed by healthcare providers.
Education
Certified - Medical Coder, Biller, And CEHRS
MedCerts
10-2025
Certificate - Medical Assisting
Everest College
West Valley City, UT01.2007
General Studies -
Granger High School
West Valley City, UT01.2005
Skills
- Works well under pressure
- Microsoft Office skills
- Medical terminology
- Medical coding
- Problem-solving abilities
- HIPAA compliance
- Utilization review
- Task prioritization
- Insurance knowledge
- Clinical documentation
- Accurate and detailed
- Data entry
- Time management
References
- Aubrie Evans, Implementation Manager at Artemis Health, 801-510-1244
- Lori Bird, Office Administrator, 435-241-9863
- Tiffany Barrett, Relationship Manager, 801-898-8674
Timeline
Utilization Review Specialist
Modivcare
08.2017 - 08.2023
Project Manager/ Claims Specialist
Denials Management
05.2014 - 01.2016
Medical Assistant
Intermountain Healthcare
05.2007 - 02.2014
Certified - Medical Coder, Biller, And CEHRS
MedCerts
Certificate - Medical Assisting
Everest College
General Studies -
Granger High School
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