Summary
Overview
Work History
Education
Skills
Timeline
Generic
Nichole McCray-Miller
Open To Work

Nichole McCray-Miller

Independence,United States

Summary

Patient-focused healthcare and specialty-pharmacy support professional with 7 years’ experience managing high-volume casework and clinical scheduling. Proven track record managing 50–100 active patient cases, scheduling for a large workforce of providers & PA's, and handling a high volume of inbound/outbound calls daily while maintaining accurate EMR and Salesforce records. Skilled in benefit verification, CoverMyMeds, prior authorizations, and HIPAA compliance; seeking a permanent customer service or case management role to improve patient access and outcomes.

Overview

7
7
years of professional experience

Work History

Medical Case Manager

AssistRx
06.2025 - 03.2026
  • Managed 50–100 active patient cases simultaneously, prioritizing follow-up and accurate documentation to maintain continuity of care.
  • Verified pharmacy and medical benefits across commercial, Medicare, and Medicaid plans; obtained and recorded insurance information for coverage determination.
  • Assessed eligibility and completed enrollments for financial assistance programs to remove therapy access barriers.
  • Handled high-volume inbound and outbound patient and provider calls with professionalism and empathy.
  • Documented all interactions in Salesforce and EMR systems, ensuring data integrity and audit readiness.
  • Applied knowledge of cost-shares and coverage structures to guide patients and providers.
  • Maintained strict HIPAA compliance and confidentiality in all communications.
  • Hybrid
  • Advocated for patients' needs, effectively navigating insurance processes and resolving coverage issues.
  • Took active role in patient and family planning process, detailing instructions, and responding appropriately and effectively to questions and concerns.
  • Maintained detailed documentation on each case, ensuring accuracy and compliance with legal requirements.
  • Improved overall team performance by providing ongoing training and mentoring sessions to junior case managers and staff members.
  • Coordinated with insurance providers to secure coverage for necessary treatments, minimizing out-of-pocket expenses for patients.
  • Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
  • Documented case notes daily and coordinated follow-up for seamless case management.
  • Explained medical care options to help families make informed healthcare decisions.
  • Provided ongoing counseling to help patients deal with conditions and processes
  • Managed caseload to satisfy multiple patients with diverse needs.

Caregiver

Independence, Missouri
09.2023 - 05.2026
  • Provided full-time, hands-on care for a family member recovering from a serious illness, managing daily care routines, medication schedules, and coordination with healthcare providers.
  • Maintained organization of medical appointments, insurance communications, and treatment documentation to support continuity of care.
  • Paused formal employment to provide essential support; now fully available and ready to re-engage in long-term professional roles.

Clinic Scheduler

Kansas City Orthopedic Alliance
09.2022 - 09.2023
  • Scheduled appointments for 50+ providers, coordinating complex calendars to maximize clinic utilization.
  • Handled high volume of inbound and outbound calls daily for appointments, insurance verification, and patient follow-up.
  • Created and maintained electronic patient charts; ensured accurate EMR documentation.
  • Requested and processed medical records (X-rays, MRI's) per clinic protocol to support clinical decision-making.
  • Assisted patients and staff with portal navigation and calendar management to reduce no-shows and appointment errors.
  • Maintained HIPAA compliance and high attention to detail in patient account handling.
  • Hybrid

Reimbursement Specialist

TrialCard Inc.
11.2021 - 08.2022
  • Managed 50–100 patient cases concurrently, ensuring timely follow-up and accurate documentation.
  • Conducted detailed pharmacy and medical benefit verification's for Medicare, Medicaid, and commercial plans; obtained and recorded insurance information for coverage determinations.
  • Evaluated patients for financial assistance programs and completed enrollments to improve therapy access.
  • Handled high-volume inbound and outbound calls while maintaining professionalism and patient empathy.
  • Hybrid

Clinical Trial Recruiter

Altascience
Overland Park, Kansas
04.2021 - 07.2021
  • Collected, reviewed, and entered volunteer medical histories and demographics into clinical trial databases with attention to accuracy.
  • Scheduled screenings and clearly communicated trial eligibility and study procedures to potential participants.
  • Maintained participant confidentiality and adhered to protocol-specific procedures and Good Clinical Practice (GCP) guidelines.

Reimbursement Specialist

TrialCard Inc.
Kansas City, Missouri
11.2019 - 03.2020
  • Entered and maintained detailed benefit information in Salesforce and EMR systems with strong accuracy.
  • Verified coverage and processed insurance data for medical support services.
  • Contacted commercial, government, and third-party payers to obtain authorizations and clarify coverage limitations.
  • Calculated patient responsibility using deductibles, coinsurance, and relevant ICD-9/ICD-10 and CPT coding.

Education

No Degree - Human Services

Penn Valley Community College
Kansas City

Skills

Performed data entry and case management tasks with accuracy and efficiency

  • Time management
  • Problem-solving
  • Dependable and responsible
  • Multitasking and organization
  • Strong ethics
  • Verbal and written communication skills
  • Medical record-keeping
  • Team collaboration
  • HIPAA compliance
  • Patient management
  • Incident reporting
  • Patient assessments
  • Medical records management
  • Medical office administration
  • Case management
  • EMR / EHR
  • Compassion and empathy
  • Conflict resolution
  • Patient advocacy
  • Empathetic listening
  • Case management experience
  • Fast learner

Utilized expertise in Salesforce CRM and CoverMyMeds to enhance client relationship management workflows

Utilized proficiency in Microsoft Office Suite (Word, Excel, Outlook) to optimize productivity and streamline workflows

Oversaw high-volume customer service operations to elevate client satisfaction

Executed thorough medical and pharmacy benefit verifications to uphold accuracy and compliance standards

Enforced compliance with HIPAA regulations and standards throughout organizational practices

Exhibited mastery in time management and multitasking to optimize productivity

Implemented meticulous documentation and record-keeping practices to uphold data integrity

Adapted quickly to new concepts and processes, demonstrating agility in learning environments

Oversaw comprehensive case management processes to ensure effective client support

Championed patient advocacy initiatives to enhance healthcare experiences

Facilitated clear communication among team members through verbal and written methods Supported project documentation by creating concise reports and presentations Assisted in conveying information effectively to stakeholders

Demonstrated adaptability and flexibility in dynamic work environments

Achieved consistent project timelines through unwavering reliability and punctuality in task execution

Provided support to individuals by demonstrating compassion and empathy in various situations Assisted team members in navigating challenges through active listening and understanding Fostered a supportive environment that encouraged open communication and collaboration

Assisted in managing electronic medical records and electronic health records systems Supported teams in maintaining accurate patient data and documentation Contributed to training staff on system functionalities

Oversaw comprehensive case management processes to ensure effective client support

Assisted in managing daily operations of medical office Supported patient scheduling and appointment coordination Helped maintain accurate patient records and documentation

Oversaw comprehensive records maintenance to ensure data accuracy and compliance

Oversaw comprehensive management of medical records to ensure accuracy and compliance

Conducted patient assessments to identify health needs and concerns Supported healthcare teams in developing care plans based on assessment findings Assisted in monitoring patient progress and adjusting care strategies as necessary

Executed advanced analytical techniques to resolve intricate challenges

Oversaw patient management processes to ensure optimal care delivery

Assisted in organizing client documentation for easy access and reference Supported team members in maintaining accurate records of client interactions Contributed to the preparation of client reports and summaries

Ensured adherence to HIPAA regulations to protect patient privacy and confidentiality

Facilitated effective team collaboration to enhance project outcomes

Demonstrated proficiency in verbal and written communication to facilitate effective information exchange

Cultivated and strengthened professional relationships to enhance collaboration

Assisted in managing multiple tasks efficiently Organized schedules and resources to support team objectives Coordinated activities to enhance workflow and productivity

Executed strategic problem-solving initiatives to enhance operational efficiency

Optimized scheduling and prioritization of tasks to enhance productivity

Demonstrated respect and compassion in all interactions with colleagues and clients

Timeline

Medical Case Manager

AssistRx
06.2025 - 03.2026

Caregiver

09.2023 - 05.2026

Clinic Scheduler

Kansas City Orthopedic Alliance
09.2022 - 09.2023

Reimbursement Specialist

TrialCard Inc.
11.2021 - 08.2022

Clinical Trial Recruiter

Altascience
04.2021 - 07.2021

Reimbursement Specialist

TrialCard Inc.
11.2019 - 03.2020

No Degree - Human Services

Penn Valley Community College