Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nichole Smith

Omaha,NE

Summary

Results-driven Medical Claims Specialist with a strong background in claims processing and customer service. Proven ability to educate team members and resolve billing discrepancies, enhancing operational efficiency and client satisfaction.

Overview

7
7
years of professional experience

Work History

Medical Claims Specialist

Berkshire Hathaway Homestate Companies
07.2021 - 06.2026
  • Reviewed and processed medical claims for accuracy and compliance with policies.
  • Managed a caseload of 150+ claims in an efficient and organized manner.
  • Educated team members on claims procedures and best practices to enhance overall performance.
  • Collaborated with claimants, employers, and medical providers to provide the best customer service and resolution.

Sales Associate

Francesca's Boutique
10.2022 - 11.2023
  • Developed strong customer relationships to enhance loyalty and repeat business.
  • Assisted in visual merchandising to create appealing product displays that attract customers.
  • Provided personalized shopping experiences, resulting in improved customer satisfaction ratings.
  • Trained new associates on sales techniques and store policies to ensure operational consistency.

Medical Billing Specialist

Conifer Healthcare Solutions
02.2019 - 07.2021
  • Processed medical claims accurately, ensuring compliance with industry regulations and payer requirements.
  • Resolved billing discrepancies, improving revenue cycle efficiency and reducing claim denials.
  • Collaborated with healthcare providers to obtain necessary documentation for timely claim submissions.
  • Trained new staff on billing protocols and coding procedures to enhance team performance.

Education

University of Nebraska At Omaha
Omaha, NE

High School Diploma -

Westside High School
Omaha, NE

Skills

  • Large account handling
  • Claims processing
  • Provider relations
  • Customer service
  • Medical record review
  • Critical Decision-making
  • Telephone etiquette

Timeline

Sales Associate

Francesca's Boutique
10.2022 - 11.2023

Medical Claims Specialist

Berkshire Hathaway Homestate Companies
07.2021 - 06.2026

Medical Billing Specialist

Conifer Healthcare Solutions
02.2019 - 07.2021

University of Nebraska At Omaha

High School Diploma -

Westside High School
Nichole Smith