Nichole Silvis

• Managed 25-30 implementation projects concurrently, maintaining strict deadlines without compromising quality or scope.
• Developed strong relationships with clients, fostering trust and confidence in the implementation process.
• Delivered exceptionally high level of professionalism and support to each client, upholding company's commitment to service.
• Maintained up-to-date knowledge of industry trends and best practices in order to provide the most relevant solutions for clients'' businesses.
• Enhanced customer satisfaction with timely resolution of issues during project implementations.
• Provided ongoing support to clients post-implementation, addressing any concerns or issues promptly and professionally.
• Developed clear documentation for all implementation processes and procedures, enabling easy knowledge transfer among team members.

Collaborative Office Administrator, leading 7 team members to provide professional patient care.

• Received, recorded and filed medical payments by check, cash, and credit card.
• Addressed patient inquiries promptly, providing clear explanations about treatment plans, insurance coverage, billing processes, or other concerns as needed.
• Reduced errors in billing and insurance claims processing by maintaining accurate patient records and staying updated on industry regulations.
• Reduced claim denials by meticulously reviewing and correcting billing data prior to submission.
• Maintained strict confidentiality of sensitive patient data in accordance with applicable laws, regulations, and ethical guidelines.
• Assisted in budget planning for the medical office by analyzing financial data, identifying cost-saving opportunities, and making recommendations to administrators.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted and adjusted payments from insurance companies.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Enhanced team collaboration with the establishment of clear communication channels and guidelines.
• Demonstrated exceptional multitasking abilities while juggling diverse responsibilities, including reception duties and ad-hoc administrative tasks.
• Aided in employee onboarding through training new hires on office procedures, software applications, and company policies.

Billing/Coding Specialist for Physician and Occupational Therapist.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted and adjusted payments from insurance companies.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
• Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Collected payments and applied to patient accounts.
• Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
• Liaised between patients, insurance companies, and billing office.

Managed and lead a quality team, engaging in cross-training and the implementation of office policies and procedures.

• Implemented a new EMR system and supervised employee training.
• Delivered administrative support for two physicians.
• Monitored time cards and personal time off.
• Served as an experienced surgery coordinator, scheduling in-patient and out-patient surgeries and procedures.
• Completed insurance verification's, received authorizations and pre-certifications for procedures.
• Coded and billed daily office procedures, surgery and hospital charges.
• Ensured timely and accurate claim submissions.
• Posted payments and adjustments accordingly.
• Correctly identified errors and re-filed denied/rejected claims.
• Managed the practices A/R and completed required reports.
• Coordinated with facilities to set up surgeries for 2 surgeons.