Summary
Overview
Work History
Education
Skills
Certification
Assessments
Additional Information
Timeline
Generic

Nickeysha Hopwood

Dallas,GA

Summary

Dynamic Patient Service Representative with over 20 years of medical office experience at ZOLL LifeVest. Proven expertise in insurance verification and exceptional customer service. Adept at educating patients and healthcare professionals, while effectively managing device inventory and scheduling. Committed to enhancing patient care through strong organizational skills and problem-solving abilities.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Patient Service Representative

ZOLL LifeVest
Pittsburgh, PA
10.2023 - Current

· Facilitates effective communication with service provider account managers and representatives to ensure smooth operations.

· Scheduled educational training by coordinating time with patients and caregivers.

· Traveled to various locations such as hospitals, nursing and rehab facilities, and patients' homes.

· Scheduled in-services for physicians and nursing staff.

· Educated patients, nurses, and doctors about the Life Vest.

· Programmed the Life Vest based on the prescribing physician's orders.

· Accurately assess patient for determining appropriate garment size.

· Reviewed and obtained patient's signature on the Patient Agreement.

· Submitted the PA and WEAR checklist to ZOLL within 24 hours of assignment.

· Managed Device and Garment inventory.

Reimbursement Specialist (Contract)

CareMetx, LLC
12.2021 - 02.2022
  • Contacted insurance companies to verify patient specific benefits.
  • Asked appropriate questions regarding patients' benefits and completes data entry and/or appropriate forms to document patients’ benefits coverage.
  • Reviewed all patient insurance information needed to complete the benefit verification process.
  • Triages cases with missing information to appropriate program associates.
  • Verified patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
  • Identified any restrictions and details on how to expedite patient
  • Completed quality review of work as part of finalizing product.
  • Reported any reimbursement trends/delays to management.
  • Performed related duties and special projects as assigned.

Front Office Specialist/COVID Injection Registrar

Wellstar Health System
Marietta, GA
01.2020 - 02.2021
  • Greeting patients, registering patients at check-in and check-out
  • Answering telephones, scheduling appointments, cash management, and/or administrative functions that support the practice’s operations.
  • Illustrating exceptional customer service and focus to WellStar’s patients and customers
  • Meet continuous timelines, managing multiple priorities and a heavy workload in a high-stress atmosphere

ADMINISTRATOR/INSTRUCTOR

DIGNITY PLACE NURSING SCHOOL
09.2017 - 10.2019
  • Answered telephone, screen and direct calls, takes messages and provides information
  • Reviewed resumes, identified qualified applicants, scheduled interviews, found appropriate job placements for applicant
  • Utilizing Lesson plans, equipment, and learning materials to give the best learning experience to our student
  • Teaching proper venipuncture techniques, anatomy, or physiology
  • Testing students to gauge their development
  • Support after-class student assistance as needed
  • Assure company and government compliance is maintained in your classes

PHLEBOTOMIST

AMERICAN HEALTH ASSOCIATION
09.2015 - 06.2017
  • Maintained the stock of commonly used supplies
  • Performing routine inspections of supply levels to ensure their immediate availability
  • Practiced universal precautions, barrier protection methods, infection control and isolation procedures when working with body fluids and other contagion to ensure a safe work environment
  • Collected and receives specimens. Reviews test requisitions and specimen labels for accurate information

PATIENT REGISTRAR/MEDICAL

Piedmont Surgery Center
Atlanta, GA
04.2016 - 03.2017
  • Greeted patients and visitors in a prompt, courteous and helpful manner.
  • Answered telephone, screen and direct calls, takes messages and provides information
  • Completed computer system intake at time of arrival. Clock in status and insure proper authorization.
  • Issued forms to patients for completion, give clear instructions and offer assistance.
  • Reviewed all forms for completion and signatures. Obtain patient signature and follow all other company procedures.
  • Recorded all fee tickets and patient names on appropriate log.
  • Pulled charts of patients to be seen the following day and prepare supplemental status report.
  • Checked in patients, verify and update necessary information in the medical record.
  • Checked patient out and give required paperwork, as needed to patient. Review employer info prior to patient leaving.

ADMINISTRATIVE ASSISTANT

INDEPENDENT MEDICAL GROUP
11.2012 - 03.2015
  • Made all corrections of non-payment related discrepancies, handle requests for information and data
  • Managed filing and record keeping activities
  • Ensured completeness and accuracy of patients' insurance forms prior to submitting
  • Verified insurance, spreadsheets, use of Excel
  • Billed and reviewed EOB and entered bill information, prepared and modified documents including correspondence, reports, drafts, memos and emails
  • Answered and responded to all calls in a professional manner
  • Took accurate messages, ensured that messages are delivered to appropriate person

WORKERS COMP MEDICAL BILL ANALYST LEAD/ PROVIDER RELATIONS

BROADSPIRE/CRAWFORD & CO
, GA
05.2005 - 01.2011
  • Communicated to other department's customer and physician concerns and questions in order to provide the best quality customer service
  • Provided exemplary customer service, answered questions from provider offices relating to all projects
  • Reviewed and verified diagnosis codes, provider information, payer information, procedure codes and dates of service
  • Entered bill information manually when required, calculated appropriate payment recommendation
  • Reviewed and interpreted relevant medical information including medical records and treatment reports to accurately determine adjudication

MEDICAL ASSISTANT/PHLEBOTOMIST

WEST END MEDICAL CENTER
09.2000 - 04.2005
  • Escorted patients to exam rooms, interviewed patients, measured vital signs, including weight, blood pressure, pulse, temperature, and document all information in patient's chart
  • Maintained all logs and required checks (i.e. refrigerator temperatures, emergency medications, expired medications, oxygen, cold sterilization fluid change, etc.)
  • Verified clients’ insurance information
  • Greeted patients as they arrive and provided appropriate information
  • Coordinated referrals and/or hospital admission arrangements as directed
  • Performed blood test according to doctor's requirements
  • Assisted doctors by providing limited procedural support
  • Ordered supplies and forms for the medical office

Education

Licence Practical Nurse - License Practical Nurse

Dignity Nursing School
Dallas, GA
03-2025

Diploma - Medical Assistant

Concorde Career Institute
Miramar , FL
01.2000

High school diploma or GED -

Boyd Anderson High School
Lauderdale Lakes, FL

Skills

  • CPR
  • Teaching (2 years)
  • Customer service skills (20 years)
  • Organizational Skills
  • Public Speaking
  • Problem solving
  • Team Building
  • Medical office experience (20 years)
  • Venipuncture (10 years)
  • Insurance verification
  • Medical scheduling (20 years)
  • Phlebotomy
  • Medical Terminology (20 years)
  • EMR Systems
  • Medical Records
  • HIPAA
  • Triage
  • Clerical Experience (20 years)
  • Vital Signs
  • Epic
  • Infection control training
  • ICD-10
  • CPT coding
  • Experience administering injections
  • Epic (2 year)
  • Laboratory experience
  • Patient Care
  • Customer suppor

Certification

First Aid Certification

Assessments

  • Electronic health records: Best practices — Proficient May 2021
  • Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Proficient
  • Customer focus & orientation — Proficient May 2021
  • Responding to customer situations with sensitivity Full results: Proficient
  • Call center customer service — Proficient April 2021
  • Applying customer service skills in a call center setting Full results: Proficient
  • Customer service — Proficient April 2021
  • Identifying and resolving common customer issues Full results: Proficient
  • Call center customer service — Proficient June 2021
  • Demonstrating customer service skills in a call center setting Full results: Proficient
  • Work style: Reliability — Highly Proficient December 2021
  • Tendency to be reliable, dependable, and act with integrity at work Full results: Highly Proficient
  • Protecting patient privacy — Proficient December 2021
  • Understanding privacy rules and regulations associated with patient records Full results: Proficient
  • Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

  • Over 18 years of experience in the Healthcare Industry
  • Track patients in the reception area and communicate with them as needed
  • Assist patients in obtaining authorizations or referrals is collected from the patient
  • Help maintain schedule/patient flow between front desk and back office clinical staff
  • Collect any required copayments, deductible, and balances owed from patients

Timeline

Patient Service Representative

ZOLL LifeVest
10.2023 - Current

Reimbursement Specialist (Contract)

CareMetx, LLC
12.2021 - 02.2022

Front Office Specialist/COVID Injection Registrar

Wellstar Health System
01.2020 - 02.2021

ADMINISTRATOR/INSTRUCTOR

DIGNITY PLACE NURSING SCHOOL
09.2017 - 10.2019

PATIENT REGISTRAR/MEDICAL

Piedmont Surgery Center
04.2016 - 03.2017

PHLEBOTOMIST

AMERICAN HEALTH ASSOCIATION
09.2015 - 06.2017

ADMINISTRATIVE ASSISTANT

INDEPENDENT MEDICAL GROUP
11.2012 - 03.2015

WORKERS COMP MEDICAL BILL ANALYST LEAD/ PROVIDER RELATIONS

BROADSPIRE/CRAWFORD & CO
05.2005 - 01.2011

MEDICAL ASSISTANT/PHLEBOTOMIST

WEST END MEDICAL CENTER
09.2000 - 04.2005

Licence Practical Nurse - License Practical Nurse

Dignity Nursing School

Diploma - Medical Assistant

Concorde Career Institute

High school diploma or GED -

Boyd Anderson High School
Nickeysha Hopwood