Nicole Beaver
Bethel,AK
Summary
Persuasive communicator focused on tapping into customer loyalty and bringing delinquent accounts current. Savvy to typical customer responses and prepared to use scripts and personal expertise to overcome objections. Confident and collected in challenging situations.
Overview
4
4
years of professional experience
Work History
Third Party Recovery Specialist I
YKHC
Bethel, AK
08.2023 - Current
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Performed periodic audits of case files to ensure accuracy and completeness.
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Performed insurance verification, pre-certification and pre-authorization.
- Checked claims coding for accuracy with ICD-10 standards.
- Reviewed and processed Medicaid claims for accuracy, completeness, and compliance with applicable regulations.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Managed all payments processing, invoicing and collections tasks.
Patient Advocate
YKHC
Bethel, AK
07.2021 - 08.2023
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Facilitated communication between providers, patients, and family members.
- Counselled patients on potential financial liabilities and payment requirements.
- Organized patient records and updated information in the hospital database system.
- Advised on available resources such as financial assistance programs or home care options.
- Ensured HIPAA compliance when handling confidential patient information.
- Provided support to other staff members as needed during peak times of activity.
- Arranged debt repayment or established schedules for repayment based on customer's financial situation.
- Conducted follow-up on outstanding insurance claims and worked with other departments to resolve payment issues.
- Researched and responded to customer inquiries via phone, email, or mail regarding billing statements, services rendered.
- Spoke with customers to learn reasons for overdue payments and to review terms of credit contract.
- Contacted customers with delinquent accounts to solicit payment.
- Maintained accurate records of all financial transactions.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Reviewed daily reports to identify any discrepancies or errors in patient account balances.
- Received payments and posted amounts to customer accounts.
- Answered customer questions regarding account discrepancies or problems.
Third Party Recovery Specialist I
YKHC
Bethel, AK
02.2021 - 07.2021
Shelter Advocate
TWC Central
Bethel, AK
10.2019 - 02.2021
- Supported and counseled clients with drug and alcohol addiction.
- Referred patients for community support outside of treatment and medical providers.
- Provided advocacy services for victims during hospital stays or court proceedings.
- Improved outcomes and successes by utilizing multidisciplinary risk identification and management in care planning.
- Used knowledge of successful crisis intervention techniques and supportive problem-solving to achieve treatment goals.
- Assisted survivors in accessing housing, financial assistance, medical care, mental health services, childcare services, job training programs.
- Advised victims on obtaining restraining orders against perpetrators of abuse.
- Assisted and advocated for clients obtaining financial resources and government entitlements.
- Coordinated care with interdisciplinary teams and community contacts to promote continuity of care.
- Encouraged and motivated clients to develop new coping mechanisms and techniques to drive behavior modification.
- Used active listening skills and supportive diction to cultivate client rapport and open communication.
- Collaborated with law enforcement personnel to ensure appropriate follow-up actions were taken in cases involving domestic violence.
- Provided crisis intervention and counseling to individuals, couples, and families in domestic violence situations.
- Attended trainings related to best practices in working with survivors of domestic violence.
- Maintained and developed community relationships to support various client referrals.
- Maintained contact with clients through telephone calls or home visits to provide support.
- Assisted survivors with filing police reports or other legal documents as necessary.
- Completed day-to-day duties accurately and efficiently.
- Planned and completed group projects, working smoothly with others.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Identified needs of customers promptly and efficiently.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
Education
High School Diploma -
Bethel Regional High School
Bethel05-2001
Skills
- Documentation Abilities
- Crisis Management
- Case Management
- Client Counseling
Affiliations
- Girl Scouts Troop Leader
- Part of ASB for Immersion School
- VFW Auxiliary member
Languages
Spanish
Full Professional
Yupik
Elementary
Timeline
Third Party Recovery Specialist I
YKHC
08.2023 - Current
Patient Advocate
YKHC
07.2021 - 08.2023
Third Party Recovery Specialist I
YKHC
02.2021 - 07.2021
Shelter Advocate
TWC Central
10.2019 - 02.2021
High School Diploma -
Bethel Regional High School
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