Summary
Overview
Work History
Education
Skills
Certification
Timeline
Additional Information
Generic

Nicole Butler Teel

Sicklerville,NJ

Summary

Detail-oriented and highly experienced Insurance Verification Specialist with a clinical documentation specialty, offering over 4 years of expertise in medical coding, billing, and patient services. Adept at navigating complex insurance systems including Medicare, Medicaid, Personal Injury Protection (PIP), Veterans Affairs (VA), and various commercial payers. Proven ability to manage high call volumes, verify insurance eligibility and benefits, process claims, and ensure HIPAA-compliant documentation. Demonstrates advanced proficiency in ICD-10, CPT, and medical terminology, while maintaining a strong commitment to patient satisfaction and operational accuracy.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Medical Customer Service & Insurance Verification Specialist

Sunmed Medical Systems
03.2020 - Current
  • Performed accurate insurance verification and pre-authorization for Medicare, Medicaid, PIP, VA, and commercial insurance plans, reducing claim rejections by 60%.
  • Maintained detailed knowledge of state/federal healthcare regulations and payer-specific policies.
  • Reviewed benefits and eligibility using systems such as NaviNet, Tricare, Medicare, Medicaid, VA, automotive, and Humana portals.
  • Assisted patients in scheduling, referrals, prescription refills, and general inquiries while delivering excellent customer service.
  • Completed medical billing procedures, handled copays, and processed appeals and denials with thorough documentation.
  • Trained new employees on HIPAA compliance, coding guidelines, and patient service protocols.
  • Handled front-desk operations including walk-ins and vendor coordination in a fast-paced medical office environment.
  • Managed and coded over 45+ medical records daily, utilizing ICD-10 and CPT codes to ensure billing accuracy and clinical alignment.
  • Collaborated with providers to resolve documentation and coding discrepancies, improving billing efficiency and reducing errors by 40%.
  • Maintained high patient engagement through clear communication and responsiveness in high-pressure conditions.

Substitute Teacher

Educational Staffing Solutions
08.2018 - 06.2022
  • Establish professional standards for pre-service preparation, certification, and professional development that will continuously serve to improve the quality of instruction for New Jersey's children to prepare them for post-secondary education.
  • Creating a safe (no HIB) environment for students, with staff under student district guidelines.
  • Under the district policy of Camden County School Districts - NJ (listed below)
  • To plan and prepare appropriately the assigned courses and lectures.
  • To conduct assigned classes at the scheduled times.
  • To demonstrate competence in classroom instruction.
  • To implement the designed curriculum completely and in due time.
  • To plan and implement effective classroom management practices.
  • To engage students in active, hands-on, creative problem-based learning.
  • To provide opportunities for students to access and use current technology, resources and information to solve problems.
  • To provides opportunities for students to apply and practice what is learned.
  • Other Duties Included:
  • Providing support for special needs students under corrective: 504 plans, IEPs, Speech, Physical Therapy and After-Graduate programs.
  • Updating student parent communications, systematic grading.
  • Recruiting others to join as aides, paraprofessionals, and teachers within the district.

Corporate Order Audit Specialist

Burlington Stores Inc
10.2016 - 04.2018
  • As a Purchase Order Coordinator I played a pivotal role for the company by managing data, solving problems, and collaborating with business partners in order to ensure order details are communicated promptly and accurately.
  • Efficiently and accurately enters all maintenance items, and order information following all established procedures and approvals.
  • Performs and manages excel uploads of specific item level information for order creation and attribute updates.
  • Utilizes appropriate tools, i.e. Service Now, Oracle, SAP: Retail to monitor and execute assigned workload to meet department purchase order productivity and accuracy targets to supply orders within the retail stores under allocation guidelines.
  • Identifies issues and works with Merchandise Process Analysts (MPAs) and order process management to resolve purchase order issues/problems insuring order is accurately completed.
  • This position directly supports the merchandise order process, which has a significant impact on sales and gross margin performance of the company.
  • This role is ultimately responsible for accurate order communication and execution between the vendors and the merchandising, ecommerce, allocations, supply chain, and stores teams.

Education

BA - History

Montclair State University
Montclair, NJ

Skills

  • Insurance Verification (Medicare, Medicaid, PIP, VA, Commercial)
  • Medical Coding & Billing (ICD-10, CPT)
  • HIPAA Compliance & Clinical Documentation
  • Patient Benefit Analysis & Pre-Authorization
  • EHR Systems & Insurance Portals
  • Appeals & Claims Resolution ( automotive PIP)
  • High-Volume Call Center Support (55 daily)
  • Medical Supply Coordination
  • EHR & EMR Software
  • Microsoft Office Suite (Word, Excel, Outlook)
  • Insurance coverage verification
  • Medical billing/ terminology (ICD-10)

Certification

  • Medical Billing and Coding Specialist (ICD-10, CPT)
  • HIPAA Compliance Training (Completed)
  • Medical Terminology and Clinical Documentation Specialist with 5+ year experience.

Timeline

Medical Customer Service & Insurance Verification Specialist

Sunmed Medical Systems
03.2020 - Current

Substitute Teacher

Educational Staffing Solutions
08.2018 - 06.2022

Corporate Order Audit Specialist

Burlington Stores Inc
10.2016 - 04.2018

BA - History

Montclair State University

Additional Information

  • Authorized to work in the United States
  • Available for relocation or remote opportunities
  • Passionate about delivering accessible, patient-focused care through accurate documentation and insurance support

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