Nicole Chinevere
Brooksville,FL
Summary
Detail‑oriented Revenue Cycle professional with over 7 years of experience in account auditing, financial navigation, insurance verification, and patient access operations. Skilled in identifying process gaps, improving workflow efficiency, and ensuring compliance across multiple revenue‑cycle functions. Known for accuracy, strong communication, and an ability to support both patients and clinical staff with professionalism and compassion.
Overview
8
8
years of professional experience
Work History
Quality Assurance Coordinator
Florida Cancer Specialists
Fort Myers, FL
10.2023 - Current
- Audited 300+ accounts monthly across Revenue Cycle departments—including Customer Service, Pathology, and Financial Navigation—to ensure accuracy, compliance, and adherence to organizational and regulatory standards.
- Identified trends, documentation gaps, and process issues; communicated findings directly to department managers and directors to support performance improvement and compliance readiness.
- Managed Revenue Cycle policies and procedures, ensuring all documents were current, accurately maintained, and aligned with FCS standards; guided departments through revision workflows and annual review cycles.
- Conducted quarterly shadow reviews with frontline staff to observe real‑time processes, evaluate adherence to procedure, and recommend ongoing improvements for workflow efficiency and quality.
- Collaborated cross‑functionally to strengthen process integrity, reduce errors, and support consistent application of regulatory and internal compliance requirements.
Patient Financial Navigator
Florida Cancer Specialists
Spring Hill, FL
02.2022 - 10.2023
- Processed over 80 accounts daily, effectively balancing patient appointments, high‑volume inbound calls, and timely outbound follow‑up outreach.
- Verified patient insurance coverage and benefits in Centricity and OncoEMR, ensuring all information was accurate and up to date for treatment authorization and billing.
- Reviewed EOBs and payment data in Centricity to ensure accurate collection of patient financial responsibility and proper application of payments.
- Conducted financial consultations with patients regarding balances, payment plans, and long‑term financial planning; assisted patients in understanding insurance coverage and out‑of‑pocket costs.
- Managed daily BAR and Managed Care worklists, maintaining required turnaround times and meeting FCS productivity and accuracy standards.
- Ensured Managed Care accounts were compliant with organizational and payer guidelines, including correct diagnosis codes, treatment protocols, valid authorizations, and patient responsibility accuracy.
- Identified patient eligibility for copay assistance programs, grants, and foundation funding; completed and submitted all required applications to secure financial support.
- Processed prior authorization requests for treatment add‑ons, medication changes, and outside imaging to prevent delays in care.
- Collaborated with clinical teams to ensure seamless coordination between financial clearance, treatment planning, and patient care.
- Delivered compassionate financial navigation, helping patients feel confident, supported, and informed throughout their oncology treatment journey.
Financial Counselor
Parallon
Hudson, FL
12.2018 - 02.2022
- Managed financial responsibility and collections for nearly 300 in‑house patient accounts, ensuring accurate demographic and insurance information to support timely payments.
- Served as the primary point of contact for inpatient collections, securing payments, establishing financial arrangements, and completing required financial documentation.
- Oversaw all Trauma accounts—high‑value, complex cases often exceeding $1M—performing intensive verification and investigative work to identify patients and locate insurance coverage.
- Worked closely with case management and clinical teams to gather patient information, confirm eligibility, and ensure all financial data was complete prior to final billing.
- Acted as the final review before claims were billed, reducing errors and preventing delays or denials in reimbursement.
Registrar
Parallon
Hudson, FL
11.2017 - 12.2018
- Registered all emergency room patients after triage, accurately capturing and updating demographic, insurance, and financial information.
- Verified insurance eligibility and benefits in real time to ensure correct billing and upfront collection of patient financial responsibility.
- Collected copays, deductibles, and outstanding balances at the point of service and completed all required registration and consent forms.
- Obtained and scanned patient identification and insurance cards to maintain complete and compliant account documentation.
- Worked in a fast‑paced, high‑volume emergency environment requiring efficiency, accuracy, and strong knowledge of diverse insurance plans.
- Ensured all patient information was handled in compliance with HIPAA regulations to protect sensitive health information and maintain patient confidentiality.
Education
High School Diploma -
Fivay High School
Hudson, FL06.2014
Skills
- Insurance Verification
- Eligibility & Benefits Knowledge
- Prior Authorizations
- Patient Financial Collections
- EOB Review & Payment Accuracy
- Claims & Billing Understanding
- HIPAA Compliance
- Documentation Accuracy
- Patient Communication
- Customer Service
Timeline
Quality Assurance Coordinator
Florida Cancer Specialists
10.2023 - Current
Patient Financial Navigator
Florida Cancer Specialists
02.2022 - 10.2023
Financial Counselor
Parallon
12.2018 - 02.2022
Registrar
Parallon
11.2017 - 12.2018
High School Diploma -
Fivay High School