Nicole Fragola
Bronx,NY
Summary
Dedicated healthcare professional with over 20 years of experience providing exceptional administrative and customer service support. Skilled in managing high-volume, multi-line phone systems, handling 100+ calls daily while ensuring a positive patient experience. Experienced in verifying insurance coverage for 75+ patients per day with accuracy and efficiency. Highly organized, dependable, and committed to streamlining front desk operations and enhancing patient satisfaction. Adept at multitasking in fast-paced environments while maintaining professionalism and attention to detail. Seeking a postion where I can utilize my skills while working remotely from home.
Overview
23
23
years of professional experience
Work History
Insurance verification specialist
Westchester Medical Center
12.2017 - Current
- Verify Patient Benefits & Eligibility
- Confirm insurance coverage for medical services
- Check patient deductibles, copays, and out-of-pocket expenses
- Determine Pre-Authorization Requirements
- Identify if prior authorization is needed for procedures, treatments, or hospital stays
- Contact insurance companies to obtain approvals when necessary
- Check Existing Authorizations
- Review medical records and insurance databases to see if prior authorization is already on file
- Ensure authorization covers the specific services to be rendered
- Document verification results in the hospital’s system
- Track pending authorizations and follow up as needed
Senior clerk
Montefiore Medical Center
02.2007 - 09.2015
- Prepared charts for patients
- Checked in/out patients
- Collected copayments
- Verified health insurance eligibility and benefits
- Registered new patients in IDX and Care-cast computer system
- Scheduled and confirmed patients appointments
- Answered telephones and took necessary messages
Clerk
Inter County imaging
04.2002 - 09.2007
- Collected copayments
- Answering and directing phone calls using a multi-line system
- Scheduling appointments
- Maintaining and updating records, files, and databases
- Pre-registered patients for upcoming appointments
Education
Certificate -
Connecticut Center for Massage Therapy
Westport, CTGED -
Lehman High School
Bronx, NY12.2009
Skills
- Time management
- Multitasking
- Attention to detail
- Accuracy
- Strong communication
- Customer service
- Problem-solving
- Conflict resolution
Timeline
Insurance verification specialist
Westchester Medical Center
12.2017 - Current
Senior clerk
Montefiore Medical Center
02.2007 - 09.2015
Clerk
Inter County imaging
04.2002 - 09.2007
Certificate -
Connecticut Center for Massage Therapy
GED -
Lehman High School
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