Summary
Overview
Work History
Education
Skills
Timeline
Generic

Nicole Hollins

Stratford,CT

Summary

Accomplished Administrator with expertise in medical terminology and claims management at Healthfirst. Proven ability to enhance patient care through effective advocacy and counseling. Successfully streamlined authorization processes, improving efficiency by 20%. Adept at collaborating with diverse teams to ensure compliance and optimal service delivery.

Overview

23
23
years of professional experience

Work History

Authorization Specialist

Healthfirst
08.2022 - Current

Effectively verified prior authorization requests for medical procedures, ensuring compliance with insurance guidelines.

Reviewed and analyzed medical records, diagnostic codes, and treatment plans to determine eligibility for services.

Followed up with providers to ensure timely resolution of pending grievances, appeals and authorization

Educated patients and providers on insurance requirements and processes for securing authorizations.

Reviewed patient benefits, medical necessity, and policy guidelines to determine authorization requirements

Special Education Coordinator

Success Academy Charter Schools
Queens, NY
08.2020 - 08.2022

Coordinate the development, implementation, and monitoring of IEPs for students with a variety of disabilities, ensuring compliance and state-specific regulations.

Conducted assessments to determine students' eligibility for special education services, providing recommendations based on data and student needs.

Served as a liaison between parents, teachers, administrators, and community organizations to ensure that students receive appropriate services and support.

Monitored student progress through regular evaluations and adjust IEPs as necessary to meet individual goals.

Ensure all documentation, reports, and paperwork related to IEPs, evaluations, and progress are completed accurately and submitted on time.

Advocate for students' needs during meetings, helping to create an environment that fosters student success and well-being.

Medical Receptionist

Optum
New Hyde Park, NY
01.2016 - 08.2021

Answered multi-line phone system, while scheduling appointments, and ensuring patient needs are met

Maintained accurate and up-to-date patient records, ensuring compliance with HIPAA standards.

Process patient billing and insurance claims, while resolving discrepancies and outstanding balances.

Prepared medical records, lab results, and correspondence for physician review while managing referrals, medical histories, and insurance data

Secretary

Real Estate Education Center
New York, NY
01.2012 - 01.2016

Organized coordination of meetings and office events, ensuring proper room setup and catering needs.

Responded to customer inquiries and resolved issues in a timely and professional manner.

Kept track of office supplies, ordering new items when necessary to ensure smooth operations.

Managed data entry and updated client information in the database to maintain accurate records.

Assisted with the preparation of documents, reports, and presentations for meetings

Cashier Assistant

MAC Cosmetics
New York, NY
05.2011 - 01.2012

Educated clients on skincare routines and makeup tips to maintain healthy skin and ensure flawless makeup application.

Handled cash and credit, transactions, ensuring all money and receipts are correctly managed and recorded.

Conduct quality checks to ensure that all products are free from defects, contamination, or damage before use

Helped maintain inventory by restocking items, ensuring proper product displays, and stocked shelves

Sterilized, cleaned, and prepared cosmetics instruments for reuse, adhering to protocols and infection control standards.

Customer Service Representative Team Lead

Pitney Bowes
Shelton, CT
02.2003 - 04.2010

Processed online orders, track shipments, and assisted customers with tracking their purchases

Process transactions efficiently using POS systems, ensuring accurate order processing and receipt generation

Processed online orders including restocking shelves, track shipments ensuring product availability.

Maintain an organized and clean store environment, ensuring shelves are fully stocked and displays are visually appealing.

Assist with product returns, exchanges, and warranty claims, ensuring customers follow the proper procedures.

Education

Business Administration

Housatonic Community College
Bridgeport, CT

Skills

  • Medical terminology expertise
  • Claims management
  • Insurance verification
  • Data entry proficiency
  • Prior authorization processing
  • Appointment scheduling
  • Microsoft office
  • Documentation and reporting
  • Data entry
  • Record keeping
  • Advocacy and counseling
  • Recordkeeping and data input
  • Eligibility procedures
  • Document processing
  • Authorizations
  • Critical thinking
  • Record Keeping
  • Decontamination

Timeline

Authorization Specialist

Healthfirst
08.2022 - Current

Special Education Coordinator

Success Academy Charter Schools
08.2020 - 08.2022

Medical Receptionist

Optum
01.2016 - 08.2021

Secretary

Real Estate Education Center
01.2012 - 01.2016

Cashier Assistant

MAC Cosmetics
05.2011 - 01.2012

Customer Service Representative Team Lead

Pitney Bowes
02.2003 - 04.2010

Business Administration

Housatonic Community College
Nicole Hollins