Nicole Jackson
Maple Shade
Summary
Compassionate healthcare professional specializing in patient relations and claims processing. Demonstrates strong conflict resolution and patient advocacy skills, enhancing satisfaction through effective communication and timely problem-solving. Proficient in insurance verification and managing billing discrepancies to support healthcare objectives.
Overview
12
12
years of professional experience
Work History
Medical Billing and Collections Specialist
BC Billing Solutions
Paulsboro
02.2026 - 05.2026
- Reviewed and appealed denied claims, securing appropriate reimbursement for patients.
- Coordinated with healthcare providers to resolve billing discrepancies, enhancing claim accuracy.
- Processed medical claims using billing software and electronic systems.
- Reviewed, coded, and submitted claims to insurance companies and government payers.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Verified patient insurance information and managed account inquiries.
- Managed collections for outstanding accounts while maintaining patient relations.
- Followed up on unpaid or denied claims in a timely manner.
- Analyzed account receivables aging report to identify and address delinquent accounts.
- Maintained accurate records of payments and patient transactions.
Front Desk Medical Assistant
Mid Atlantic Retina
Marlton
12.2025 - 02.2026
- Checked in patients, updated demographic information, and collected co-pays to ensure accurate patient records.
- Ensured seamless patient check-in by coordinating information updates and payment collection.
- Efficiently managed patient scheduling and appointment confirmations to enhance workflow.
- Processed patient payments and scanned identification and insurance cards accurately.
- Verified patient insurance information for accuracy and completeness.
- Processed pre-authorization requests for medical services to facilitate timely patient care.
- Maintained confidentiality of patient records in compliance with HIPAA guidelines to protect patient privacy.
- Assisted front office with filing, faxing, photocopying, and clerical tasks.
- Verified ICD-10 codes for accurate billing
Patient Access Representative
South Jersey Radiology
Mount Laurel
06.2025 - 07.2025
- Managed insurance verification and pre-authorization processes, ensuring timely patient care and reducing delays.
- Facilitated patient registration and appointment scheduling for imaging services, enhancing patient access to necessary procedures.
- Coordinated communication between patients and healthcare providers regarding appointments, improving overall patient experience and satisfaction.
- Assisted patients with insurance inquiries and billing questions directly.
- Resolved scheduling conflicts for patients by coordinating with healthcare providers.
- Handled sensitive patient information according to HIPAA regulations diligently.
- Applied HIPAA privacy and security regulations while handling patient information.
Patient Account Rep Follow Up
Central Billing Office
Camden
06.2024 - 04.2025
- Verified eligibility with insurance companies to ensure coverage accuracy.
- Navigated insurance websites and online tools to confirm details of patient coverage.
- Facilitated communication with patients and insurers to clarify co-pays, deductibles, and claim denials.
- Coordinated with insurance companies to resolve claim denials, ensuring timely follow-up and effective outcomes.
- Prepared and submitted appeals for denied claims, leveraging detailed research to support patient cases.
- Resolved accounts in a timely manner, enhancing overall efficiency.
- Collaborated with healthcare providers to obtain necessary documentation for claims.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Maintained confidentiality of all patient health, finance, and demographic information.
Patient Service Representative
Cooper Care Alliance
Cherry Hill
12.2022 - 06.2024
- Identified insurance payer sources and verified coverage to ensure patient access to necessary services.
- Assisted patients with insurance verification, explaining coverage and financial obligations to promote understanding and alleviate concerns.
- Collected copayments and deductibles in accordance with insurance policies.
- Coordinated appointments and confirmed follow-ups to improve patient satisfaction and streamline visit processes.
- Provided patients with necessary paperwork and ensured accuracy of information.
- Maintained courteous interactions with patients, emphasizing respect and professionalism.
- Complied with HIPAA regulations and upheld patient confidentiality standards.
- Notified supervisor about customer complaints or urgent issues for timely resolution.
Insurance Follow Up/ Account Representative (Financial Recoveries)
Jefferson Health Hospital/ Financial Recoveries
Mount Laurel
12.2019 - 05.2021
- Contacted insurance companies to obtain policy and payment information, facilitating timely claims processing.
- Verified eligibility with insurers; communicated co-pay, deductible, denial, and COB details.
- Evaluated account information to identify current issues and recommend solutions.
- Regularly updated patient and insurance data in company systems with precision.
- Instructed clients on benefits plan coverage using clear terminology.
- Maintained strict adherence to security protocols for sensitive data protection.
- Responded to customer concerns with empathy and professionalism.
Insurance Follow Up Representative
PATHS
Pennsauken
03.2017 - 04.2019
- Initiated follow-up communications with insurance providers on pending claims to expedite claims processing.
- Resolved billing discrepancies and denials through detailed research and proactive communication to ensure timely payments.
- Reviewed patient accounts to identify outstanding balances, facilitating prompt resolution of outstanding issues.
- Conducted thorough analysis of Explanation of Benefits and Remittance Advice for compliance.
- Achieved productivity goals by processing over 75 claims daily in PB follow-up and EPIC follow-up.
- Assisted in training new representatives on claims procedures and best practices.
Customer Service Representative
Field Print Inc.
Mt. Laurel
11.2016 - 05.2017
- Answered customer calls promptly, reducing on-hold wait times for customers.
- Managed high call volume efficiently, ensuring immediate assistance for customers.
- Delivered friendly service while effectively resolving challenging situations.
- Enhanced customer satisfaction by proactively addressing needs and concerns.
- Executed service steps to ensure consistent and positive customer experience.
- Coordinated fingerprinting appointments across all 50 states to streamline processes.
- Communicated with applicants regarding background checks, conducting necessary follow-up research.
Educational Assistant
Pennsauken Board of Education
Pennsauken
08.2014 - 05.2016
- Facilitated personalized learning for students with special needs through targeted small group support.
- Supported students with diverse learning needs during instructional time.
- Collaborated with teachers to develop engaging lesson plans and facilitate classroom activities.
- Fostered positive and inclusive classroom culture, enhancing student participation and collaboration.
- Monitored student behavior and applied targeted strategies to enhance engagement and learning.
- Organized classroom materials and resources for effective learning experiences.
- Supervised recess periods to ensure safety of all students on the playground.
Education
High School Diploma -
Camden County College
Blackwood, NJ06-2029
Cerification - Medical Billing/ Coding
DeVry University
Chicago, IL06-2026
Medical Assistant/ Medical Administrative Certificate -
Mandl School For Medical Assistant
New York City, NY05-1993
Skills
- Billing software tools
- Patient account management
- HIPAA compliance
- Registration and scheduling
- Insurance verification
- Time management
- Epic software proficiency
- Claims processing and medical billing
- Submission of medical claims
- Payer contracts and claim review
- Account follow-up
- ICD-10 coding
- Insurance collections
- CMS-1500 billing
- Payment posting and CPT code modifiers
References
Available Upon Request
Timeline
Medical Billing and Collections Specialist
BC Billing Solutions
02.2026 - 05.2026
Front Desk Medical Assistant
Mid Atlantic Retina
12.2025 - 02.2026
Patient Access Representative
South Jersey Radiology
06.2025 - 07.2025
Patient Account Rep Follow Up
Central Billing Office
06.2024 - 04.2025
Patient Service Representative
Cooper Care Alliance
12.2022 - 06.2024
Insurance Follow Up/ Account Representative (Financial Recoveries)
Jefferson Health Hospital/ Financial Recoveries
12.2019 - 05.2021
Insurance Follow Up Representative
PATHS
03.2017 - 04.2019
Customer Service Representative
Field Print Inc.
11.2016 - 05.2017
Educational Assistant
Pennsauken Board of Education
08.2014 - 05.2016
High School Diploma -
Camden County College
Cerification - Medical Billing/ Coding
DeVry University
Medical Assistant/ Medical Administrative Certificate -
Mandl School For Medical Assistant