Nicole Lewis
Grand Prairie,TX
Summary
Dynamic healthcare professional with a proven track record at United Healthcare, excelling in claims management and patient scheduling. Leveraging strong analytical skills and attention to detail, I enhanced operational efficiency and improved patient satisfaction. Adept at collaborating with cross-functional teams to streamline processes and ensure compliance with healthcare regulations.
Overview
12
12
years of professional experience
Work History
Clinal Letter Writer
Empower Healthcare Solutions
Remote
10.2025 - Current
- Developed engaging content for healthcare-related topics to enhance patient education.
- Collaborated with subject matter experts to ensure accuracy and relevance of written materials.
- Researched industry trends and best practices to inform content strategy and development.
- Edited and proofread articles for clarity, grammar, and adherence to style guidelines.
- Utilized exceptional writing, editing, and proofreading skills to produce engaging and error-free content.
- Wrote medical denial letters to patients in 6th grade reading level
- Coordinated with medical doctors to review cases for approval/ denial
Clinical Administrative Coordinator
United Healthcare
Remote
08.2023 - 10.2025
- Coordinated patient scheduling, optimizing appointment availability and enhancing operational efficiency.
- Managed insurance verification processes, ensuring accurate coverage information for patients.
- Facilitated communication between clinical staff and patients, improving service delivery and satisfaction rates.
- Implemented electronic health record systems, streamlining documentation and data retrieval processes.
- Supported compliance with healthcare regulations through meticulous record-keeping and auditing practices.
- Developed training materials for new hires, fostering a deeper understanding of administrative procedures.
- Analyzed workflow inefficiencies, proposing solutions that enhanced overall departmental productivity.
- Contributed to revenue growth by accurately coding claims for submission to insurance providers.
- Maintained complete documentation for permanent records and auditing purposes.
- Reviewed cases to determine need for escalation.
- Provided comprehensive administrative support to department staff.
- Implemented new administrative procedures that led to a significant improvement in overall office organization and functionality.
- Investigated claims to check billing status.
- Assisted with quality assurance initiatives by conducting regular audits on medical records, ensuring the accuracy and completeness of documentation.
- Participated in regular team meetings discussing process improvements, leading to more effective workflows within the clinic setting.
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Kept high average of performance evaluations.
Appeals Coordinator
United Healthcare Group
08.2021 - 09.2023
- Coordinated appeals processes to ensure timely resolutions and compliance with regulatory requirements.
- Analyzed appeal documentation for accuracy and completeness, facilitating efficient case reviews.
- Collaborated with cross-functional teams to address complex member inquiries related to claims and appeals.
- Maintained detailed records of appeal outcomes, enhancing data integrity for reporting purposes.
- Streamlined workflows to reduce turnaround times for appeal resolutions while maintaining quality standards.
- Mentored junior staff on best practices in appeals management, fostering a culture of continuous improvement.
- Acted as a departmental resource on appeals matters.
- Created, composed and maintained appeal response templates.
- Streamlined appeals process for increased efficiency through consistent tracking and monitoring of cases.
- Coordinated with medical professionals and subject matter experts for case reviews, obtaining necessary clarification for accurate decisionmaking.
- Ensured confidentiality of sensitive information by following strict security protocols throughout the appeals process.
- Verified client information by analyzing existing evidence on file.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Determined appropriateness of payers to protect organization and minimize risk.
House Calls Scheduling Coordinator
United Healthcare
08.2020 - 08.2021
- Scheduled appointments and managed calendars for healthcare providers and patients.
- Coordinated communication between healthcare teams to ensure efficient patient care.
- Assisted in resolving scheduling conflicts and optimizing resource allocation.
- Maintained accurate records of appointment changes and patient interactions.
- Developed workflows to streamline scheduling processes and improve efficiency.
- Trained new staff on scheduling software and operational procedures.
- Monitored scheduling metrics to drive timely adjustments and enhance service delivery.
- Managed daily scheduling conflicts to reduce operational backlogs and support full shift-coverage.
- Worked with manager and supervisor to plan and coordinate production schedules.
- Communicated scheduling changes to staff members, implementing proof-of-receipt to reduce errors.
- Coordinated training sessions for new hires, ensuring seamless integration into the team''s scheduling processes.
- Addressed and resolved scheduling issues promptly, minimizing disruptions to planned activities.
Assistant Manager
Freeway Insurance
03.2014 - 08.2020
- Assisted in managing daily operations and workflow processes to ensure efficiency.
- Implemented customer service strategies to enhance client satisfaction and retention.
- Developed training materials for new employees, fostering a culture of continuous improvement.
- Coordinated team schedules and assignments, optimizing resource allocation across departments.
- Analyzed performance metrics to identify areas for operational enhancements and cost savings.
- Supported management in executing marketing initiatives to increase brand visibility and client engagement.
- Facilitated communication between departments, ensuring alignment on objectives and project timelines.
- Evaluated feedback from clients and staff to drive improvements in service delivery protocols.
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Mentored junior staff members in their professional development by offering guidance/support in their assigned roles.
- Promoted teamwork within the workplace by encouraging collaboration among staff members on various project tasks.
- Boosted employee morale by recognizing outstanding performance and celebrating team accomplishments.
- Implemented staff training programs, enhancing product knowledge and improving customer service skills.
- Led weekly team meetings to discuss goals and review performance, fostering culture of continuous improvement.
- Maintained compliance with health and safety regulations, ensuring safe environment for both staff and customers.
- Established team priorities, maintained schedules and monitored performance.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Defined clear targets and objectives and communicated to other team members.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Identified and communicated customer needs to supply chain capacity and quality teams.
Education
No Degree - Pharmacology
Pima Medical Institute
Chula Vista, CAHigh School Diploma -
Artesia High School
Lakewood, CASkills
- Grammar usage
- Strong research skills
- Research
- Idea brainstorming
- Effective writing
- Fact-checking
- Content development
- Audience engagement
- Proofreading
- Client collaboration
- Attention to detail
- Critical thinking
- Telephone customer support
- Medicare/Medicaid
- Clinical documentation
- Patient scheduling
- Documentation skills
- Insurance verification
- HIPAA
- Recordkeeping skills
- Office management
- Medical terminology
- Healthcare compliance
- Appointment coordination
- Policy implementation
- Provider relations
- Claims management
- Medical billing
- Coding procedures
- Case review
- Claims assessments
- Case evaluations
- Patient services management
- Patient education
- Patient confidentiality
- Data entry proficiency
- Policy interpretation
- Insurance regulations
- Confidentiality
- Effective communication
- Strong analytical skills
- Documentation expertise
- Medical coding
- Insurance policies
- Problem-solving
- Time management
- Claims investigation
- Multitasking Abilities
- Reliability
- Organizing and prioritizing work
- Active listening
- Verbal and written communication
Timeline
Clinal Letter Writer
Empower Healthcare Solutions
10.2025 - Current
Clinical Administrative Coordinator
United Healthcare
08.2023 - 10.2025
Appeals Coordinator
United Healthcare Group
08.2021 - 09.2023
House Calls Scheduling Coordinator
United Healthcare
08.2020 - 08.2021
Assistant Manager
Freeway Insurance
03.2014 - 08.2020
No Degree - Pharmacology
Pima Medical Institute
High School Diploma -
Artesia High School