NICOLE MONTGOMERY
Jacksonville
Summary
Healthcare administrative professional with over 10 years of experience supporting high-volume primary care and outpatient clinical operations. Demonstrated expertise in prior authorization management, insurance verification, referral coordination, EMR documentation, and HIPAA-compliant patient data handling. Skilled in navigating multiple electronic health record systems and insurance portals to ensure timely care delivery and accurate claim processing. Seeking to transition into a remote healthcare operations or care coordination role.
Overview
17
17
years of professional experience
Work History
Medical Office Specialist
Baptist South Primary Care
01.2024 - Current
- Coordinate prior authorization requests and track approval status to support timely patient treatment.
- Verify insurance eligibility, benefits, and coverage requirements across multiple commercial and government plans.
- Maintain accurate patient demographic and financial documentation within EMR systems.
- Support referral processing workflows and ensure completion of required clinical documentation.
- Collaborate with clinical staff and external providers to facilitate continuity of care.
- Ensure compliance with HIPAA regulations and organizational quality standards.
Medical Office Specialist
HCA Jacksonville Primary Care
01.2023 - 01.2024
- Managed insurance verification and authorization workflows within a fast-paced primary care setting.
- Processed patient registrations and updated medical records with high attention to accuracy.
- Coordinated appointment scheduling based on provider availability and care needs.
- Assisted with claim-related follow-up activities to reduce delays in patient services.
Office Coordinator
Memorial Hospital / HCA Healthcare
01.2021 - 01.2023
- Oversaw administrative operations for outpatient therapy services supporting adult and pediatric populations.
- Scheduled PT, OT, and specialty therapy services while ensuring authorization compliance.
- Served as liaison between providers, therapists, and support departments to streamline care coordination.
- Monitored workflow queues and tracked patient service completion.
Office Coordinator / Patient Access Specialist
Conifer Health Solutions / Tenet CCH
01.2015 - 01.2021
- Coordinated scheduling and insurance authorization processes for multiple therapy disciplines.
- Verified ICD-10 coding accuracy to support billing and reimbursement activities.
- Reviewed insurance benefits and documented coverage requirements for treatment services.
- Maintained detailed records within EMR systems to support clinical and financial workflows.
Patient Service Representative
Doctors Care
01.2012 - 01.2015
- Conducted insurance eligibility verification and collected patient financial responsibility.
- Managed patient intake documentation and ensured accuracy of medical records.
- Delivered patient-centered administrative support in a high-volume urgent care environment.
Certified Nursing Assistant
Bloom at Belfair
01.2009 - 01.2013
- Assisted patients with activities of daily living and mobility support.
- Documented patient care activities while maintaining confidentiality and safety standards.
Education
Business Administration - Marketing & Management
University of Phoenix
Skills
- Prior Authorizations
- Insurance Verification & Benefits Review
- Referral Coordination
- EMR/EHR Systems (Epic, Cerner, eClinicalWorks)
- Medical Terminology & ICD-10 Familiarity
- Workflow Queue & Case Tracking
- Patient Access & Intake Processes
- Claims Support & Billing Accuracy
- HIPAA Compliance & Data Confidentiality
- Provider & Interdepartmental Communication
- Microsoft Outlook
- Microsoft Teams
- Microsoft Excel
- High-Volume Administrative Support
Timeline
Medical Office Specialist
Baptist South Primary Care
01.2024 - Current
Medical Office Specialist
HCA Jacksonville Primary Care
01.2023 - 01.2024
Office Coordinator
Memorial Hospital / HCA Healthcare
01.2021 - 01.2023
Office Coordinator / Patient Access Specialist
Conifer Health Solutions / Tenet CCH
01.2015 - 01.2021
Patient Service Representative
Doctors Care
01.2012 - 01.2015
Certified Nursing Assistant
Bloom at Belfair
01.2009 - 01.2013
Business Administration - Marketing & Management
University of Phoenix