Nicole Nichols
Kingston,GA
Summary
Certified Professional Coder with 20+ years of experience in medical billing, charge entry, patient registration, insurance verification, and account reconciliation. Proven ability to lead teams, streamline revenue cycle processes, and enhance claim resolution. Highly skilled in systems such as Epic, IDX, Greenway, and Meditech. Known for strong customer service, accuracy, and attention to detail.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist / Account Follow-Up & Charge Entry
Rome Orthopaedic Center
Rome, GA
03.2020 - Current
- Efficiently applied payments, adjustments, and denials using billing software.
- Tracked claim statuses while submitting insurance claims and appeals.
- Regularly reviewed and corrected patient insurance coverage alongside demographic data.
- Facilitated coordination between patients, billing staff, and insurance companies for accurate billing.
- Verified eligibility under policy guidelines while issuing insurance refunds.
- Entered daily clinic charges to be submitted to insurance.
- Maintained compliance by ensuring proper coding of diagnosis and procedure codes (ICD-10, CPT).
Revenue Cycle Management Specialist / Charge Entry
Parsons Medical
GA
09.2024 - 11.2024
- Posted hospitalist charges for 4 providers
- Managed database updates and maintained accurate charge data
- Ensured task completion and deadline adherence
- Remote
Medical Billing Specialist / Refund Clerk
Floyd Healthcare Management
Rome, GA
05.2015 - 03.2020
- Resubmitted primary care claims and filed appeals, enhancing claim accuracy.
- Completed insurance verifications and pre-authorizations to facilitate patient services.
- Processed refund requests for erroneous claims, improving financial recovery efforts.
- Trained new staff on billing practices while addressing patient billing questions.
- Detected claim errors and re-filed denied or rejected claims efficiently.
Data Entry Team Lead / Billing Specialist
Summit Radiology Services
Cartersville, GA
04.2004 - 03.2015
- Entered patient insurance, demographic, and health data into billing system
- Provided customer service for billing inquiries
- Submitted clean claims electronically and reviewed account accuracy
- Trained new team members and conducted team training meetings
Education
Bachelor of Science - Psychology
Jacksonville State University
Jacksonville, AL08.1999
Skills
- Billing & Coding:
- ICD-10, CPT, HCPCS, modifiers
- Claim submission, payment posting, A/R follow-up
- Denial management, insurance collections
- Technical Tools:
- IDX/GE Centricity, Greenway, Imagine, Misys Tiger, Meditech, Cerner, Epic, Avreo, Veradigm and
- Administrative Skills:
- HIPAA compliance
- Scheduling, patient registration, refunds
- Excellent verbal & written communication
Certification
Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)
Timeline
Revenue Cycle Management Specialist / Charge Entry
Parsons Medical
09.2024 - 11.2024
Medical Billing Specialist / Account Follow-Up & Charge Entry
Rome Orthopaedic Center
03.2020 - Current
Medical Billing Specialist / Refund Clerk
Floyd Healthcare Management
05.2015 - 03.2020
Data Entry Team Lead / Billing Specialist
Summit Radiology Services
04.2004 - 03.2015
Bachelor of Science - Psychology
Jacksonville State University