Summary

Overview

Work History

Education

Skills

Additional Information

Timeline

Nicole Nuno

Boise,ID

Summary

Dynamic Medicaid/Medicare Eligibility Specialist with Centauri Health Solutions, skilled in data entry and effective communication. Achieved enhanced client satisfaction through timely eligibility determinations and reduced errors by leveraging strong analytical thinking. Proven ability to train staff and streamline processes, fostering a collaborative team environment while ensuring compliance with regulations.

Overview

years of professional experience

Work History

Medicaid /Medicare Eligibility Specialist

Centauri Health Solutions

Remote

04.2022 - Current

Analyzed eligibility criteria for various healthcare programs to ensure compliance and accuracy.
Facilitated communication between clients and healthcare providers to streamline application processes.
Reviewed documentation for completeness and verified information against regulatory standards.
Assisted in resolving client inquiries regarding eligibility determinations efficiently.
Maintained detailed records of client interactions and eligibility outcomes for auditing purposes.
Collaborated with team members to refine processes, enhancing overall service delivery quality.
Trained new staff on eligibility assessment protocols and system navigation best practices.
Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
Resolved discrepancies with client applications to verify eligibility.
Maintained detailed records of client interactions, ensuring accuracy and confidentiality of sensitive information.
Interviewed applicants and explained scope of different available benefits.
Scheduled appointments with applicants to gather information and explain benefits processes.
Communicated with people from various cultures and backgrounds on application process.
Developed strong rapport with clients by effectively communicating complex program requirements and processes.

Radiology Scheduling

Centauri/HCA

Remote

03.2022 - 04.2024

Coordinated patient scheduling for radiology services to optimize workflow efficiency.
Managed appointment confirmations and reminders to enhance patient attendance rates.
Developed and maintained accurate records within electronic health record systems.
Communicated effectively with medical staff to ensure seamless patient care processes.
Assisted in training new staff on scheduling protocols and system usage.
Collaborated with physicians to prioritize urgent cases and manage scheduling conflicts.
Implemented process improvements that reduced scheduling errors and improved service delivery.
Provided exceptional customer service by addressing patient inquiries regarding appointments and procedures.
Coordinated radiology appointments for multiple departments, ensuring optimal resource utilization.
Promoted a culture of continuous improvement within the scheduling department by actively participating in team meetings and offering constructive feedback on current processes.
Developed a strong understanding of various radiology procedures and their prerequisites, allowing for accurate scheduling and patient education.
Streamlined appointment scheduling by implementing an efficient online booking system.
Proactively addressed potential scheduling issues by reviewing upcoming appointments regularly and making necessary adjustments as needed.
Supported clinical staff with administrative tasks such as distributing reports, filing paperwork, and tracking inventory to ensure seamless daily operations.
Provided excellent customer service to patients, answering inquiries about radiology procedures and billing processes promptly and accurately.
Increased overall department efficiency by identifying areas for improvement in the scheduling process, proposing solutions, and implementing changes as needed.
Maintained strict adherence to HIPAA guidelines while handling sensitive patient information during the scheduling process.
Reduced patient wait times by effectively managing schedules for multiple radiologists and technicians.
Facilitated same-day appointments whenever possible by constantly monitoring available time slots and communicating with clinical staff regarding urgent cases.
Assisted in training new schedulers on department protocols, policies, and software systems to ensure smooth integration into the team.
Managed high call volumes efficiently while maintaining a professional demeanor and providing exceptional customer service to both internal staff members and external callers alike.
Contributed to a positive work environment by fostering strong relationships with colleagues across various departments within the facility.

Education

High School Diploma -

Santa Maria High School

Santa Maria, CA

06-1995

Skills

Data entry
Verbal communication
Telephone etiquette
Appointment scheduling
Knowledgeable in Software
Disability awareness

Advocacy and counseling
Confidentiality
Critical thinking
Multitasking Abilities
Team collaboration

Effective communication skills

Microsoft office

Telephone etiquette

Verbal communication

Public assistance

Appointment scheduling

Documentation and paperwork

Policy interpretation

Knowledgeable in Software

Resource information

Disability awareness

Social services

Government relations

Record keeping

Advocacy and counseling

Confidentiality

Problem-solving

Team building

Critical thinking

Analytical thinking

Time management

Multitasking ability

Reliability

Team collaboration

Goal setting