Nicole Offord Carlisle
Alabaster,AL
Summary
Results-driven business operations professional with significant expertise in process optimization, data analysis, and strategic planning. Known for strong teamwork and adaptability, ensuring seamless collaboration and effective solutions in dynamic environments. Skilled in identifying operational inefficiencies, implementing data-driven improvements, and driving impactful outcomes. Adept at leveraging analytical tools, enhancing productivity, and fostering positive team dynamics.
Overview
7
7
years of professional experience
Work History
Business Operations Analyst
Guidehouse
1802 6th Avenue South Birmingham, Alabama 35233
08.2023 - Current
- Analyzed operational data to identify trends and inform strategic decision-making.
- Developed process maps to enhance workflow efficiency across departments.
- Collaborated with cross-functional teams to improve project delivery timelines.
- Led initiatives to streamline reporting processes, increasing accuracy of deliverables.
Research Specialist / Senior Patient Account Representative / Team Lead
University of Alabama Hospital
Birmingham, AL
08.2019 - 09.2023
- Provide operational leadership within the Cash Posting department of a large academic medical center, ensuring financial accuracy, regulatory compliance, and team productivity.
- Leadership & Management
- Serve as Team Lead for the Cash Posting department, guiding daily workflow operations and supporting team members in meeting performance targets.
- Mentor and cross-train staff, including collaboration with the Managed Services Organization (MSO), strengthening departmental flexibility and coverage.
- Promote a culture of accountability, professionalism, and service excellence across all team interactions.
- Provide subject matter expertise in Blue Cross Blue Shield payment posting and complex reimbursement scenarios.
- Support management with process improvement initiatives to enhance posting accuracy and turnaround times.
- Revenue Cycle & Financial Operations
- Reconcile daily postings in Healthquest to bank deposits, maintaining 100% transaction accountability.
- Balance and maintain Banner entries for consistency across billing platforms.
- Claims & Denial Management
- Monitor EDI vendor platforms daily for claim rejections and resolve errors by identifying incorrect claim locators.
- Investigate and resolve payment denials, reimbursement discrepancies, and complex billing issues.
- Track and audit claim batches to ensure completeness and submission accuracy.
- Review EOBs to determine root causes of discrepancies and initiate corrective actions.
- Verify insurance eligibility and benefits in compliance with departmental standards.
- Patient & Provider Relations
- Maintain professional communication with patients, providers, and hospital departments.
- Ensure accurate patient demographic entry and updates in accordance with policy.
- Partner with hospital departments to obtain timely billing documentation and resolve information gaps.
- Compliance & Quality Assurance
- Maintain compliance with federal, state, and local healthcare regulations.
- Conduct coding accuracy reviews and pre-entry charge audits.
- Meet strict deadlines for assigned projects and financial reporting.
- Contribute prepared and solution-focused input during departmental meetings.
Education
Bachelor of Arts - Education
Miles College
Skills
- Financial Reconciliation & Reporting
- Insurance Billing & Verification
- Denial Management & Root Cause Analysis
- Regulatory Compliance
- Complex Problem Resolution
- Staff Coaching & Mentorship
- Customer & Patient Advocacy
- Decision Making & Judgment
- MS Office & Healthcare Billing Systems
Timeline
Business Operations Analyst
Guidehouse
08.2023 - Current
Research Specialist / Senior Patient Account Representative / Team Lead
University of Alabama Hospital
08.2019 - 09.2023
Bachelor of Arts - Education
Miles College