Nicole Phelps
Claims Specialist
North Tonawanda,NY
Summary
Highly-motivated medical claims specialist with desire to take on new challenges. Possessing career longevity, strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Business-minded with exemplary skills in customer service, time management and service coordination. Displayed a reputation for providing quality service and excellent work ethic. Pursuing a new career path with an expanding company by utilizing my substantial skill set to take my career to the next level.
Overview
18
18
years of professional experience
Work History
Medical Claims Specialist
Best Self Behavioral Health
Buffalo, NY
11.2016 - Current
- Prepares Medicaid (CCBHC) claims for electronic transmission. Review and re-process payment denials. Organizes billing and re-billing materials. Produces reports from Cerner to provide feedback to management. Verifies client Medicaid information. Works various reports, emphasizing on accuracy to assure timely reimbursement. Performs related clerical work as required. Assisted with various LEAN projects. Collaborated closely with other departments to resolve claims issues. Resolved claim kick outs in Inovalon, clearing house.
Medical Billing Specialist
Dent Neurologic
Amherst, NY
03.2011 - 08.2016
- Input all charges for physicians and testing into e-clinical works. Working knowledge of CPT codes, ICD-10, modifiers, coding, and documentation guidelines. Simultaneous prioritization of multiple tasks.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Prepared electronic claims submission to our clearing house Navicure.
- Efficient with the use of E-Pay.
Medical Secretary/ Customer Service/Receptionist
Dent Neurologic Institute
Amherst, NY
01.2007 - 03.2011
- Worked directly with two neurologists specializing in neuromusclar pathology. Duties included - scheduling appointments, follow-ups, clinical and laboratory testing, imaging; obtain referrals and prior authorizations, following insurance guidelines, administrative work within lotus notes. Front Desk duties included - Welcomed patients and visitors, answering of phones and routing calls to proper staff. Assisted patients to complete all necessary forms and documents including medical insurance. Collected co-payments, and completed other clerical duties as assigned.
Education
Bachelor of Arts - Fine Arts & Photography
State University of New York At Buffalo
Buffalo05-2006
Skills
- Medical terminology
- Claims processing
- Telephone etiquette
- Strong work ethic
- Process improvement
- ICD-10 and CPT coding skills
- Task prioritization
- Data entry proficiency
- Expert Medicaid knowledge
References
References available upon request.
Timeline
Medical Claims Specialist
Best Self Behavioral Health
11.2016 - Current
Medical Billing Specialist
Dent Neurologic
03.2011 - 08.2016
Medical Secretary/ Customer Service/Receptionist
Dent Neurologic Institute
01.2007 - 03.2011
Bachelor of Arts - Fine Arts & Photography
State University of New York At Buffalo
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