Nicole Pio
Camas
Summary
Experienced with insurance authorization processes, ensuring efficient and timely approvals. Utilizes precise data entry and effective communication to streamline operations. Strong understanding of healthcare protocols and requirements, contributing to optimal patient care.
Overview
16
16
years of professional experience
Work History
Insurance Authorization Specialist
Vancouver Clinic
Vancouver, WA
01.2021 - Current
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Referral Specialist
Vancouver Clinic
Vancouver, WA
07.2019 - 12.2020
- Developed and implemented streamlined referral processes to improve operational efficiency.
- Coordinated patient referrals to ensure timely access to specialized care.
- Managed complex scheduling for consultations, optimizing provider availability.
Patient Service Representative
Vancouver Clinic
Vancouver, WA
04.2018 - 06.2019
- Assisted patients with insurance inquiries, ensuring seamless communication with providers.
- Managed patient scheduling and appointment confirmations to enhance office efficiency.
- Handled patient records with a focus on accuracy and confidentiality compliance.
- Trained new staff on clinic policies and customer service best practices.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
Member Service Representative
IQ Credit Union
Vancouver, WA
06.2010 - 06.2011
- Provided exceptional customer support for member inquiries and account management.
- Educated members on financial products and services to promote informed decision-making.
- Processed loan applications efficiently, ensuring compliance with credit union policies.
Education
Associate of Applied Science - Medical Billing And Coding
Clark College
Vancouver, WA03.2018
Skills
- Prior authorizations
- HIPAA compliance
- ICD-10 coding
- Proficiency in Epic
- Insurance verification
- Prior authorization
- Strong communication skills
- Active listening
Timeline
Insurance Authorization Specialist
Vancouver Clinic
01.2021 - Current
Referral Specialist
Vancouver Clinic
07.2019 - 12.2020
Patient Service Representative
Vancouver Clinic
04.2018 - 06.2019
Member Service Representative
IQ Credit Union
06.2010 - 06.2011
Associate of Applied Science - Medical Billing And Coding
Clark College