Nicole Sievert
Waukesha,WI
Summary
Authorization and operations professional focused on medical order processing, payer compliance, and audit readiness. Handles insurance benefit checks, authorization requests, and issue resolution across patient, provider, and insurer channels. Brings hands-on experience in team coaching, SOP creation, and workflow optimization within healthcare settings.
Overview
16
16
years of professional experience
Work History
Insurance and Authorization Specialist
Aerocare
New Berlin, WI
09.2023 - Current
- Verified insurance benefits and obtained necessary authorizations to facilitate timely patient care.
- Managed statewide CPAP and BiPAP orders, ensuring compliance with payer and medical documentation requirements.
- Communicated with patients, providers, and insurers to resolve issues, ensuring successful order fulfillment.
Audit Coordinator
Atos Medical
New Berlin, WI
09.2022 - 07.2023
- Led internal audits, ensuring compliance and readiness for legal and payer audits.
- Provided comprehensive audit documentation and actionable insights to executive leadership.
Insurance Team Lead
Atos Medical
New Berlin, WI
07.2020 - 09.2022
- Trained and coached team of 11, leading process improvements and conducting audits to enhance performance.
- Created SOPs and facilitated weekly team meetings while serving as interim manager to ensure operational continuity.
- Supported cross-functional teams in optimizing workflows and resolving issues, fostering collaboration and efficiency.
Insurance Verification Specialist
Atos Medical
New Berlin, WI
07.2017 - 07.2020
- Verified insurance benefits and submitted authorizations.
- Educated patients on coverage and ensured HIPAA compliance.
- Communicated coverage updates to patients, providers, and internal Atos Medical teams.
- Prepared medical records and documents for appeal reviews.
Customer Service Representative
Specialized Medical Services
New Berlin, WI
10.2013 - 07.2017
- Facilitated multi-state DME order intake and resolved service issues to enhance customer satisfaction.
- Ensured order accuracy while educating customers on product usage and benefits.
- Responded to patient calls regarding specialized medical services and accurately routed requests to appropriate departments.
- Scheduled appointments for medical clients using service calendars and provider availability.
- Reviewed benefits and eligibility details in payer portals and electronic records.
Medical Biller
R&m Rehabilitation
Brookfield, wi
09.2010 - 10.2013
- Recorded payments and adjusted accounts in billing files to ensure accurate financial records.
- Answered patient questions about balances, statements, and payment options.
- Send electronic claims to multiple insurance carriers.
- Reviewed payment differences and resolved billing discrepancies with insurance and third-party payers to maintain timely reimbursements.
- Answered incoming calls regarding billing inquiries from patients and or providers in a professional manner.
- Followed up on unpaid claims with insurance companies and third-party payers through phone and written correspondence to expedite payment resolution.
Education
High School Diploma -
Waukesha North High School
Waukesha, WI01-2002
Skills
- Insurance Verification & Authorization
- Audit Coordination & Compliance
- Team Leadership
- Durable Medical Equipment (DME) Processes
- Workflow Optimization
- Microsoft Word, Microsoft Excel, Brightree, Mestamed, Hospice link, CRM, Epic
- Strong interpersonal skills
- Adaptable
- Claims submission
- Medical billing
- Attention to detail
Accomplishments
- Promoted 3 times in 5 years at Atos Medical
- Recipient of Global Hero Award, Q2 – 2022
Timeline
Insurance and Authorization Specialist
Aerocare
09.2023 - Current
Audit Coordinator
Atos Medical
09.2022 - 07.2023
Insurance Team Lead
Atos Medical
07.2020 - 09.2022
Insurance Verification Specialist
Atos Medical
07.2017 - 07.2020
Customer Service Representative
Specialized Medical Services
10.2013 - 07.2017
Medical Biller
R&m Rehabilitation
09.2010 - 10.2013
High School Diploma -
Waukesha North High School