NICOLE SLACK
Los Angeles,CA
Summary
Detail-oriented professional with over 8 years of experience in healthcare, specializing in support for medical providers, patients, and insurance workflows. Certified CPC-A and CCMA with expertise in insurance verification, authorization processing, documentation review, and HIPAA compliance. Demonstrated success in maintaining accurate records, coordinating care, and ensuring timely authorization approvals in dynamic healthcare settings.
Overview
2027
2027
years of professional experience
Work History
Prior Authorization Specialist
MES Group
Remote, CA
2022 - Current
- Reviewed prior authorization requests for medical services and procedures.
- Communicated with healthcare providers to gather necessary documentation.
- Analyzed patient information to determine eligibility for services.
- Maintained accurate records in electronic health systems for tracking authorizations.
- Utilized regulatory guidelines to ensure compliance in authorization decisions.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
Clinical Quality Assurance Coordinator
ExamWorks
Hybrid, CA
2019 - 2022
- Collaborated with team members to improve quality assurance processes.
- Reviewed documentation for accuracy and completeness before final approval.
- Reviewed medical documentation for accuracy and completeness prior to submission process.
- Conducted regular audits to ensure adherence to regulations.
Medical Assistant
Moxie Care
Pasadena, CA
2017 - 2018
- Supported expecting parents through gestational surrogacy with fertility clinic staff, attorneys, insurance, and behavioral health professionals while maintaining a high level of professionalism.
- Managed 30 patient schedules, including doctor appointments, exercise routines, medication schedules, recreation, and family visits.
- Provided excellent phone skills: clear, articulate communication to accurately describe our services to patients and collect information.
- Provided administrative support to healthcare staff to ensure smooth patient workflow.
Education
Diploma -
Susan Miller Dorsey High School
06.2017
Skills
- Excellent communication skills
- Proficient in CRM systems
- Proficient in Microsoft Word
- Proficient in Slack
- Proficient in Zoom
- Proficient in Google Suite
- Excellent attention to detail
- Accuracy in data entry
- Record keeping
- Software troubleshooting
- Technological savvy
- HIPAA/PHI compliance
- Ability to thrive in a fast-paced environment
- Ability to multi-task
- Time management
- Identify insurance claims
- Medical claim inquiries
- Highly organized
- Account management
- Proficient in IVF
- Proficient in ICSI
- Proficient in IUI
- Typing speed of 80 wpm
Accomplishments
- CPC-A Certification
- CCMA Certification
Timeline
Diploma -
Susan Miller Dorsey High School
Prior Authorization Specialist
MES Group
2022 - Current
Clinical Quality Assurance Coordinator
ExamWorks
2019 - 2022
Medical Assistant
Moxie Care
2017 - 2018