Nicole Soliz
Peoria,AZ
Summary
Detail-oriented remote healthcare scheduler with a diploma in Medical Billing and Coding and an Associate of Applied Science in Health Care Administration. Skilled in remote work environments, specializing in insurance verification, quality assurance, and compliance. Proficient in medical records management, scheduling, and patient communication. Adept at data analysis and process improvement, committed to collaboration, adaptability, and maintaining high standards in fast-paced settings.
Overview
12
12
years of professional experience
Work History
Remote Benefit Verification Rep-Scheduler
CVS Health
08.2021 - Current
- Answer inbound calls to provide prescription information, respond to patient inquiries, and route calls to appropriate departments.
- Maintain 100% accuracy in performance metrics, with a strong focus on quality and efficiency.
- Conduct quality assurance checks while verifying ICD-10 codes during prescription processing.
- Process specialty prescriptions for patients in the Osteoporosis Department.
- Verify insurance information and resolved claim denials through correction and resubmission.
- Communicate with patients and pharmacists to resolve issues related to insurance coverage and prescription approvals.
- Demonstrate the ability to work independently in a remote environment with minimal supervision.
- Achieved high scores on phone audits and consistently met customer service metrics.
- Exceeded expectations for productivity and performance in the role of BV Representative I.
- Billing for both pharmacy and major medical insurance plans for patient medications.
Medical Office Appointment Scheduler
Surprise Health Clinic
12.2019 - 02.2020
- Greeted and checked in patients, answered questions, and ensured completion of required forms.
- Scheduled appointments and managed inbound calls with professionalism and efficiency.
- Verified patient insurance coverage and obtained prior authorizations as needed.
- Maintained accurate patient records and upheld HIPAA compliance.
Medical Biller and Insurance Verification Specialist
One Source Senior Health Care
08.2019 - 11.2019
- Verified insurance eligibility and benefits for senior health care services.
- Processed claims and corrected denied claims for timely reimbursement.
- Maintained accurate billing records and submitted invoices to insurance companies.
- Communicated with patients and insurers to resolve billing inquiries.
Dental Biller
Unlimited Smiles
11.2018 - 12.2018
- Prepared and submitted dental insurance claims and follow-up documentation.
- Processed payments and managed outstanding account balances.
- Verified patient insurance and obtained pre-authorizations for procedures.
Pediatric Dental Biller
Cute Smiles 4 Kids
10.2016 - 10.2017
- Handled pediatric billing and insurance claims for dental services.
- Verified insurance coverage and explained benefits to parents/guardians.
- Addressed rejected claims and processed patient payments.
- Collaborated with front office staff to maintain accurate records.
Dental Insurance Specialist
Smile Fitness Dental Center
07.2015 - 09.2016
- Verified insurance and coordinated coverage for dental services.
- Managed appointment scheduling, patient check-in, and billing inquiries.
- Collected co-pays and created customized payment plans.
- Ensured proper documentation and submission of claims.
Service Administrator
La Mesa RV
06.2014 - 06.2015
- Processed service orders, insurance forms, and vendor invoices.
- Coordinated customer service needs and appointment scheduling.
- Maintained organized records and followed up on outstanding payments.
Dental Insurance Scheduler
Arrowhead Dental
04.2013 - 05.2014
- Verified patient benefits and eligibility for dental treatments.
- Entered and updated insurance data using dental software.
- Answered phones and emails to schedule appointments and address patient concerns.
- Educated patients on insurance benefits and billing procedures.
Education
Associate of Applied Science - Healthcare Administration
Arizona College of Allied Health
Glendale, AZ02.2025
Medical Billing and Coding Diploma - undefined
Arizona College of Allied Health
Glendale, AZ01.2024
Skills
- Excellent customer service and interpersonal communication
- Appointment scheduling and patient registration
- Medical billing and coding expertise
- Strong organizational, analytical, and time management skills
- Proficient in Microsoft Office (Word, Excel, Outlook)
- EHR software and data entry proficiency
- Skilled in scheduling and office coordination
- Detail-oriented problem solver
- Independent and collaborative work
- Accuracy and precision
Timeline
Remote Benefit Verification Rep-Scheduler
CVS Health
08.2021 - Current
Medical Office Appointment Scheduler
Surprise Health Clinic
12.2019 - 02.2020
Medical Biller and Insurance Verification Specialist
One Source Senior Health Care
08.2019 - 11.2019
Dental Biller
Unlimited Smiles
11.2018 - 12.2018
Pediatric Dental Biller
Cute Smiles 4 Kids
10.2016 - 10.2017
Dental Insurance Specialist
Smile Fitness Dental Center
07.2015 - 09.2016
Service Administrator
La Mesa RV
06.2014 - 06.2015
Dental Insurance Scheduler
Arrowhead Dental
04.2013 - 05.2014
Medical Billing and Coding Diploma - undefined
Arizona College of Allied Health
Associate of Applied Science - Healthcare Administration
Arizona College of Allied Health
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