Nicole Valcarcel
Atlanta,GA
Summary
Multifaceted Individual with a strong background healthcare, compliance, audit, and finance. Known for flexibility and reliability in dynamic settings, leveraging analytical skills and attention to detail. Skilled in team leadership, decision-making, coordinating patient care and training staff, contributing to improved workflow and the fostering of collaborative environments to drive initiatives.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Lead Medical Coordinator
Brightstar Homes & Services
Stockbridge, GA
10.2019 - Current
- Coordinated patient scheduling and communication between healthcare providers and clients.
- Mentored junior staff and led team meetings to address workflow challenges and identify process improvement opportunities.
- Managed referral processes effectively and facilitated timely access to specialized care for patients in need of additional services beyond primary care offerings and discharge planning.
- Served as a critical point of contact for patients during emergencies or after-hours situations, providing appropriate guidance and support during challenging moments.
- Collaborated closely with insurance companies to resolve any discrepancies or coverage issues on behalf of patients quickly, reducing financial stress.
- Updated patient records and reports to enable tracking history and provide accurate and up-to-date information for physicians and other medical staff.
- Developed and implemented processes for managing patient records in compliance with HIPAA regulations.
- Handled patient inquiries regarding treatment plans, procedures, and insurance matters
- Maintain accurate and up-to-date electronic medical records (EMR/EHR).
- Prepare reports and maintain documentation for audits and quality assurance and ensure operational efficiency.
Audit and Compliance Analyst
Atlantic Capital Bank
Fort Valley, GA
07.2017 - 10.2019
- Documented research findings to support risk-based decision-making and resolution to escalated fraud incidents.
- Enhanced knowledge of higher risk verticals, how to mitigate risk associated, and calculate potential exposure.
- Identified threats, vulnerabilities and suspicious behavior patterns to recommend mitigation measures.
- Reviewed and analyzed financial, credit, and publicly available information to support actions and decisions which where documented by written detailed analysis,
- Prepared reports of investigation in accordance with guidelines and
- Authored thorough reports detailing results of investigations.
- Assisted with collecting and developing information from variety of sources.
Traced and identified illicit proceeds deposited into financial institutions by analyzing financial documents.
Banker
Atlantic Capital Bank
Fort Valley, GA
03.2016 - 07.2017
- Analyzed financial statements, bank records, and databases to identify fraud and/or suspicious activities.
- Adhered to established security procedures and reported potential fraud or safety violations to management for immediate recourse.
- Developed customized solutions of deposit, lending, and other products for personal and business accounts.
- Continually boosted branch production and revenue by consistently meeting all monthly and quarterly sales goals.
- Networked to increase client base and provided financial advice leading to the expansion of financial portfolios.
- Approached prospective clients through cold calling, emails, and follow-up plans.
- Met with clients to determine financial objectives and review assets, liabilities, cash flow, and other financial information.
- Established close working relationships with assigned Business Partners (Mortgage, Small Business, Commercial and Investment).
Education
Bachelor of Science - Family Consumer Science
Fort Valley State University
Fort Valley, GA05-2020
Skills
- HIPAA compliance
- Document retention
- Clinical documentation
- Transportation Management
- Insurance
- Appeals
- Fraud Detection
- Investigation and research
- Excel, Word, Powerpoint
- Account Reconciliation
- Scheduling
- Filing
- Risk management and analysis
- Transaction monitoring and processing
- Billing
- Decision making and resolution
- Escalation and Mitigation
- Operations
Certification
- HRST (Health Risk Screening Tool)
- CPR
- Fire Safety
- Office Management
- Relias
Timeline
Lead Medical Coordinator
Brightstar Homes & Services
10.2019 - Current
Audit and Compliance Analyst
Atlantic Capital Bank
07.2017 - 10.2019
Banker
Atlantic Capital Bank
03.2016 - 07.2017
Bachelor of Science - Family Consumer Science
Fort Valley State University