Nicole Watson
Portland,OR
Summary
Skilled in insurance plan verification and patient contact, I excel in fast-paced environments, ensuring timely patient procedures through efficient pre-authorizations and insurance verifications. At R1RCM Inc., I enhanced medical operations by managing high-volume tasks and adhering to HIPAA compliance, demonstrating my coordination and documentation guidelines.
Overview
17
17
years of professional experience
Work History
Insurance Verification and Authorizations
R1RCM Inc.
07.2024 - Current
- Updated patient records with accurate, current insurance policy information.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Answered phone calls and messages for medical facility,. inquiries.
Insurance Verification and Authorizations
Providence Revenue Cycle
06.2021 - 07.2024
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Answered phone calls and messages for medical facility.
Referrals and Authorizations
Providence Neurology Specialties
07.2013 - 06.2021
- Incoming and outgoing mail and faxes
- Answered Phones, scheduled appointments, prepared charts for dictation or reports.
- Prepared various insurance and inquisition forms, collected and stored patient data.
- Obtained insurance authorizations for treatment and referral.
- Billing and CPT codes.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Defined clear targets and objectives and communicated to other team members.
Medical Assistant
Kaiser Permanente
02.2008 - 05.2013
- Greeting, patient care, rooming patients and patient education.
- Collected vitals, O2 and peak flow, administered nebulizer treatments and immunizations.
- EMR, answered phones, scheduled appointments, incoming/outgoing mail and faxes.
- Explained treatment procedures, collected lab specimens to be tested.
- Maintained clean and organized exam rooms.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Taught patients about medications, procedures, and care plan instructions.
Education
Medical Assistant
Concorde Career Institute
Portland, OR01-2004
High School Diploma -
Jefferson High School
Portland, OR 06-1987
Skills
- Insurance plan verification
- Prior authorization processing
- Insurance terminology
- Insurance benefits verification
- Electronic authorization processing
- Patient contact
- Coverage and authorizations
- Coordination and scheduling
- Documentation and correspondence
- HIPAA compliance
Timeline
Insurance Verification and Authorizations
R1RCM Inc.
07.2024 - Current
Insurance Verification and Authorizations
Providence Revenue Cycle
06.2021 - 07.2024
Referrals and Authorizations
Providence Neurology Specialties
07.2013 - 06.2021
Medical Assistant
Kaiser Permanente
02.2008 - 05.2013
Medical Assistant
Concorde Career Institute
High School Diploma -
Jefferson High School
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