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.
Portland, OR
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
Portland, OR
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
Portland, OR
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
Portland
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
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