NICOLE WIMS
Prior-Authorization Specialist
Jonesboro,GA
Summary
Customer service professional who effectively facilitates workflows and communicates with co-workers, patients, and staff. Adheres to policies, procedures, and guidelines to ensure consistent quality. Maintains patient privacy and confidentiality.
Overview
13
13
years of professional experience
Work History
Front Office Coordinator
WellStar North Fulton Hospital
Roswell, Georgia
11.2023 - Current
- Collect patient and client documents and information upon referral.
- Monitored office supplies by checking inventory and placing orders.
- Aided colleagues, managers, and customers through regular communication and assistance.
- Screened and transferred incoming calls, took down messages, and transmitted information and documents to internal personnel.
- Directed phone inquiries, answered customer questions, and scheduled appointments.
- Trained and supervised employees on office policies and procedures.
- Coordinated master schedule by booking and rescheduling appointments and balancing workloads.
- Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
- Increased customer service success rates by quickly resolving issues.
- Provided forms to fill out or update and added latest information computer system.
- Streamlined office operations by effectively monitoring and addressing client correspondence and data communications.
- Volunteered to help with special projects of varying degrees of complexity.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Service Dispatcher
Waste Management
01.2022 - 01.2024
- Managing accounts
- Written and verbal communication
- Entering information into databases
- Office inventory
- Welcoming new visitors and potential clients
- Answering calls and Emails
Front Desk / Billing
Atlanta Eye Associates
08.2020 - 09.2021
- Accurately entered patient demographics and other information into medical records system
- Performed A/R and A/P functions, collected co-pays, and reviewed denials and appeals
- Assisted in reconciling day sheet, making adjustments, and handling reimbursements
Financial Aid Advisor
Brown Mackie
01.2018 - 03.2020
- Interviewed students to determine current income, expenses, insurance coverage, tax status, financial objectives, and risk tolerance
- Answered questions and recommended strategies to help students achieve financial goals
- Managed student portfolios
Medical Assistant
Dr. Powell-Cole, M.D.
03.2016 - 10.2018
- Prepared patients for examination and treatment
- Documented patient histories and vital signs
- Ensured exam rooms were stocked with necessary instruments and handled sterilization
Office Assistant / Clerical
Technical Career Institute
04.2013 - 01.2016
- Carried out procedures independently and responded to routine requests
- Kept internal department reports and responsible for supplies and office files
- Screened calls, visitors, and incoming correspondence
Education
Bachelor of Science Degree - Healthcare Management
Ultimate Medical Academy
Miami, FLAssociate of Science - Healthcare Administration
Brown Mackie College
Miami, FLSkills
- Practice Structure
- Medical Terminology
- Business Office Operations
- Medical Office Procedures
- HIPAA Compliance
- EMR / EHR
- Greenway PrimeSUITE
- Healthcare Computer Information Systems
- Medical Practice Management Systems
- Healthcare Law
- Insurance Billing Procedures
- Healthcare Claim Cycle
- Insurance Verification
- Maintaining Prescription Line
- Appointment Scheduling
- Charting
- Filing
- Processing Co-Payments
- Technical knowledge
- Customer Service
- Material Distribution
- Communication Management
- Distance Estimation
- Regulatory Compliance
- Dispatch Recordkeeping
- Database Maintenance
- Schedule Coordination
- Customer Request Management
Timeline
Front Office Coordinator
WellStar North Fulton Hospital
11.2023 - Current
Service Dispatcher
Waste Management
01.2022 - 01.2024
Front Desk / Billing
Atlanta Eye Associates
08.2020 - 09.2021
Financial Aid Advisor
Brown Mackie
01.2018 - 03.2020
Medical Assistant
Dr. Powell-Cole, M.D.
03.2016 - 10.2018
Office Assistant / Clerical
Technical Career Institute
04.2013 - 01.2016
Bachelor of Science Degree - Healthcare Management
Ultimate Medical Academy
Associate of Science - Healthcare Administration
Brown Mackie College