NICOLE WILLIAMS
Buford,GA
Summary
Dedicated healthcare professional with over 10 years of experience in diverse medical settings, specializing in patient services, medical claims, healthcare administration, and clinical office operations. Proven expertise in patient interaction, medical records management, insurance verification, claims processing, and compliance with healthcare regulations. Recognized for delivering compassionate patient support while maintaining meticulous medical documentation and fostering collaboration among clinical and administrative teams. Currently pursuing a degree in Radiologic Technology to enhance skills and contribute to patient care excellence.
Overview
23
23
years of professional experience
Work History
Claims Adjuster, Automobile and Casualty
Safeguard Products International
10.2020 - Current
- Evaluated insurance claims to determine validity and appropriate compensation amounts.
- Reviewed policy coverage to ensure compliance with company standards and regulations.
- Collaborated with clients to gather necessary documentation for claim processing.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Followed up on potentially fraudulent claims initiated by claims representatives.
Patient Service Representative
Spine Care & Pain Management
11.2013 - 09.2020
- Assisted in managing electronic health records, ensuring accuracy and compliance with regulations.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Managed patient scheduling to optimize clinic workflow and reduce wait times.
- Processed insurance claims and verified patient eligibility for services efficiently.
- Provided training and mentorship to new staff on office procedures and customer service standards.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
Home Health Aide
Home Care Assistance
03.2007 - 06.2013
- Assisted clients with daily living activities, enhancing overall well-being and independence.
- Monitored client health by performing routine pulse, temperature, blood pressure checks and administered medications in accordance with doctor's instructions.
- Maintained accurate records of patient care and communicated effectively with family members.
- Collaborated with healthcare professionals to develop individualized care plans, addressing specific needs and goals of each patient.
- Provided emotional support to clients and families, fostering a compassionate caregiving environment.
- Prevented pressure ulcers through frequent repositioning and regular skin assessments, maintaining patient comfort while reducing complications.
Home Health Aide
United Cerebral Palsy Of Georgia
01.2003 - 02.2007
- Trained new hires on best practices for patient care and safety protocols.
- Implemented strategies to improve client engagement and satisfaction during visits.
- Coordinated transportation for clients to medical appointments, ensuring timely arrivals.
- Safely transferred patients using appropriate equipment such as Hoyer lifts or gait belts minimizing injury risks.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Helped patients maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
- Assisted disabled clients to support independence and well-being.
- Promptly responded to emergency situations such as falls or medical crises providing immediate care and contacting appropriate personnel when necessary.
Education
Radiologic Technology
Gwinnett Technical College
Transferred - Nursing
Georgia Perimeter College
Clarkston, GAHigh School Diploma -
Meadowcreek High School
Norcross, GASkills
- Patient intake and scheduling
- EHR management
- Insurance verification and prior authorizations
- Medical records analysis
- Effective patient communication
- Compliance with HIPAA standards
- Clinical operations management
- EHR, PACS, EPIC, RamSoft, Sharepoint, Microsoft Office, Google Suite
- Claims analysis and resolution
Timeline
Claims Adjuster, Automobile and Casualty
Safeguard Products International
10.2020 - Current
Patient Service Representative
Spine Care & Pain Management
11.2013 - 09.2020
Home Health Aide
Home Care Assistance
03.2007 - 06.2013
Home Health Aide
United Cerebral Palsy Of Georgia
01.2003 - 02.2007
Radiologic Technology
Gwinnett Technical College
Transferred - Nursing
Georgia Perimeter College
High School Diploma -
Meadowcreek High School