Hi, I’m
TONYA NICHOLS
Canton ,MS
Summary
Energetically driving success in healthcare and customer service, I leveraged my expertise in claims processing and compassionate care at HealthOne, enhancing client satisfaction and operational efficiency. Skilled in HIPAA compliance and medical billing, my adept multitasking and communication abilities ensured high-quality care and streamlined operations, achieving a notable increase in claim resolution accuracy.
Overview
17
years of professional experience
1
Certification
Work History
A. Nichols Logistics
Office Manager
01.2010 - Current
Job overview
- Managed approximately 30 incoming calls, emails and faxes per day from customers.
- Handled sensitive information with discretion maintaining confidentiality of company documents and personnel records
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving
- Dispatched trucks
- Prepared daily reports
- Process Payroll
- Bank deposits, and taxes.
HealthOne
Claims Representative
01.2009 - 01.2010
Job overview
- Processed and analyzed customer claims with accuracy and attention to detail
- Worked closely with billing staff to obtain additional documentation needed for claim adjudication when necessary
- Participated in regular training sessions related to updates on Medicare and Medicaid rules and regulations
- Resolved problems through problem-solving techniques that resulted in successful resolution of disputes over payments or coverage eligibility
- Maintained strict confidentiality when dealing with sensitive patient information while adhering to HIPAA regulations.
Madison County Medical
PBX Operator/Billing Specialist
10.2007 - 04.2008
Job overview
- Answered and directed incoming calls in a professional manner, while providing excellent customer service
- Actively monitored call queues and responded accordingly when needed
- Successfully managed accounts receivable and billing processes for multiple clients
- Demonstrated ability to identify errors or inconsistencies in data entry quickly and efficiently
- Reviewed and posted daily payments.
Education
Jackson State UniversityJackson, MS
Bachelor of Science (B.S.) in Biology
12.2009
Holmes Community CollegeRidgeland, MS
Associate in Science (A.S.) in Pre-Nursing
05.2007
Magnolia College of CosmetologyJackson, MS
License Cosmetologist: Cosmetology
05.2002
Skills
- Remote Office Availability
- Customer Service
- Excellence
- Data Entry
- Medical Scheduling
- Project Management
- Effective Oral and Written Communication
- Inbound/Outbound Calls
- HIPAA Compliance
- Insurance Verification
- Medical Terminology
- Claims Support
- Medical Billing
- Documentation Review
- Claims Processing
- Insurance Knowledge
- SAP
- Case Management
- Fraud Detection
- Multitasking Abilities
- Attention to Detail
- Eligibility Determination
- Insurance Claim Forms Review
- Client Interviews
- Accounts Payable
Certification
Licensed Cosmetologist
Timeline
Office Manager
A. Nichols Logistics
01.2010 - Current
Claims Representative
HealthOne
01.2009 - 01.2010
PBX Operator/Billing Specialist
Madison County Medical
10.2007 - 04.2008
Jackson State University
Bachelor of Science (B.S.) in Biology
Holmes Community College
Associate in Science (A.S.) in Pre-Nursing
Magnolia College of Cosmetology
License Cosmetologist: Cosmetology
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