Summary
Overview
Work History
Education
Skills
Timeline
Hi, I’m

Tracy Nichols

Mobile,AL
Tracy Nichols

Summary

Medical billing professional with extensive experience in managing patient billing processes and ensuring timely claim submissions. Known for strong collaboration within teams and delivering reliable outcomes. Possesses deep knowledge of coding standards and insurance guidelines, coupled with client-focused approach.

Overview

12
years of professional experience

Work History

Pathology Laboratories Inc.

Medical Billing Specialist
05.2024 - Current

Job overview

  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.

Springhill Memorial Hospital

Patient Access Representative
04.2024 - 04.2025

Job overview

  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
  • Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
  • Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.

Trubridge

Medical Billing Specialist
08.2015 - 04.2024

Job overview

  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Located errors and promptly refiled rejected claims.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

USA Women and Children Hospital

Medical Receptionist
03.2013 - 06.2014

Job overview

  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.

Education

U.S. Career Institute
Fort Collins, CO

Certificate from Medical Coding And Billing

Albany Technical College
Albany, GA

Diploma from Radiologic Technology
06-2008

Skills

  • HIPAA compliance
  • Payment posting
  • Claim submission
  • Insurance verification
  • Denial management
  • CPT knowledge
  • ICD-10 proficiency
  • Medicare and medicaid process
  • Medical coding expertise
  • Bill payment
  • Insurance billing
  • Medical billing
  • Medical terminology

Timeline

Medical Billing Specialist

Pathology Laboratories Inc.
05.2024 - Current

Patient Access Representative

Springhill Memorial Hospital
04.2024 - 04.2025

Medical Billing Specialist

Trubridge
08.2015 - 04.2024

Medical Receptionist

USA Women and Children Hospital
03.2013 - 06.2014

U.S. Career Institute

Certificate from Medical Coding And Billing

Albany Technical College

Diploma from Radiologic Technology

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Tracy Nichols