NIKKI GOODEN
Macon,GA
Summary
Healthcare professional with proven track record in delivering exceptional customer service in healthcare industry. Demonstrated ability to effectively manage patient inquiries and resolve issues promptly, contributing to high patient satisfaction. Displayed strong communication and problem-solving skills, ensuring seamless patient experiences and operational efficiency.
Overview
21
21
years of professional experience
Work History
Referral Specilist I
Elevance Health (Carelon)
03.2022 - Current
- Verified insurance benefits and eligibility for Home Healthcare procedures before referring clients.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Organized patient files and streamlined operations to improve efficiency.
- Accurately completed insurance and Medicaid billing and OASIS documentation for patient visits.
- Process referrals via fax and phone calls
- Built professional relationships with service providers.
- Received and addressed incoming and outgoing communication via telephone, fax, and email.
Salvage Specialist
GEICO, Government Employees Insurance
07.2016 - Current
- Calculated and remitted state sales tax, service and other charges
- Organized and prepared tax and title documents to transfer ownership of property
- Provided each member of public with exceptional service and knowledgeable support to maintain smooth operations and happy customers
- Received and processed paperwork for titles, new license plates and renewals
- Used Xerox machines and reader and printer machines to make, file and distribute copies of recorded documents
- Checked accuracy and completeness of registration documents and rejected unacceptable packages.
Medical Billing Specialist
Primary Pediatrics
03.2014 - 07.2016
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Precisely evaluated and verified benefits and eligibility
- Maintained and updated collections tracking spreadsheet to help organize payment information
- Identified and resolved patient billing and payment issues
- Located errors and promptly refiled rejected claims
- Accurately posted and sent out all medical claims.
Front Office Coordinator
Village Podiatry Centers
08.2010 - 03.2014
- Scheduling appointments
- Billing and coding
- Register patients
- Collect copays, deductibles, and balances
- Balance daily log
- Obtain and maintain insurance referrals
- Obtain authorizations
- Order office supplies
Patient Access Intake Specialist
The Medical Center of Central Georgia
09.2004 - 03.2009
- Conducted patient registration and verification, ensuring accurate data entry into electronic health record systems.
- Facilitated insurance authorization processes, improving access to necessary medical services for patients.
- Coordinated appointment scheduling, optimizing workflow and enhancing patient experience within the facility.
- Reduced errors in billing information by carefully reviewing documents before submission to insurance carriers.
- Coordinated with medical professionals to ensure accurate insurance verification and authorization.
- Managed high volume of inbound calls while maintaining courteous demeanor under pressure.
- Streamlined registration procedures for enhanced patient experience and reduced wait times.
Education
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZ12.2020
Skills
- Good listening skills
- Computer proficiency
- Reading comprehension
- Customer Service
- Detail-oriented
- Teamwork
- Clerical
- Good telephone etiquette
- Analytical skills
- Office Supplies and Inventory
- Referral Network
- Pre-Authorizations
- Insurance verification
- Data entry proficiency
- Medical terminology
- Pre-authorizations
Timeline
Referral Specilist I
Elevance Health (Carelon)
03.2022 - Current
Salvage Specialist
GEICO, Government Employees Insurance
07.2016 - Current
Medical Billing Specialist
Primary Pediatrics
03.2014 - 07.2016
Front Office Coordinator
Village Podiatry Centers
08.2010 - 03.2014
Patient Access Intake Specialist
The Medical Center of Central Georgia
09.2004 - 03.2009
Bachelor of Science - Health Administration
University of Phoenix
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