Nichole Tapley
Palmyra, PA *****
***********@*****.***
Authorized to work in the US for any employer
Work Experience
Medical Reimbursement Technician
lebanon va medical center - Lebanon, PA
March 2016 to June 2020
Responsible for the verification of Veterans' insurance coverage for inpatient and outpatient services; Verifies benefits, policy number, pre-certification requirements, Insurance contact information, and effective dates of coverage; Responsible for all reimbursable billing activities including consideration of professional services and facility services, sharing agreements, Medicare, and pharmacy billing; Ensures that all billable cases are identified and that bills are generated; Obtains information required for tort cases, workman's compensation, and personal injury cases; Validates claims for billing purposes insuring eligibility and referring questionable coding for review; Responsible for billing, including tort feasor, workman's compensation and no-fault auto accidents; Applies payments to the appropriate bill or refunds to the applicable party. Performs follow-up on explanation of benefits received from third-party carriers to maximize revenue and reviews payments to ensure consistency with insurance policy terms.
Front Office Assistant
MedExpress Urgent Care - Lebanon, PA
February 2013 to March 2016
To greet patients, activate patient files, and provide office support to medical and office personnel at the MedExpress clinic. ... Welcomes MedExpress patients and visitors by greeting them in person, answers inquiries and directs them through registration process. Verifying patients insurance policy is correct and active. Collect correct co-payments.
Education
High school diploma
Palmyra area High School - Palmyra, PA
June 2000 to June 2001
High school diploma
Skills
• Clerical Experience
• Data Entry
• Medical Office Experience
• Medical Terminology
• Office Administration
• Medical Records
• Caregiving
• Patient Care
• Insurance Verification
• Medication Administration
• Medical Coding
• Medical Billing
• Medical Scheduling
• ICD-10
• Front Desk (4 years)
• Typing (10+ years)