Administrative Support Medical Policy

NICKOLE FIERS

**** ***** ***** ********, ** ***** · 307-***-****

Email · **********@*****.*** ·

I am a dynamic healthcare professional with 24 years experience in patient authorization and administrative support, significantly enhancing operational efficiency within clinical environments. Expertise in ICD-10, medical classification, prioritization of requirements, and adept transcribing skills contribute to seamless authorization processes and effective communication. Proven to navigate complex medical policies and advocate for patients, ensuring timely access to necessary care. Committed to maintaining accuracy and compliance, while fostering collaborative relationships with clinical teams and Insurance providers.

EXPERIENCE

08/2014 – PRESENT

PRECERTIFICATION COORDINATOR, Eye Center of Northern Colorado

reviewing chart documentation to ensure patient meets medical policy guidelines, prioritizing incoming authorization requests according to urgency, obtaining authorization via payer website or by phone and following up regularly on pending cases, maintaining individual payer files to include up to date requirements needed to successfully obtain authorizations, initiating appeals for denied authorizations, j code authorizations, mri authorization, responding to clinic questions, and confirming the accuracy of CPT and ICD-10.

02/08 – 08/2014

INSURANCE BENEFITS COORDINATOR, Alpine Ear, Nose and Throat

reviewing chart documentation to ensure patient meets medical policy guidelines, prioritizing incoming authorization requests according to urgency, obtaining authorization via payer website or by phone and following up regularly on pending cases, maintaining individual payer files to include up to date requirements needed to successfully obtain authorizations, initiating appeals for denied authorizations, responding to clinic questions, and confirming the accuracy of CPT and ICD-10. Answering the phone appropriately, making patient appointments, other front desk duties when needed.

01/03 – 02/08

UNIT SECRETARY EMERGENCY DEPARTMENT, cheyenne regional medical center

answering the phone appropriately, transcribing doctors’ orders, placing orders into the computer, faxing orders, paging other departments, daily patient census and patient log, other duties as asked.

EDUCATION

LARAMIE COMMUNITY COLLEGE

COLORADO SCHOOL OF THE HEALING ART

UNIVERSITY OF WYOMING

CENTRAL WYOMING COLLEGE

WHEATLAND HIGH SCHOOL

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