nicky boltonNB
Looking for a job

nicky bolton

@nickyesbin

Experienced Care Coordinator skilled in active listening, workflow management, & client engagement.

United States

What I'm looking for

I am looking for a job that values client satisfaction and provides opportunities for professional growth. I am particularly interested in roles that involve coordinating client care, advocating for members, and managing healthcare projects. I thrive in fast-paced environments and enjoy collaborating with teams to improve processes and deliver high-quality care.

I am an experienced medical care coordinator with a proven track record of improving patient satisfaction and streamlining healthcare processes. In my current role at Payer-Matrix, I have successfully coordinated medication refills and managed prescription access logistics for over 150 members monthly, resulting in a 20% reduction in wait times. I have also researched and clarified insurance benefits for 200+ members per quarter, leading to a 95% member satisfaction rate and a 30% reduction in coverage-related inquiries.

At Bryn-Mawr Medical Specialist, I created a centralized contact database for pharmaceutical reps, improving efficiency and reducing patient wait times by 25% within 6 months. I also optimized the prior authorization process for cardiac procedures, resulting in a 30% increase in approvals in just 6 months.

As an Accolade Hybrid Advanced Health Assistant, I translated complex benefit package information into clear and actionable language, empowering clients to make informed decisions. I also addressed contextual barriers in client care, resulting in improved care, increased medication compliance, and reduced avoidable hospital admissions. I am skilled in active listening, workflow management, and client engagement, and have a strong understanding of health insurance policies and claims investigations.

Experience

Work history, roles, and key accomplishments

Payer-Matrix logoPA
Current

Medical Care Coordinator

Jul 2023 - Present (1 year 10 months)

Coordinated medication refills and managed prescription access logistics for 150+ members monthly, researched and clarified insurance benefits for 200+ members per quarter, completed necessary paperwork for healthcare services within 24 hours of receipt, worked with members, plan sponsors, and vendors for program enrollment, verified pharmacy and insurance information for new members, enrolled mem

Bryn-Mawr Medical Specialist logoBS

Patient Care Coordinator

Aug 2019 - May 2023 (3 years 9 months)

Created centralized contact database for pharmaceutical reps, triaged active symptom calls, monitored & supported various cardiology needs, preserved and maintained a high MIPS score, facilitated communication between pharmaceutical representatives and physicians, streamlined the prior authorization process for cardiac procedures.

Accolade Hybrid logoAH

Advanced Health Assistant

Aug 2021 - Dec 2022 (1 year 4 months)

Translated complex benefit package information, optimized client engagement through inbound calls and messaging, addressed contextual barriers in client care, tailored care solutions to individual needs, influenced guided support to clients navigating complex healthcare systems, analyzed & resolved denied claims, enhanced member satisfaction through effective communication and support.

PA

Patient Care Coordinator

Pulmonary Critical Care & Sleep Assoc

Aug 2015 - Sep 2017 (2 years 1 month)

Utilized EMR software to manage patient records, orchestrated coordination of benefits with insurance carriers.

DP

Chiropractic Assistant Coordinator

Dr. David Nadler & Assoc P.C.

May 2015 - Aug 2015 (3 months)

Simplified explanation of procedures to reduce anxieties and increase patient cooperation.

Education

Degrees, certifications, and relevant coursework

nicky hasn't added their education

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nicky bolton - Medical Care Coordinator - Payer-Matrix | Himalayas