Nicole Brown

Prepare, review, and submit professional and institutional insurance claims. Follow up on unpaid claims, analyze denial trends, submit appeals, and manage patient accounts receivable and pre-authorizations.

Investigate and resolve complex claims, appeals, and grievances while ensuring regulatory compliance. Analyze denial trends, support audits, and manage prior authorization workflows including medical necessity documentation.

Interview patients and coordinate processes to obtain medication and procedure authorizations. Prepare medical necessity documentation, manage prior authorization requests, handle denials and appeals, and maintain HIPAA-compliant patient records.

Verify insurance and manage patient registration, scheduling, and admission-related processes while explaining financial responsibility. Perform high-volume pre-registration and maintain accurate account documentation using call center and patient systems.

Support unit operations with preregistration and insurance verification for upcoming appointments. Assist with maintaining patient and insurance data to support billing, and coordinate referrals, authorizations, and related documentation.

Verify insurance and pre-register 100+ patients daily to improve clean claim outcomes and reduce billing delays. Educate patients on financial responsibilities and ensure accurate data entry for downstream billing and revenue cycle processing.

Bachelor’s degree from DeVry University.

Associate’s degree from Ultimate Medical Academy.

Certificate program in Medical Coding and Billing from Ultimate Medical Academy.