xxNiKKi NiCHOLE xx

At Elevance Health, I support members and providers with post-service claim needs, benefit eligibility, inpatient admissions, outpatient precertification, and prior authorization requests.

I document compliant case updates, enter referral requests in ASPEN and ACMS, confirm facility-based treatment benefits, and route cases requiring clinical review to Nurse Reviewers. I manage high-volume inquiries while helping keep member files accurate and current.

I've also trained new hires on health insurance operational systems and bring customer service, payment support, and classroom coordination experience from Global Payment and Easter Seals West Georgia.