Summary
Overview
Work History
Education
Skills
Certification
Timeline
Nicole Lemaster

Nicole Lemaster

Stambaugh,KY

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

Overview

7
7
years of professional experience
1
1
Certificate

Work History

Care Navigator

Highlands ARH Medical Office Pharmacy
Prestonsburg, Kentucky
05.2021 - Current
  • Utilized Microsoft Word to edit, create and save confidential documents.
  • Identified gaps in care and assisted in closure of gaps.
  • Assisted members with social determinants of health and linked to appropriate community resources.
  • Maintained confidential health information according to state and federal regulations.
  • Carried out day-day-day duties accurately and efficiently.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Entered and processed patients' prescriptions into internal system.
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
  • Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.

Front Desk Clerk

MVP ENT LLC
Prestonsburg, Kentucky
12.2020 - 05.2021
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Completed clerical duties and tasks for clinic administration.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
  • Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic and health history to keep information current.
  • Managed multi-line phone system and pleasantly greeted patients.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Completed patient referrals to other medical specialists.
  • Maintained current and accurate medical records for patients.
  • Transcribed phone messages and relayed to appropriate personnel.

Pre-Certification Specialist/Referral Coordinator

Eastern Kentucky Family Medicine
Paintsville, Kentucky
07.2019 - 11.2020
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
  • Delegated tasks to administrative support staff to organize and improve office efficiency.
  • Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.

Certified Pharmacy Technician

Highlands Regional Medical Center
Prestonsburg, Kentucky
08.2015 - 07.2019
  • Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
  • Stocked, labeled and inventoried medication to keep accurate records.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Counted, measured, and compounded medications following standard procedures.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Prepared intravenous solutions, admixtures, respiratory drugs and other solutions using aseptic techniques.

Education

High School Diploma -

Johnson Central High School, Paintsville, KY
06.1999

Skills

  • Caring and Empathetic
  • Administrative and Office Support
  • Gathering Information From Patients
  • Communicating to Patients and Families
  • HIPAA Regulations
  • Time Prioritization

Certification

PTCB Certified

Timeline

Care Navigator - Highlands ARH Medical Office Pharmacy
05.2021 - Current
Front Desk Clerk - MVP ENT LLC
12.2020 - 05.2021
Pre-Certification Specialist/Referral Coordinator - Eastern Kentucky Family Medicine
07.2019 - 11.2020
Certified Pharmacy Technician - Highlands Regional Medical Center
08.2015 - 07.2019
Johnson Central High School - High School Diploma,

PTCB Certified

Nicole Lemaster