Nicole Polson
Decherd
Summary
Accomplished leader in revenue cycle management with a proven track record of elevating revenue performance and effectively overseeing staff at EnableComp, LLC. Proficient in implementing process enhancements and reducing accounts receivable days by 45%. Renowned for cultivating strong vendor relationships and driving substantial financial outcomes through strategic oversight and clear communication. Distinguished leader with a history of fostering team growth and development through training, personalized coaching, and unwavering support in goal achievement.
Overview
7
7
years of professional experience
1
1
Certification
Work History
RCM Contractor Manager
Modivcare
02.2025 - Current
- Supervised daily operations, ensuring team adherence to protocols and quality standards.
- Developed training protocols for new staff, enhancing operational efficiency and knowledge retention.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
- Streamlined inventory management processes, leading to more organized and efficient stock handling system.
Lead Reimbursement Specialist
Vanderbilt Medical Center
12.2024 - 02.2025
- Analyzed reimbursement data to identify trends and implement process improvements.
- Collaborated with cross-functional teams to resolve complex billing issues efficiently.
- Mentored junior staff on best practices for maximizing reimbursements and minimizing denials.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Analyzed trends in denial patterns to proactively address issues impacting payment outcomes.
- Collaborated with billing department to resolve discrepancies, improving revenue cycle outcomes.
- Promoted teamwork through effective communication practices and collaboration initiatives among team members.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
Revenue Cycle Manager - Denials
Azalea Health
12.2023 - 12.2024
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Improved cash flow through timely resolution of payer denials and underpayments.
- Reduced accounts receivable days outstanding by 22% optimizing billing and collections efforts.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Balanced and reconciled accounts.
- Improved cash flow with diligent follow-up on pending claims and appeals processes.
Revenue Cycle Supervisor
EnableComp
07.2021 - 12.2023
- Reviewed contracts with third-party payers to ensure optimal reimbursement rates were negotiated effectively.
- Streamlined billing procedures for increased accuracy, reducing errors and improving overall collections.
- Implemented robust denial management strategies that significantly reduced lost revenue due to denied claims or appeals processes failures.
- Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
- Served as a subject matter expert on reimbursement regulations, maintaining up-to-date knowledge of industry best practices and compliance requirements.
- Developed key performance indicators for the team, monitoring progress toward goals and providing actionable feedback to staff members.
- Coached and mentored team members for professional growth, resulting in enhanced job performance and higher employee satisfaction.
- Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
- Created monthly schedules, maintained time records and submitted payroll with help of Paycom.
- Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions or training to drive improvement.
- Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.
- Collaborated with cross-functional teams to develop and implement revenue cycle policies and procedures.
- Conducted regular staff meetings to review performance expectations, address challenges, and foster an environment of continuous improvement within the team.
- Strengthened team relationships and effectiveness with hands-on and motivational approach.
- Reduced accounts receivable days outstanding by 40% with streamlining collection efforts and collaborating closely with customers for prompt payments.
- Resolved issues through active listening and open-ended questioning, escalating major problems to director.
- Completed bi-weekly time card review for 22 employees.
- Kept high average of performance evaluations.
Candidate Trainer
CMJ Total Care, LLC
11.2020 - 06.2021
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Monitored and reported trainee progress, introducing new learning tools to address individual needs.
- Analyzed team performance and identified opportunities for additional training.
- Monitored participant workflow and behaviors throughout training process.
- Delivered instructional presentations on equipment use, focusing on efficiency and safety.
- Developed individualized training plans to achieve staff readiness.
- Educated clients on proper use of products and systems.
- Managed customer accounts to secure customer satisfaction and repeat business.
- Retained excellent client satisfaction ratings through outstanding service delivery.
- Developed and maintained comprehensive understanding of products, services and competitors to enhance sales presentations.
Health Information Management Assistant
NHC Healthcare
07.2020 - 11.2020
- Upheld HIPAA regulations and standards for protecting patient information.
- Retrieved medical data for physicians and patients.
- Secured confidential patient information from unauthorized access.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Catalogued patient data in clinical databases and registries according to regulatory practices.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Studied and researched various medical terms as well as software and coding systems.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Excellent communication skills, both verbal and written.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Assembly Technician
Nissan North America, Inc.
12.2018 - 11.2020
- Assembled and aligned parts and fixtures using hand and power tools.
- Kept work areas organized, tidy, and clean for maximum productivity.
- Followed specific blueprints and diagrams to assemble components and comply with industry standards.
- Performed assembly of products according to specifications and instructions.
- Inspected all work for quality and compliance with design standards.
- Inspected parts and assemblies before shipment to customers to verify accuracy.
- Maintained accurate records of parts used in assembly process to enable tracking history and store consistent information.
- Trained new staff to perform assembly techniques, troubleshooting and preventative maintenance.
- Maintained good stock levels, counted parts, and requested additional supplies.
- Developed and implemented maintenance procedures to establish optimal performance of equipment.
- Implemented cost-effective assembly processes for high-volume production output.
- Assembled production parts with high degree of accuracy and precision using hand and power tools.
- Collaborated with team members to promptly complete tasks and maintain consistent workflows.
- Recognized and reported defective material and equipment to shift supervisor.
Education
Diploma - Medical Billing And Coding
Ashworth College
06.2020
Bachelor of Science - Health Information Management
American Public University
12-2029
Skills
- Revenue optimization
- Denial resolution
- Proficient in billing cycle optimization
- Financial account oversight
- Collaborative teamwork
- Problem-solving
- Time management
- Detail-oriented approach
- Skilled in simultaneous task execution
- Candidate evaluation
Certification
- Licensed Certified Billing and Coding Specialist - CBCS via NHA
Timeline
RCM Contractor Manager
Modivcare
02.2025 - Current
Lead Reimbursement Specialist
Vanderbilt Medical Center
12.2024 - 02.2025
Revenue Cycle Manager - Denials
Azalea Health
12.2023 - 12.2024
Revenue Cycle Supervisor
EnableComp
07.2021 - 12.2023
Candidate Trainer
CMJ Total Care, LLC
11.2020 - 06.2021
Health Information Management Assistant
NHC Healthcare
07.2020 - 11.2020
Assembly Technician
Nissan North America, Inc.
12.2018 - 11.2020
Diploma - Medical Billing And Coding
Ashworth College
Bachelor of Science - Health Information Management
American Public University
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