Quality Assurance Customer Service
Resume:
Nichole Ennis
Brockton, MA *****
**********@*****.***
Professional Summary
Objective: A position where I can utilize my professional skills while growing and learning within the company.
Work Experience
Administrative Assistant
Collins Surgical-Brockton, MA
June 2023 to Present
Ÿ Aided executive in staff capacity by coordinating office services. Ÿ Executed daily operations of all outgoing orders. Ÿ Answer and triage all incoming calls.
Ÿ Read and translate all incoming prescriptions and medical documentation required for insurance to cover all prescribed durable medical equipment.
Ÿ Studied management methods in order to improve workflow, simplify reporting procedures and implement cost reductions.
Ÿ Was instrumental in processing and maintain all commercial and non-commercial individual patient insurances, including, co-pays, coinsurances, and deductibles Ÿ Submit and requested all insurance required prior authorizations. Ÿ Reviewed and answered correspondence.
Patient Representative/Receptionist
Bethel Family Medicine-Brockton, MA
August 2021 to May 2023
Ÿ Greet patients, and check them in/out for their appointments. Ÿ Answer all incoming telephone calls and emails in a timely manner. Ÿ Collect all copays and balances.
Ÿ Knowledge and utilization of Athena Electronic Medical Record (EMR) system. Ÿ Transcribe and order any and all imaging and lab testing orders. Ÿ Receive lab results and ensure they are given to the provider as soon as they come in. Ÿ Work as liaison between the patient, provider, and multidisciplinary team members. Ÿ Knowledge of HIPPA, patients and their support system, in a welcoming environment free of judgement. Practice Manager
Dr. Thomas Morris Pulmonary Specialist-Brockton, MA January 2019 to August 2021
Ÿ Schedule and confirm patient appointments for diagnostic, surgical, and consultation services. Ÿ Use and knowledge of Athena Electronic Medical Record (EMR), to manage patient charts, scan in documents, and register and update new and existing patients. Ÿ All other office maintenance and needs that arise. Ÿ Knowledge and adherence to all HIPPA mandates.
Ÿ Triage of all incoming calls, emails, and messages through the portal, and ensuring Dr. Morris was aware of any emergent issues and responded accordingly. Quality Assurance Nurse
MES Solutions-Norwood, MA
November 2014 to January 2017
Ÿ Responsible for reading and analyzing Worker's Compensation Insurance claims and appropriately assigning to physicians for review of the claim in-line with all state and federal law and guidelines. Ÿ Knowledge of all state laws and guidelines for applicable insurance claims. Ÿ Once claims are reviewed by the provider and sent back to MES, I was responsible for proofreading reports for errors, as well as being submitted on time and the providers decision was within the scope of the state guidelines.
Ÿ Responsible for correspondence between the utilization review nurse, provider reviewing the claim, the patient’s physician, and the requesting insurance company. Ÿ responsible for onboard and training new employees and educating on all applicable state Worker's Compensation laws and guidelines.
Head Bartender, Server
Joe's American Bar and Grill-Braintree, MA
September 2008 to January 2014
corporate trainer
Ÿ Executed daily operations of bar and server sections and performance. Ÿ Arranged bottles and glasses to make attractive displays. Ÿ Created drink recipes.
Ÿ Trained and managed any new employees on all liquor, beer, and wine and achieved significant improvements in their productivity.
Ÿ Checked identification of customers in order to verify age requirements for purchase of alcohol. Ÿ Successfully handled all cash outs from servers at the end of their shifts. Ÿ Totaled checks, presented them to customers, and accepted payment for services. Server, Bartender, Trainer
Bertuccis-Braintree, MA
September 2000 to January 2006
Ÿ Same as above but also responsible for weekly inventory and ordering of all liquor, wine, and beer. Collin’s surgical
Education
Science (Associate Degree)
Massasoit Community College-Brockton, MA
January 2010 to December 2010
High school diploma or GED
Skills
• Kitchen experience
• Cash handling
• Skilled nursing facility
• Computer skills (5 years)
• Store management
• Training & development
• Team management
• Experience with children
• Food service management
• Dental terminology
• Urology
• Section 8
• Quality management
• Psychiatry
• Dental clinic
• Customer service
• Personal assistant experience
• HVAC
• Microsoft Outlook
• Leadership
• Schedule management
• Outpatient
• Organizational skills
• Microsoft Excel
• Animal restraint
• Accounting
• Computer hardware
• Word processing
• Training delivery
• Employee relations
• Quick service & fast food restaurant
• Product demos
• Senior care
• Windows
• Pathology
• Microsoft Word
• Account management
• Negotiation
• Cleaning
• Oral surgery
• Gastroenterology
• Law office
• Home & community care
• Filing
• Teaching
• Kitchen management
• Food management
• Communication skills
• Project management
• Analysis skills
• Restaurant management
• Conflict management
• Time management
• Shift management
• Customer support
• Host/hostess experience
• POS
• Appointment scheduling
• Pet hotel experience
• Dog handling
• Medical office management
• Patient interaction
• Financial services
Certifications and Licenses
LPN
Driver's License
CNA
RN License
Certified Recovery Specialist
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