Nancy Downey
Raymond,United States
Summary
Detail-oriented administrative professional with a proven track record in enhancing daily business operations by providing comprehensive support to both managers and employees. Demonstrates strong financial acumen and problem-solving capabilities, contributing to efficient workflow and effective decision-making. Known for a logical approach to challenges, ensuring optimal solutions are implemented. Pursuing opportunities to leverage administrative expertise in a dynamic environment.
Overview
12
12
years of professional experience
Work History
Business Assistant
Rockingham Dental
Epping, NH
10.2023 - Current
- Compiled weekly and monthly performance metrics against set targets.
- Monitored inventory levels of office supplies and placed orders when necessary.
- Monitored operations and reviewed records and metrics to understand company performance.
- Created and maintained filing systems by organizing and adding files.
- Improved customer satisfaction by promptly resolving conflicts and responding to requests.
- Identified needs of customers promptly and efficiently.
- Monitored industry regulations to ensure compliance in all business activities.
- Managed the reception area by greeting visitors in a friendly manner.
- Prepared detailed reports on business performance, highlighting key metrics and areas for improvement.
- Maintained positive working relationship with fellow staff and management.
- Worked closely with staff across departments to implement growth strategies.
- Responded promptly to customer inquiries via email or phone call.
- Answered phones and transferred callers to relevant departments and staff members.
- Sorted mail daily before distributing it to appropriate personnel or departmental mailboxes.
- Entered invoice and payment information into database, maintaining strict security protocols to minimize unauthorized party access.
- Monitored inventory levels of office supplies and placed orders as needed.
Quality Assurance Coordinator
The Moore Center
Manchester, NH
07.2021 - 07.2023
- Checking daily and monthly reports for a non-profit
- The reports are sent to insurance and state departments for funding
- I also make sure our state certifications are passed yearly
- I help with keeping handicap vans in working order also
Office Manager
Duke Family Chiropractic
Greenland, NH
03.2020 - 06.2021
- Manage day-to-day operations of a busy chiropractic office
- Includes some billing and coding, answering all phones, taking and developing x-rays, giving tours of office, meeting with patients, keeping track of all Medical Records in compliance with HIPAA, and ordering office supplies
- Computer programs used include Chirotouch, Fortis, Excel, and Word
Medical Office Coordinator
CORE PHYSICIANS
Epping, NH
12.2016 - 03.2020
- Performs daily administrative duties of the practice including greeting/check in/check out, schedules patients, answering telephones and taking messages
- Collects co-pays, patient balances, verifies insurance eligibility, updates patient demographics
- Meets TOS payments, eligibility, and denial rate performance metrics as assigned
- Posts payment and adjustment transactions, balances daily journal and closes batches every day, prepares and delivers bank deposits in accordance with established policies and procedures
- Provides patient referrals (with physician direction) or ensures appropriate referrals have been obtained for required visits in specialty offices
- Runs Daily Morning Meeting with staff
- Implemented process to keep appointments/providers running on time to decrease patient wait times
- CPR certified by State of NH
- Ensures scheduling consistency (continuity of care) for their care team
- Demonstrates sensitivity to the patient's comfort, confidentiality and concerns while maintaining a therapeutic environment for the patient and family in accordance with the provider and CORE standards
- Provides coverage for other Core offices as requested
- Other duties as assigned
Credentialing Specialist
Cigna Insurance Companies
Hooksett, NH
03.2014 - 11.2016
- Assessed initial documents for accuracy and completeness
- Knowledge of and compliance with NCQA and state specific standards
- Verification of licensure and ensured files were ready for committee review
- Loaded physician information to the appropriate system while meeting quality/timeliness measurements
- Maintained provider profiling system
- Communicated via verbal and written means with providers and matrix partners
- Worked with TAP (Training) Team on auditing New Hire Files
- Made lateral move to CBH (Behavioral) Team Feb
- 2015
- CBH Job Aid Test Project; Acting as a resource for questions between team & TAP
- Made lateral move to Dental Team March 2016
- Job-shadowed with New Hires for TAP Team
- Project: Helped to manage Dental Re credentialing Mailbox
LNA
Compassionate Care Hospice
Londonderry, NH
10.2012 - 01.2014
- Apply clean dressings, slings, stockings, or support bandages, under direction of RN or physician
- Assist nurses or physicians in the operation of medical equipment or provision of patient care
- Assist patients with ADL's, feeding and socialization
- Assisted in the office with filing, scanning, answering phones and electronic attachments
Education
Bachelor of Arts - History
Pennsylvania State University
Remote12-2027
Skills
- Microsoft PowerPoint
- Medical office experience
- Utilization Management
- Medical Scheduling
- Office Management
- ICD-9
- Microsoft Office
- Hospital Experience
- POS
- Quality Assurance
- Microsoft Outlook
- Insurance Verification
- Anatomy Knowledge
- Auditing
- Patient Care
- HIPAA
Personal Information
Work Permit: Authorized to work in the US for any employer
Military Service
Navy, United States, E2 Airman, San Clemente Island, CA, 10/01/93, 08/31/95, Honorable Discharge, available upon request
Affiliations
- Web Coordinator - American Association of University Women, Pennsylvania State University (current)
- Member - Blue & White Society, Pennsylvania State University (lifetime)
- Member - Delta Gamma Chi, Pennsylvania State University (current)
- Member - Military Service Organization, Pennsylvania State University (current)
References
References available upon request.
Timeline
Business Assistant
Rockingham Dental
10.2023 - Current
Quality Assurance Coordinator
The Moore Center
07.2021 - 07.2023
Office Manager
Duke Family Chiropractic
03.2020 - 06.2021
Medical Office Coordinator
CORE PHYSICIANS
12.2016 - 03.2020
Credentialing Specialist
Cigna Insurance Companies
03.2014 - 11.2016
LNA
Compassionate Care Hospice
10.2012 - 01.2014
Bachelor of Arts - History
Pennsylvania State University
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