Nicole Cassidy
Toledo,OH
Summary
Dedicated human services and healthcare professional with over 15 years of experience in coordinating comprehensive services, assessing diverse needs, and connecting individuals and families to vital community-based supports. Expertise in regulatory documentation, Medicaid systems, and fostering cross-agency collaboration ensures seamless service delivery. Proficient in person-centered communication, facilitating access for individuals with complex medical and developmental needs to maintain essential services. Committed to empowering clients through tailored support strategies that enhance quality of life.
Overview
29
29
years of professional experience
Work History
Credentialing Specialist
Bon Secours Mercy Health
Toledo, OH
08.2014 - Current
- Managed over 2,000 complex provider enrollments and primary source verification for high-volume healthcare systems.
- Manage Ohio-specific Medicaid regulation adherence, securing complete billing compliance while upholding revenue integrity.
- Received and evaluated applications to look for missing and inaccurate information.
- Conducted primary source verifications such as background checks and board certifications.
Credentialing Specialist
APS Medical Billing
Toledo
04.2014 - 08.2014
- Coordinate complex provider enrollment and primary source verification for pathology and radiology group practices for 30 clients.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
Family Partnership Liaison
Mercy Children’s Hospital
Toledo
12.2011 - 01.2014
- Forged alliances with Ohio's children's hospitals, Family Voices of Ohio, and community disability and healthcare organizations
- Designed care coordination materials for families of children facing special healthcare needs and developmental disabilities.
- Enhanced family voices of Ohio digital interface to expand family access to essential state resources.
Customer Service Representative
Medical Mutual of Ohio
Toledo
09.2008 - 12.2011
- Provided members and providers information about insurance benefits and claims, gaining deep expertise in the "payer-side" of service funding.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Office Administrator
Sullivan Moving & Storage
Toledo
05.2007 - 08.2008
- Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Tracked office supplies and restocked low items to keep team members on-task and productive.
Graduate Assistant Instructor
University of Toledo
Toledo
08.2002 - 05.2008
- Kept accurate records of student performance to track student progress and provide feedback on performance.
- Planned and delivered lectures and course materials to communicate course content and provide students with subject matter knowledge.
- Collaborated with staff in curriculum reviews to improve course and program offerings.
- Participated in and contributed to departmental meetings to stay informed about university policies and initiatives.
Driver Dispatcher
Sirva
Fort Wayne
06.1997 - 08.2006
- Coordinated efficient routes to avoid delays and optimize schedules.
- Kept detailed mileage and fuel reports to track overall fuel costs.
- Communicated with customers to provide delivery updates and confirm delivery locations.
Education
Master of Arts - History
University of Toledo
Toledo, OH05.2005
Bachelor of Science - History & Criminal Justice
Ball State University
Muncie, IN05.2000
Skills
- Microsoft, Outlook, Office, Word, Excel, PowerPoint
- Data management
- Credentialing documentation
- Accreditation information management
- Regulatory compliance
Accomplishments
- Developed federally funded care coordination resources supporting families of children with special healthcare and developmental needs.
- Led delegated credentialing oversight for Ohio providers and managed direct enrollments for the Kentucky market.
- Ensured regulatory compliance and timely provider authorization across assigned markets.
- Resolved complex service access issues through cross-agency collaboration and provider communication
RELATED EXPERIENCE
- Leadership expertise obtained at Ball State University and University of Toledo as a student leader and campus wide committee member on Strategic Plan, Student Safety, Student Health and other related assignments.
Timeline
Credentialing Specialist
Bon Secours Mercy Health
08.2014 - Current
Credentialing Specialist
APS Medical Billing
04.2014 - 08.2014
Family Partnership Liaison
Mercy Children’s Hospital
12.2011 - 01.2014
Customer Service Representative
Medical Mutual of Ohio
09.2008 - 12.2011
Office Administrator
Sullivan Moving & Storage
05.2007 - 08.2008
Graduate Assistant Instructor
University of Toledo
08.2002 - 05.2008
Driver Dispatcher
Sirva
06.1997 - 08.2006
Master of Arts - History
University of Toledo
Bachelor of Science - History & Criminal Justice
Ball State University