Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
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Nicole Collins

Henderson,United States

Summary

Dedicated and reliable professional adept at efficiently handling multiple priorities with a positive outlook, emphasizing teamwork to achieve departmental goals. Recognized for commitment and effective problem-solving, offer a distinctive combination of ideas to generate impactful results. Eager to contribute collective skills and expertise to a dynamic team committed to delivering optimal solutions for clients.

Overview

18
18
years of professional experience

Work History

Medical Management Specialist

ANTHEM
09.2017 - 11.2022
  • Assisted in non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supportive care
  • Process non-clinical cases by translating inpatient and outpatient requests to be reviewed by Therapist.
  • Gather and interpret clinical information and electronic medical records for therapy, private duty nursing, and skilled nursing cases.

Outreach Coordinator

ANTHEM
03.2016 - 09.2017
  • Aided in assisting with case services, leading to clients securing and sustaining housing, addressing pest control issues, and accessing ambulance and medical care
  • Linked clients with community services to secure resources and options, ensuring sustainable day-to-day living.
  • At the direction of member, documents their short and long-term service and support goals in collaboration with member’s chosen care team that may include, caregivers, family, natural supports, service providers, and physicians
  • Submitted authorization requests to utilization management with documentation supporting and aligning with individual’s care plan
  • Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement)

Pharmacy Technician

ANTHEM
05.2014 - 03.2016
  • Help Desk for Pharmacies to adjudicate claims and assist in processing online claims for approval.
  • Maintained accuracy, completeness and security for medical records and health information.
  • Exceeded goals through effective task prioritization and great work ethic

DTA/Sales Support Representative

MEDTRONIC
02.2005 - 07.2013
  • Customer advocate for patients by developing and providing information on Medtronic Diabetes products.
  • Promoted and fostered account relationships with various sales teams to collect, analyze, and report data regarding patient issues to Field Sales Associates.
  • Resolved problems and actively listened to customers' requests, confirming full understanding before addressing concerns, improved operations and provided exceptional client service

Education

Bachelor of Arts - MEDIA MANAGEMENT

CALIFORNIA STATE UNIVERSITY NORTHRIDGE

Graphic Design

Vegas PBS
01.2024

Skills

    ⦁ Account Management
    ⦁ Facilitated supportive services to assist clients
    ⦁ Excellent written and verbal communication skills
    ⦁ Background in social services and transitional housing
    ⦁ Effective contributor in group dynamics
    ⦁ Ability to adapt to guidance quickly
    ⦁ Skilled in collaborating successfully with a variety of clients, staff, and community members
    ⦁ Proficient in Microsoft Office and internet applications

Additional Information

  • Ambassador, Created weekly Department Newsletter, Department Operations Committee-Facilitator (ANTHEM)


  • VSA, STAND DOWN & Event Volunteer (U.S.VETS)

Timeline

Medical Management Specialist

ANTHEM
09.2017 - 11.2022

Outreach Coordinator

ANTHEM
03.2016 - 09.2017

Pharmacy Technician

ANTHEM
05.2014 - 03.2016

DTA/Sales Support Representative

MEDTRONIC
02.2005 - 07.2013

Bachelor of Arts - MEDIA MANAGEMENT

CALIFORNIA STATE UNIVERSITY NORTHRIDGE

Graphic Design

Vegas PBS

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Nicole Collins