Nichole Cross

Experience

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  Sears, Roebuck and Co.

  Oct 2008 - Aug 2009

  Loss Prevention Manager

  • Develops and delivers loss prevention training program for employees.• Identifies, recommends, and implements systems to minimize loss of merchandise, money, or company assets.• Audits and investigates sources of known losses.• Monitors inventory to identify theft or shortages.• Investigates suspicious customer and/or employee activity.• Conducts periodic inspections of stores and facilities to ensure surveillance and security equipment is functioning properly.• Prepares reports on the effectiveness of established prevention measures.• Researches, suggests, and implements additional security measures.• Recruit, Interview, Hire & Train Loss Prevention Staff• Create Staff Schedules• Conduct performance evaluations for staff.• Assist with discipline and termination of employees in accordance with company policy.• Develop/ deliver loss prevention training program for employees.• Oversee safety training for all staff, ensuring OSHA compliance.• Obtain warrants for and attend the court dates for those suspected of theft Show less

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  Cape Fear Valley Health System

  Aug 2012 - May 2016

  Release of Information Manager

  Overall management and oversight of HIM health recordprocessing related services, including but not limited to:document-imaging, deficiency analysis, missingdocumentation, physician suspension, birth-certificates,transcription, release of information, QA, education, andtraining within designated scope of responsibility• Establishes and monitors overall compliance to all relatedHIM KPI's and other metrics• Provide oversight and supervision of the ROI team includingrecruitment, training, performance management andworkflow• Identify and evaluate areas that may need improvement andimplement solutions that will streamline processes andimprove workflow• POC for all subpoenas, appear in court as the recordscustodian• Work closely with Legal, Compliance / Risk Management onHIM release issues• Responsible for escalating situations by communicating withattorneys, law enforcement, auditors, and insurance companyrepresentatives as well as a variety of other professionals• Diffuse situations as necessary• Prepare reports utilizing ROI modules & work queues• Assist in the development & monitoring of annual budget• Perform initial & continuing education on HIPAA &compliance laws• Completion of online incident reporting to the OCR in theoccurrence of a breech, review breech details and findsolutions to prevent further breach of information• Monitor & maintain quality assurance (QA) for thedepartment. Show less

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  CHI

  May 2016 - Jul 2019

  Privacy Officer, HIM Tech, Surgery Scheduler, Registration Specialist, Appeals Specialist

  • Evaluate the organization's existing policy & procedure forHIPAA compliance by performing HIPAA risk assessments• Collaborate w/ plan management, administration, & legalcounsel to identify and address privacy policies & proceduresthat require improvement• Develop & assist w/ implementation of new & updatedpolicies and procedures• Maintain policies & procedures related to PHI access & use;ensures strict adherence by all staff with access to PHI• Assess method & procedure used to store & transmit PHI;identify security or other compliance risks, research andrecommend improvements• Maintain required records & supporting documentationincluding authorization forms, notices, & plan documents• Draft & implement procedures for addressing & resolvingcomplaints regarding the organizations privacy policies &procedures• Serve as the internal subject matter expert on HIPAA,maintaining current knowledge of HIPAA laws & regulations,any other applicable federal/state privacy laws or regulations• Report on changes in applicable laws & regulations, providestraining as needed• Collect patient demographic, insurance & paymentinformation• Validate medical insurance coverage• Build surgery schedule• Schedule appointments, imaging, procedures and surgeries• Complete referrals• Provide pre-surgical instructions to patients• Complete prior authorizations• Serve as a physician liaison, communicating “doctor to doctor”messages to providers & dispatching providers to hospitalconsults as needed• Schedule device representatives to attend implants & surgicalprocedures• Complete chart audits & QA• Complete precertification, claims, appeals & refund requests• Perform credentialing & contracting• Release of Information, record queries and deficiencies• Reconcile deleted EMR• Perform medical record amendments, restrictions &accounting of disclosures• Perform risk assessment & compliance monitoring• Conduct HIPAA, compliance and privacy training. Show less

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  Hitachi Astemo

  Jul 2019 - Mar 2021

  Primary Recruiter & Human Resources Generalist

  • Identify hiring needs• Collaborate with department managers to compile aconsistent list of requirements• Attract suitable candidates through databases, onlineemployment forums, social media, etc• Develop, facilitate, and implement all phases of therecruitment process• Collaborate w/ department managers to identify and draftdetailed and accurate job descriptions and hiring criteria• Identify & implement efficient & effective recruiting methodsand strategies based on the available role, industrystandards, & the needs of the organization• Assist with job posting & advertisement processes• Screen applications & selects qualified candidates• Schedule & oversee interviews• Assist w/ the interview process, conduct interviews w/managers• Ensure compliance with federal, state, and local employmentlaws and regulations, and company policies• Attend and participates in college job fairs and recruitingsessions• Perform onboarding to include: drug screens, backgroundchecks, obtaining demographic information, setting up directdeposit, I-9, E-Verify• Utilize Paycom daily• Perform new hire orientation• Oversee employee relations and recognition program• Oversee uniform management• Assist with payroll• Generate various memos, letters & announcements• Maintain employee files• Administer compensation and benefit plans• Monitor attendance• Conduct performance reviews• Conduct disciplinary action as needed• Create employee engagement plans• Provide support to employees in various HR-related topicsand resolve any issues that may arise• Conduct staff meetings• Create “promotional” materials, such as flyers andPowerPoints to advertise various upcoming events• Create and maintain weekly “education & updates”PowerPoint presentation to be displayed on monitors invarious employee areas• Conduct Plant Tours for potential candidates and new hires• Utilize various Microsoft Office applications such as Excel,Word and PowerPoint on a daily basis. Show less

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  Urgent Care for Children

  Mar 2021 - May 2023

  Area Operations Manager

  • Effectively manage day to day operations of 5 clinicsthroughout E TN & N AL consisting of 80 team members (MAs,LPNs, RNs, NPs, MDs)• Travel to W TN clinics to assist in management recruitmentand clinic improvement efforts as needed• Recruit, interview, hire, onboard, train, coach &terminate staff as needed• Implement performance improvement plans & correctiveaction plans as needed• Communicate job expectations: planning, monitoring,appraising, & reviewing job contributions• Oversee employee relations & recognition efforts• Plan and execute employee engagement activities• Create employee schedules• Manage inventory & place orders• Monitor & maintain clinic budgets• Create, implement & enforce policy and procedure• Oversee collections, balancing of cash drawer, make deposits• Schedule, attend & conduct various meetings• Oversee patient satisfaction & reviews for clinics• Create/Provide educational job aides• Grassroots marketing• Complete chart audits• Develop, implement & maintain quality assurance protocols(QA)• Review/Approve daily, weekly & monthly logs (lab logs, safetylogs, equipment logs, etc.)• Process all medical records requests, request medical recordsas needed• Fulfill various roles as needed (MA or Medical Receptionist)• Timecard corrections, coding and approval• Maintain clinic compliance with UCA, COLA & CLIA• Enrollment in, implementation & maintenance of VFC /COVID-19 vaccine program• Completion of audits, verifying trends, conducting educationon deficiencies & develop plan of action for improvement• Maintain constant communication with managers, staff, andvendors• Identify potential problems, points of friction & findsolutions to maximize efficiency and revenue• Utilize Microsoft Office applications such as Excel,Word & PowerPoint on a daily basis• Utilize Google Workspace on a daily basis• Utilize ADP and Gusto on a daily basis• Utilize ECs on a daily basis• Utilize Siemens PACS system on a daily basis. Show less

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  Allied Pediatrics, PLLC

  May 2023 - now

  Practice Manager

  • Manage day-to-day operations of the practice consisting of 2clinics and 27 employees• Recruit, interview, onboard & train staff• Collaborate with Admin team & staff to develop and assessbusiness strategies• Manage inventory & orders• Ensure practice complies with industry standards, applicablelaws & regulations• Manage & resolve patient issues / complaints• Utilize QuickBooks to complete payroll & manage invoices• Maintain provider credentialing, licensing, CME andcertifications• Manage employee benefits such as health insurance and 401kplan• Conduct monthly staff and department meetings• Coordinate & execute communication between provider, staffand patients• Establish and implement effective workplace policies &procedures• Supervise daily practice operations such as billing, debtcollections, scheduling, clinical workflow and occupationalhealth and safety• Conduct ongoing education• Conduct coaching, counseling / implement PerformanceImprovement Plans, disciplinary action & terminations asneeded• Assist in various roles as needed, such as medical assistant,medical receptionist, scheduler• Organize employee engagement activities• Utilize Athena daily to monitor provider schedules, completecharting & tasks, perform audits• Complete Prior Authorizations• Utilize Availity daily to ensure verification of patientinsurance, view EOBs / claims and complete providerenrollment as needed• Manage clinic and provider memberships to variousorganizations such as the AAP & AMA• Coordinate with vendors and sales representatives to ensurethe needs of the clinics are met• Reconcile and pay invoices• Process garnishment of employee wages as needed• Oversee and maintain VFC program & CLIA certification• Supervise staff, ensure that daily, weekly and monthly tasks /logs / QCs are completed• Complete ongoing OSHA training• Perform employee evaluations• Process changes in pay / benefits• Educate on and ensure HIPAA compliance• Monitor QA Show less