Nikki Covington Email & Phone Number

Woodbridge, Va, Us

Wood Army Clinic, Camp Walker South Korea

*Currently on LWOP due to relocating to Fort Belvoir, VA area* Manage the TRICARE program for Area IV to include (Cp. Henry, Cp. Walker, Daegu Air Force Base, and Busan) assist approximately 5,000 beneficiaries (dependents of active duty personnel, retired personnel, dependents of retired personnel; dependents of the deceased retired or AD personnel). Provides counseling, coordination assistance and training on the Debt Collection Assistance Program, TRICARE procedures and benefits under a variety of health care programs (CHAMPVA, MEDICARE etc.) . Communicates with beneficiaries in writing, by phone and via personal interviews to determine eligibility under one or more health benefit programs. Knowledgeable of organizational structure, resources utilization, functions mission and work processes in order to improve customer service. Well informed in administrative, security and operational policy and guidance associated with the organization and the day to day operations. Maintains a community information program on health benefits and provide awareness of various health care resources available from TRICARE and Host Nation Hospitals in our area. Conducts monthly Newcomer’s Orientation and Spouse Orientation briefings to AREA IV Active Duty personnel and spouses. Responsible for performing duties related to the establishment, examination, and settlement of medical claims against the Federal Government and processes claims for eligible beneficiaries through the TRICARE fiscal intermediary. Examines all entries and supporting evidence to determine the validity of claims, whether payable based on entitlement, statue regulation or policy. Provided management with the needed insight on establishing and determining positions that were cost effective, supported career development, efficient and supported graded level to establish organizational structure and increase productivity. Currently taking the Human Resources Core Competencies (HRCC) Course.

Fort Benning, Ga

Served as the Central Appointments Office Supervisor for 21 Medical Support Assistants responsible for facilitating Access to Care (ATC) for assigned beneficiaries. Provided staff direction and guidance on policies, procedures, and work methods necessary to schedule, cancel or reschedule appointments throughout the Military Treatment Facility (MTF). Established work performance requirements and conducted performance observations daily to ensure appointment management was performed accurately, efficiently and effectively. Monitored the Automated Time and Attendance and Production System and ensured staff workload was reported promptly and accurately. Troubleshoot all pay inquiries (such as pay, leave, deduction, entitlement and benefit pay) to resolution or passes it to the appropriate office. Addressed staff issues in accordance with Equal Opportunity (EO), American Federation of Government Employees (AFGE), and Human Resources (HR) policies. Collected the call data, appointment utilization data, and JOES survey information to analyze the optimal number of call agents to staff which was beneficial to determine if the organization needed to increase or decrease staff and to identify issues. Implemented studies and analyzed all the above data to improve appointment utilization, patient demand services, and customer service. Compiled Access to Care data to prepare recurring and special reports for management and higher headquarters; reviewed, developed, and recommended procedural or processes changes to improve the efficiency and effectiveness of services provided. Advised and briefed the Chief of Clinical Support Division on identified issues affecting quality, safety, and customer service based on feedback from patients and staff. Participated on numerous Leadership, Process Improvement, and Patient Advisory Councils.

Martin Army Community Hospital, Fort Benning, Ga

Served as a Medical Consult Processing Assistant for the Health Readiness Platform (HRP) to track and close all specialty referrals for Right of First Refusal (ROFR), Veterans Administration (VA), and specialty recapture cases, contacting patients, providers, and other staff to obtain appointment dates/results and/or status of request for referral. Generated reports from CHCS which assist the administration in evaluating the program and any other duties necessary to complete the referral process and continuum of care for the patient in a timely manner. Ensured all specialty referrals were appropriately closed with either completed results or appropriate administrative closure. Applied knowledge of medical specialties and services to determine which referral results are to be documented with which ordered referral. Identified problem areas and provided guidance to specialty staff. Advised MTF staff on referral and results tracking procedures.

Martin Army Community Hospital, Fort Benning, Ga

Served as a medical clerk in the Central Appointment Office. Screened callers prior to scheduling and rescheduling appointments. Conducted telephone consults while also verifying consults results for multiple clinics and update patient data in the Composite Health Care System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA). Skilled and compliant in urgent care protocol. Coordinated the scheduling in order to avoid conflicts in different clinic schedules. Verified patients' eligibility for treatment in the (Defense Eligibility and Enrollment Reporting System (DEERS). Trained new personnel/end users on Medical Treatment Facility (MTF) clinical systems such as AHLTA, CHCS, etc.

Columbus, Ga

Served as the first point of contact between the public and representatives within the Social Security Administration. Provided professional and courteous customer service to the public by providing assistance via face to face interviews, telephone inquiries, and through written correspondences. Provided information regarding payments and eligibility for the various types of Social Security benefits, Medicare, and Supplemental Security Income for aged and disabled individuals. Interviewed the public to determine if they met non-medical qualifications. Investigated case specific issues and reconciled discrepancies that may have caused or had caused interruption in monthly entitled benefits. Assisted claimants in resolving Medicare entitlement, billing issues, process general enrollment and special enrollment for Medicare, terminate Medicare, and process requests for replacement Medicare cards. Informed claimants and representative payees about non-compliance actions that may end entitlement to monthly benefits; such as, misinformation, untimely reporting of changes, engaging in substantial gainful activity and other non-compliance actions in accordance to the program entitled. Prepared and assisted claimants and the public with various forms including Medicare enrollments, volunteer tax withholdings, and requests for continuation of payments appeals. Initiated contact with beneficiaries, representative payees, and state/government agency representatives who may be able to supply pertinent information to make decisions about post-entitlement issues such as payee selections, whereabouts of claimants, inconsistent information, omitted reports, and development of fraud and misuse. change of addresses,direct deposit change. Routinely identified the needs of the public and provided referrals to state and government agencies, non-profit organizations, and other local community agencies that may provide assistance.

Columbus,Ga

-Provided family intervention counseling and assistance to improve child and family living environment. Ensured linkage between family, children, and community services and resources. Diffused current behavioral health crisis, evaluate its nature, and intervene to reduce recurrence. Implemented methods to meet physical, social, emotional, and developmental of each individual child. Educated parents and teens with skills and techniques to reinforce positive interaction, communication, socialization, self-esteem, reduce aggressive/opposition behavior, etc. Educated parents about programs and other community resources that can assist families in crisis.

Balad, Iraq

-Supervised daily operation, counseled, and evaluated 17 employees assigned to LSA Anaconda Ice and Bottle Water Distribution Mission. Responsible for 17 sub-contract employees training, safety, and welfare. Conducted safety stand downs briefings at the beginning and end of shift. Conducted weekly meetings to counsel and convey vital information to management. Prepared and distributed logistical reports to include: Timesheets, Situational Reports, and Equipment Status Reports to proper personnel. Responsible for determining eligibility for promotions within assigned department. Initiated and processed evaluation reports. Maintained a daily-automated suspense system to ensure timely completion and return of the evaluation reports. Assisted with contracts to determine what supplies and manpower were needed to continue with mission(s). Utilized market research information to validate costs. Developed, negotiated, and implemented logistical plans, policies, and procedures in compliance with regulative guidance. Second in charge, of managing the sub-contractor work force for 2,250 port-a-johns, 72 sub-contract workers, and 16 delivery vehicles. Verified all are in compliance, in accordance with the Statement of Work (SOW) and ensured military contract requirements were strictly followed.

Balad, Iraq

-Responsible for dispersing vital information to all personnel in regard to travel, TDY, policies and procedures, finance (payroll), safety, personnel regulations, and training. Coordinated, scheduled and maintained personnel trainings/timesheets for a department of 29 employees and 225 subcontract employees in 8 different sections. Maintained employee records and assisted all personnel with leave requests, business travel, in-processing and out-processing. Reviewed vacancy announcements, produce referral lists, screens requests for personnel action and related documents for completeness and accuracy. Verified employment eligibility, qualifications, salary determinations and established pay. Provided technically accurate interpretations of negotiated agreement provisions and reconcile conflicting technical viewpoints. Utilized office automation systems to prepare complex documents and perform support operations, as well as, used online HR resources to obtain personnel proponent information. Assisted with resolving matters of, unfair labor practice charges, information sharing, contract interpretation, labor relations training, and preparation. Assisted with planning and implementing reorganizations and position descriptions to support reorganization and reshaping. Conducted new employee orientations.Prepared, distributed, and documented, daily and weekly logistical reports to include: Timesheets (timekeeping), Situational Reports, Equipment Status Reports, and various department(s) reports reported to higher management. Monitored the timing and sequence of a number of suspense actions to meet deadlines. Prepared memorandums and meeting notes and distributed to proper personnel including civilians and company commanders. Prepared necessary documents and contracts for modification processing. Managed and assisted 8 sections on ordering supplies and equipment. Ensured the timely flow of invoices, delivery orders, and purchase requests.

Bachelor Of Applied Science - Basc, Psychology, 3.8

Associate Of Arts And Sciences - Aas, Criminal Justice/Safety Studies, 3.9

Associate Of Arts And Sciences - Aas, Liberal Arts And Sciences, General Studies And Humanities, 3.1