Melissa Molter
Otsego,MI
Summary
Dynamic Prior Authorization Specialist with a proven track record at Holland Hospital, adept in insurance verification and patient education. Excelled in enhancing quality assurance and fostering positive relations, significantly improving claim resolution efficiency. Skilled in documentation management and known for exceptional manual dexterity and software proficiency.
Overview
1
1
year of professional experience
Work History
Dispensing Specialist
Perrigo
05.2023 - Current
- Followed all company policies and procedures to deliver quality work.
- Observed packing operations to verify conformance to specifications.
- Frequently inspected production area to verify proper equipment operation.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Collected, arranged, and input information into database system.
Prior Authorization Specialist
Holland Hospital
- Researched denied claims and contacted insurance companies to resolve these issues.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Tracked referral submission during facilitation of prior authorization issuance.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Prior Authorization Specialist
R1RCM
- Verified eligibility and compliance with authorization requirements for service providers.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Tracked referral submission during facilitation of prior authorization issuance.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Chiropractic Assistant
Kopinski Chiropractic
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Chiropractic Assistant
McCanse Chiropractic
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Education
Associate Of Arts And Sciences - Respiratory Therapy
Kalamazoo Valley Community College
Kalamazoo, MI05.1997
Skills
- Quality Assurance
- Documentation Management
- Manual Dexterity
- Proficient in Software
- Insurance Verification
- Medical Billing
- Patient Education
- Appointment Scheduling
Timeline
Dispensing Specialist
Perrigo
05.2023 - Current
Prior Authorization Specialist
Holland Hospital
Prior Authorization Specialist
R1RCM
Chiropractic Assistant
Kopinski Chiropractic
Chiropractic Assistant
McCanse Chiropractic
Associate Of Arts And Sciences - Respiratory Therapy
Kalamazoo Valley Community College
Similar Profiles
Zach OuzoonianZach Ouzoonian
Glatt/V-shell Operator and Trainer at PerrigoGlatt/V-shell Operator and Trainer at Perrigo
Rea MurphyRea Murphy
General Line Worker at PerrigoGeneral Line Worker at Perrigo
Jose ValverdeJose Valverde
Packaging Operator at PerrigoPackaging Operator at Perrigo
Autumn BroszAutumn Brosz
Granulation Specialist at PerrigoGranulation Specialist at Perrigo
Hailey VanHoutenHailey VanHouten
Target Employee at TargetTarget Employee at Target