NICOLE DREESEN
The Woodlands,TX
Summary
Experienced Pre-authorization Coordinator specializing in insurance verification and patient triage. Proven ability to manage high-volume communications and develop strategies for efficient authorization processes, ensuring optimal patient care and timely service delivery.
Overview
19
19
years of professional experience
Work History
FRONT OFFICE COORDINATOR
MILWAUKEE ORTHOPAEDIC GROUP LLC
Milwaukee, Wisconsin
07.2025 - 08.2026
- Managed multiple phone lines, ensuring timely responses to patient inquiries and appointment needs.
- Triaged calls for medical assistants and physicians, ensuring efficient communication.
- Assisted patients with appointment check-ins and follow-up scheduling.
- Prepared patient charts for clinic visits, verifying test results for accurate and efficient consultations.
- Collected co-pays and outstanding balances, contributing to improved financial processes.
PRE-AUTHORIZATION COORDINATOR
NORTH SHORE HEALTHCARE
MILWAUKEE, WISCONSIN
08.2019 - 07.2025
- Coordinated authorization requests for skilled nursing and LTC admission, and medication carve outs.
- Oversaw status of pending authorizations to prevent delays and ensure timely responses.
- Created reports detailing approval rates, denial reasons, and overall trends in the authorization process.
- Develop strategies for streamlining authorization process within the organization.
- Managed and acquired records to use as supporting documentation for information requested and correspondence.
PRE-AUTHORIZATION COORDINATOR/FRONT OFFICE STAFF
MILWAUKEE NEUROLOGICAL INSTITUTE
06.2007 - 08.2019
- Coordinated requested for medical procedures and services..
- Oversaw organization's database of pre-authorization requirements for various insurance plans, ensuring accurate and up-to-date information.
- Managed the sending of patient referral paperwork to doctors and coordinated patient appointments.
- Managed multiple incoming phone lines, ensuring efficient communication with callers.
- Assisting patients with making, rescheduling, or canceling appointments.
- Triage calls appropriately to nursing staff, billing department, surgery scheduling, or office administrator.
- Executed patient check-in procedures, ensuring accuracy of records and required signatures. Verify demographic information is accurate and up to date , collect any co-pays/balances on account and any required signatures for HIPPA forms.
- Developed reports analyzing approval rates, denial reasons, and trends in the authorization process to inform decision-making.
- Recorded correspondence activities while controlling records.
- Trained new employees on authorization processes, policies, and procedures to ensure compliance and efficiency.
- Reviewed patient information to determine coverage, eligibility and benefits. Advise patient of any out of pocket costs they.
- Maintained accurate records of authorization requests, approvals, and denials.
Education
GENERAL STUDIES - LIBERAL ARTS -
UNIVERSITY OF KANSAS
LAWRENCE, KSHIGH SCHOOL DIPLOMA -
WHITEFISH BAY HIGH SCHOOL
WHITEFISH BAY, WISkills
- Patient triage
- Appointment scheduling
- Insurance verification
- Record management
- Report generation
- Customer relationship management
Personal Information
Title: PRE-AUTHORIZATION COORDINATOR
HOBBIES AND INTERESTS
SPENDING TIME WITH FAMILY, TRAVELING, SKIING
Timeline
FRONT OFFICE COORDINATOR
MILWAUKEE ORTHOPAEDIC GROUP LLC
07.2025 - 08.2026
PRE-AUTHORIZATION COORDINATOR
NORTH SHORE HEALTHCARE
08.2019 - 07.2025
PRE-AUTHORIZATION COORDINATOR/FRONT OFFICE STAFF
MILWAUKEE NEUROLOGICAL INSTITUTE
06.2007 - 08.2019
GENERAL STUDIES - LIBERAL ARTS -
UNIVERSITY OF KANSAS
HIGH SCHOOL DIPLOMA -
WHITEFISH BAY HIGH SCHOOL