Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Nicole Molitor

Fenton,MO

Summary

Detail-oriented Surgery Scheduler well-versed in Medical coding, Epic, Cerner and electronic records management systems. Adept at coordinating documentation, supplies and equipment. Seeking a dynamic role with a growing team where resourcefulness, adaptability and hard work will be valuable. Methodical healthcare administrative team member proficient in organizing surgeries according to insurance requirements, facility schedules and surgeon preferences. Proactive multitasker with excellent interpersonal, communication and planning abilities. Tech-savvy and smart with various equipment and with experience in medical environments and top-notch administrative skills. Works great with colleagues and maintains strong patient relations. Excels at following procedures and independently handling common questions and concerns.

Overview

31
31
years of professional experience

Work History

Surgery Scheduling Coordinator

St Lukes Hospital
Des Peres, MO
07.2023 - Current
  • Maintained an up-to-date list of available operating rooms and equipment for surgical teams.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Collaborated and established strong working relationships with physicians, supervisors and colleagues.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Worked with operating facilities to schedule procedures on behalf of 30 surgeons.

Unit Secretary

Mercy South Hospital
St Louis, MO
11.2021 - 07.2023
  • Coordinated with other departments to ensure timely delivery of services to patients.
  • Answered phone calls to provide assistance, information and medical personnel access.
  • Ordered and maintained supply inventory for medical office.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Performed data entry into various computer systems related to OR scheduling activities.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Ensured compliance with hospital policies regarding patient privacy and confidentiality.
  • Coordinated work processes and routed paperwork to appropriate physicians and staff members.
  • Monitored and updated surgical waitlists as needed to maximize efficiency and utilization of resources.
  • Provided support to anesthesia providers by confirming times for pre-operative assessments prior to surgery start times.
  • Booked surgeries according to physician volume and maintained prompt turnaround times.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Facilitated communication between multiple departments within the hospital when coordinating complex cases involving multiple specialists.
  • Communicated regularly with nursing staff regarding upcoming surgeries, changes in schedules, and any necessary adjustments.
  • Participated in meetings with department heads to discuss strategies for improving OR efficiency.
  • Maintained accuracy of surgical block time allocations for all physicians utilizing the ORs.
  • Coordinated with surgeons and other medical staff to ensure accurate scheduling of procedures.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Completed day-to-day duties accurately and efficiently.
  • Worked with cross-functional teams to achieve goals.
  • Displayed strong telephone etiquette, effectively handling difficult calls.

Public Safety Dispatcher

Mercy Medical Hospital
St Louis, MO
03.2020 - 11.2021
  • Maintained accurate records of all calls received, including time of call, caller information, nature of call, action taken, and disposition of each call.
  • Updated dispatch logs throughout shift in order to maintain an accurate record of all activities.
  • Assisted departments with special requests for assistance and BOLOs.
  • Verified alarm activations prior to dispatching police officers or fire fighters in order to reduce false alarms.
  • Responded to emergency calls routed by automatic distribution system.
  • Answered 911 emergency and non-emergency phone calls and asked open-ended questions to ascertain type of resources needed.
  • Prioritized responses to public emergency and non-emergent calls to promptly dispatch police, fire and EMS while tracking data in real-time.
  • Took caller information, read associated computer information and documented vital details in call tracking and assignment system.
  • Analyzed incoming calls for accuracy and completeness before dispatching units to ensure proper resources were sent to the scene.
  • Handled highly stressful situations with extreme poise and control, keeping callers calm and on line until help arrived at scene.
  • Participated in training sessions designed to enhance knowledge of protocols specific to position duties.
  • Advised personnel about accidents, weather conditions or other hazards.
  • Conducted follow-up investigations on suspicious activities reported by citizens and relayed pertinent information to responding units in a timely manner.

Prior Authorization Specialist

Mercy Hospital St. Louis
St Louis, MO
04.2007 - 05.2016
  • Maintained accurate records of all authorization activities in the database system.
  • Coordinated resolutions for issues and appealed denied authorizations.
  • Determined which party would be liable for payment on medical services by thoroughly reviewing patient insurance coverage.
  • Reviewed prior authorization requests to ensure accuracy and completeness of required information.
  • Notified ordering providers of denied authorizations.
  • Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
  • Scheduled patient appointments, diagnostic specialty appointments, tests and procedures.
  • Collaborated with internal departments to provide account status updates.
  • Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
  • Ensured compliance with state and federal regulations pertaining to prior authorizations.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
  • Developed relationships with external vendors providing pre-authorization services.
  • Identified areas where improvements can be made within the department by analyzing trends in denials and approvals.
  • Advised provider offices on proper coding practices that are necessary for successful claim submission.
  • Coordinated with other departments to obtain additional information needed for prior authorization.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
  • Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.

Administrative Assistant

Siemens Technology And Services Private
Hoffman Estates, IL
05.1993 - 09.1995
  • Handled confidential documents in an organized fashion according to established protocol.
  • Kept office equipment functional and supplies well-stocked to promote efficient operations.
  • Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
  • Ensured efficient operation of office equipment such as printers, copiers and fax machines.
  • Organized both physical and digital files and updated reports to coordinate project materials.
  • Updated contact lists regularly when changes occur in employee status or contact information.
  • Responded effectively to sensitive inquiries or complaints.
  • Oversaw staff correspondence, record tracking and data communications, resulting in improved automation of office operations.
  • Pleasantly welcomed visitors, answered phone calls, and maintained front reception desk.
  • Prepared and prioritized calendars and correspondence.
  • Provided secretarial and office management support while building cooperative working relationships.
  • Answered questions from customers regarding products and services offered by the company.
  • Managed physical and digital files, monitored spreadsheets and updated reports to coordinate project materials.
  • Sorted and distributed incoming faxes, letters and emails for office distribution.
  • Managed incoming calls while providing information or transferring callers to appropriate personnel.
  • Scheduled appointments between clients and customers and internal staff members.
  • Utilized editing programs to proofread content for typo-free emails, memos and documentation.
  • Coordinated mailings including sorting mail, preparing packages for shipping via courier service or postal service.
  • Assisted with the planning of special events by arranging catering services, securing venues and ordering promotional materials.

Education

Esthetician - Master Aesthetician

Current Trends Accademy
City Of Saint Peters, MO
09-2001

High School Diploma -

Edwardsville High School
Edwardsville, IL
05-1994

Associate of Applied Science -

St Louis Community Collage
St Louis, MO

Associate of Arts -

Lewis And Clark Community College
Godfrey, IL

Skills

  • Schedule Coordination
  • EMR Updating
  • Checking in Patients
  • Verifying Insurance
  • Pre-Authorization Management
  • Insurance Pre-Certifications
  • Data Entry
  • Medical Terminology
  • Patient Scheduling
  • Critical Thinking
  • Electronic Recordkeeping
  • Documentation Review
  • Adaptable and Flexible
  • Data Management
  • Computer Proficiency
  • Problem-Solving
  • Relationship Building
  • BLS Certified
  • Inventory Management
  • Medical Charting
  • Medical Records Maintenance
  • CPT Coding
  • Scheduling Tests and Procedures
  • Data Entry Software
  • Medical Records Verification
  • Customer Service
  • Equipment Troubleshooting and Maintenance
  • Epic Systems
  • Prescription Refills
  • Clinical Support
  • Documentation and Recordkeeping
  • HIPAA Compliance
  • EHR Software
  • Database Administration
  • Medical Report Preparation

References

References available upon request.

Timeline

Surgery Scheduling Coordinator

St Lukes Hospital
07.2023 - Current

Unit Secretary

Mercy South Hospital
11.2021 - 07.2023

Public Safety Dispatcher

Mercy Medical Hospital
03.2020 - 11.2021

Prior Authorization Specialist

Mercy Hospital St. Louis
04.2007 - 05.2016

Administrative Assistant

Siemens Technology And Services Private
05.1993 - 09.1995

Esthetician - Master Aesthetician

Current Trends Accademy

High School Diploma -

Edwardsville High School

Associate of Applied Science -

St Louis Community Collage

Associate of Arts -

Lewis And Clark Community College

Similar Profiles

CREATE PROFILE
Nicole Molitor