Nicole Motter
Franklin
Summary
Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to submission of inpatient notification. Detail-oriented performer. Considered team player with exemplary multitasking skills.
Overview
26
26
years of professional experience
Work History
Insurance Authorization Specialist
Ensemble Health Partner
07.2019 - Current
- Proven ability to develop and implement creative solutions to complex problems.
- Excellent communication skills, both verbal and written.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Assured timely verification of insurance benefits
- Made contact with insurance carriers to verify active coverage and submit notification of submission
- Trained new staff and our global team on current, correct insurance verification procedures.
- Managed high-volume insurance verifications
- Responds to email inquires from case management and our leadership
- Create training materials for the NOA process and continue to monitor and update as needed.
Patient Access Specialist
Premier Health Atrium Hospital
02.2019 - 07.2019
- Outbound calls for Pre-registration of patients
- Register patients for the Emergency, Outpatient, In Patient, surgical and Women's clinic
- Review insurance coverage
- Inform patients of payment assistants
Receptionist
Suburban Pediatrics Associates
09.2018 - 02.2019
- Check for current insurance coverage
- Answered central telephone system and directed calls accordingly.
- Collected payments, processed transactions and updated relevant records.
- Managed multiple tasks and met time-sensitive deadlines.
- Confirmed appointments, communicated with clients, and updated client records.
Quality Control Analyst I supervisor
Macy's Inc.
08.2012 - 02.2018
- Human Resource Audit Supervisor of Paid time off calculations, Federal and local taxes, Hire-Rehire-Termination-Retiree benefits and Leave of Absence audit processing
- Manage daily workflow for each associates to ensure accuracy
- Create monthly coaching sessions
- Trained and coached existing and new employees on multiple investigative case types and internal control processes.
- Cross-trained existing employees to maximize team agility and performance.
Benefit Audit Analyst I & II
Macy's Inc.
08.2006 - 08.2012
- Verified accuracy of associates elections on annual enrollment forms
- Verified Leave of Absence associates payments were applied correctly to balances
- Audit HR Services calls to ensure superior customer service and quality
Customer Service Specialist
Macy's Inc.
04.1999 - 08.2006
- Effectively manage a high volume of inbound customer calls
- Defuse volatile customer situations calmly and courteously
- Crossed trained in various areas which include furniture and bedding, internet orders and credit customer service
Education
High School Diploma -
Middletown High School
Middletown, OH05-1991
Skills
- OneSource
- Pelitas
- Epic
- Microsoft Office
- Peoplesoft
- HCM/Oracle Cloud/Sales Force
Timeline
Insurance Authorization Specialist
Ensemble Health Partner
07.2019 - Current
Patient Access Specialist
Premier Health Atrium Hospital
02.2019 - 07.2019
Receptionist
Suburban Pediatrics Associates
09.2018 - 02.2019
Quality Control Analyst I supervisor
Macy's Inc.
08.2012 - 02.2018
Benefit Audit Analyst I & II
Macy's Inc.
08.2006 - 08.2012
Customer Service Specialist
Macy's Inc.
04.1999 - 08.2006
High School Diploma -
Middletown High School
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