Mollie Edwards
Aberdeen
Summary
Versatile and results-driven professional with extensive experience across healthcare and education sectors, notably with FirstCarolinaCare Insurance Co. Excelled in credentialing processes and provider communication, enhancing data management and regulatory compliance. Demonstrated exceptional attention to detail and team collaboration, achieving streamlined operations and fostering professional relationships.
Overview
24
24
years of professional experience
Work History
Provider Relations Coordinator
FirstCarolinaCare Insurance Co.
Pinehurst
11.2020 - Current
- Receiving and reviewing New Provider Credentialing Applications
- Verify NC License certification, American Board certification and hospital privileges (if applicable)
- Creating 15 day and 60 day letters for missing information
- Communicating with provider groups when necessary
- W9's- Making sure that we have the correct physical and billing addresses for groups in our network
- Keeping our Credentialing Spreadsheet current and accurate with complete and incomplete applications
- Passing completed applications to Senior Provider Relations Coordinator in specified time frame
Customer Service Coordinator
FirstCarolinaCare Insurance Co.
Pinehurst
10.2019 - 11.2020
- Answering phone calls
- Greeting people as they entered the building
- Answering questions and concerns of all members
- Checking mail and distributing
- Finding billing address for return mail and mailing out
- Mailing out member letters
- Scanning broker letters and mailing out
- Taking payments for FMD members
- Reissuing insurance cards for members
Telemetry/ Cardiac Monitor Technician
First Health Moore Regional Hospital
Pinehurst
10.2017 - 10.2019
- Monitor new patient orders that were to be on telemetry (per doctors' orders)
- Hook new patients up to heart monitor box with electrodes and leads
- Monitor, up to, 50 patients on telemetry and, often times, SPO2 levels
- Read and record patients heart rhythm at the beginning, middle and end of 12 hour shift; identify and record any changes in rhythms throughout 12 hour shift
- Notify nurse and doctor of significant changes to patient heart rhythm anytime applicable
Materials Management/ Supply Technician
First Health Moore Regional Hospital
Pinehurst
12.2016 - 10.2017
- As a Supply Tech in Materials Management, I was assigned several departments in the hospital, including the Emergency Room, and was responsible for keeping inventory, as well as, ordering and stocking each supply room for each department
- Each morning I would take note of inventory for each supply closet and collect needed supplies from the hospital warehouse to stock the shelves
- I also carried the department phone so that, when supplies were low or needed for other departments, they could reach me to make sure the supplies were received
Lead Teacher
Christian Child Development Center
Carthage
12.2013 - 10.2016
- I was previously the lead teacher for the preschool classroom at Christian Child Development Center
- I was responsible for, up to, 23 children between the ages of 3 and 5
- My duties and responsibilities included, but were not limited to, preparing the children for kindergarten
- I instilled confidence in each child by showing them their independence and their ability to do for themselves
- I also taught manners, discipline and how to follow routines and directions, as well as, the general education and knowledge needed to succeed in kindergarten and so forth
FLOATER
The Fresh Market
Southern Pines
01.2012 - 01.2015
- Performing duties in all areas such as cashier, floral, candy/coffee restocking, customer service, etc
Child Care Provider
Drop Zone Kids
Southern Pines
08.2013 - 02.2014
- I was previously a part-time employee with Drop Zone Kids
- My duties included checking children in and out of our facility, supervising their activities and safety, disinfecting equipment, toys, and rooms, talking with parents inquiring of our services, working the register/keeping record of money received
Lead Teacher
Country Kids Day Care and Preschool
Aberdeen
01.2011 - 01.2013
- Essentially all classroom duties, prepared lessons, taught lessons, crafts, supervised and prepared lunches
Sales Representative
Trident Marketing Inc.
Aberdeen
01.2010 - 01.2011
- Answer inbound calls and set up customers' orders for DirecTV and/or internet
Teacher Assistant
Aberdeen Primary School
Aberdeen
01.2005 - 01.2009
- ALL classroom duties, escorting students from one class to another, counsellor, disciplinarian, ordered classroom supplies, assisted in teaching lessons, first aid, sanitation, etc
Coffee/Candy, Floral and Bulk
The Fresh Market
Southern Pines
01.2004 - 01.2006
- Packaged coffee/ candy and bulk items, ordered and restocked floral department as well as coffee/candy and bulk departments, prepared floral arrangements etc
Teacher Assistant
Country Kids Daycare and Preschool
Aberdeen
01.2002 - 01.2005
- Prepared snacks and meals, supervised both classrooms, filled in for teachers when their shift was over
Waitress
Pizza Café
Aberdeen
01.2001 - 01.2003
- Cashier, waitress, cook, delivery
Soda Jerk/ Retail sales
Carolina Perfumer
Southern Pines
01.2001 - 01.2002
- Prepared/served food and beverages, ordered and stocked merchandise in the store, cashier
Education
Associates in Science -
Sandhills Community College
Southern Pines, NC01.2005
High school diploma -
Pinecrest High School
Southern Pines, NC01.2002
Skills
- Credentialing processes
- Provider communication
- Data management
- Regulatory compliance
- Professional relationships
- Attention to detail
- Team collaboration
- Conflict resolution
- Creative thinking
molli_kins84@yahoo.com, mollie.edwards@firstcarolinacare.com
Additional Information - Summary
I am a hard worker and I pay attention to detail. I am a fast learner and am willing to undergo any necessary training that may be required. I enjoy working with people and in fast paced environments but can also appreciate the quiet, slower paced profession.
Timeline
Provider Relations Coordinator
FirstCarolinaCare Insurance Co.
11.2020 - Current
Customer Service Coordinator
FirstCarolinaCare Insurance Co.
10.2019 - 11.2020
Telemetry/ Cardiac Monitor Technician
First Health Moore Regional Hospital
10.2017 - 10.2019
Materials Management/ Supply Technician
First Health Moore Regional Hospital
12.2016 - 10.2017
Lead Teacher
Christian Child Development Center
12.2013 - 10.2016
Child Care Provider
Drop Zone Kids
08.2013 - 02.2014
FLOATER
The Fresh Market
01.2012 - 01.2015
Lead Teacher
Country Kids Day Care and Preschool
01.2011 - 01.2013
Sales Representative
Trident Marketing Inc.
01.2010 - 01.2011
Teacher Assistant
Aberdeen Primary School
01.2005 - 01.2009
Coffee/Candy, Floral and Bulk
The Fresh Market
01.2004 - 01.2006
Teacher Assistant
Country Kids Daycare and Preschool
01.2002 - 01.2005
Waitress
Pizza Café
01.2001 - 01.2003
Soda Jerk/ Retail sales
Carolina Perfumer
01.2001 - 01.2002
Associates in Science -
Sandhills Community College
High school diploma -
Pinecrest High School
Similar Profiles
Petrina RussellPetrina Russell
Manager of Medicare & Regulatory Compliance at FirstCarolinaCare Insurance CompanyManager of Medicare & Regulatory Compliance at FirstCarolinaCare Insurance Company
Tara FloydTara Floyd
Provider Relations Coordinator at FirstCarolinaCareProvider Relations Coordinator at FirstCarolinaCare
SIDDU HUSSAIN ASIDDU HUSSAIN A
SENIOR INSURANCE OPERATIONS EXECUTIVE at AFIA INSURANCE BROKERAGE LLC (INSURANCE MARKET.ae)SENIOR INSURANCE OPERATIONS EXECUTIVE at AFIA INSURANCE BROKERAGE LLC (INSURANCE MARKET.ae)