Courtney User
@courtneyuser1
Detail-oriented Claims Processor with expertise in healthcare administration.
What I'm looking for
I am a detail-oriented Claims Processor with over 5 years of experience in healthcare administration, claims processing, patient access, and medical records management. My expertise lies in processing health and welfare claims, insurance verification, and ensuring compliance with HIPAA regulations. I have a proven track record of improving operational efficiency and driving customer satisfaction through effective communication and problem resolution.
In my current role as a Medical Records Technician at Advantmed, I ensure HIPAA compliance while managing sensitive Protected Health Information (PHI) and Personally Identifiable Information (PII). I utilize electronic health record (EHR) systems to ensure accurate and timely digitization of medical records, collaborating with healthcare professionals to improve workflow efficiency. My previous experience as a Patient Access Representative at Wellstar Kennestone involved conducting patient interviews and verifying insurance eligibility, which minimized claim denials and ensured accurate billing.
Throughout my career, I have developed strong skills in claims processing, customer service, and problem-solving. I am now seeking to contribute my extensive experience to a dynamic team in a Claims Processor role, where I can continue to enhance operational workflows and patient experiences.
Experience
Work history, roles, and key accomplishments
Medical Records Technician
Advantmed
May 2024 - Present (1 year)
Ensured HIPAA compliance while managing sensitive Protected Health Information (PHI) and Personally Identifiable Information (PII). Utilized electronic health record (EHR) systems for accurate and timely digitization of medical records, collaborating with healthcare professionals to improve workflow efficiency.
Patient Access Representative
Wellstar Kennestone
Feb 2018 - Present (7 years 3 months)
Conducted patient interviews and gathered demographic and insurance information, ensuring seamless admissions into hospital systems. Performed insurance eligibility and benefits verification, coordinating with insurance providers to minimize claim denials and ensure accurate billing.
Admission Representative
Coram/CVS
Dec 2016 - Present (8 years 5 months)
Managed insurance eligibility and prior authorization processes, reducing claim denials and ensuring seamless treatment coverage. Applied expertise in medical terminology and ICD-10/CPT-4 codes while processing claims accurately and on time.
Independent Courier
MCIP Transport
Jan 2016 - Present (9 years 4 months)
Delivered confidential items with discretion, ensuring the security and confidentiality of all business transactions. Built strong client relationships through excellent communication and commitment to timely deliveries.
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Courtney hasn't added their education
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