Amy Courtney
Wentzville,Missouri
Summary
Results-oriented Support Engineer with superior problem-solving and critical thinking skills, as well as meticulous attention to detail and methodical nature. Skilled in tackling problems in unique ways to develop innovative solutions. Adept at conducting research, reviewing data and analyzing system performance. Motivated, flexible and versatile with significant background in administrative roles. Skilled Electronic Data Interchange Coordinator experienced coordinating electronic records, maintaining open communication and reviewing reports. Instrumental in maintaining functioning systems, streamlining processes and realigning procedures to better serve customer needs. Tactful, friendly and communicative with both technical and non-technical people.
Overview
19
19
years of professional experience
Work History
EDI Specialist II
NextGen Healthcare
Horsham, PA
03.2022 - Current
- Developed comprehensive documentation for EDI processes, facilitating knowledge sharing and supporting team growth.
- Analyzed transactional data to identify trends and patterns, providing valuable insights for strategic decision-making purposes.
- Optimized workflow by automating manual tasks, improving overall productivity within the department.
- Provided exceptional support to internal and external stakeholders, addressing any issues or concerns related to EDI processes.
- Served as the primary point of contact for all EDI-related inquiries from both internal and external stakeholders, providing timely and accurate responses.
- Tracked files from origin to destination and troubleshot errors.
- Built and deepened positive and productive relationships with business partners.
- Troubleshot incidents reported by end-users to schedule system changes and identify permanent solutions.
- Collaborated with upper management to drive strategy and implement new processes.
- Skilled at working independently and collaboratively in a team environment.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
HQM Analyst
NextGen Healthcare Information Systems LLC
Horsham, PA
03.2016 - 03.2022
- Assist clients with workflow in Nextgen EHR to secure criteria to meet the CMS requirements for MIPS reporting
- Verified data integrity and accuracy
- Followed up with clients to ensure optimal customer satisfaction following support engagement and problem resolution
- Responded to support requests from end users and patiently walked individuals through basic troubleshooting tasks
- Documented all transactions and support interactions in system for future reference and addition to knowledge base
- Responded to telephone, email and in person inquiries regarding HQM operation, use and repair
- Updated documentation and produced reports
- Applied troubleshooting and diagnostic skills to resolve a range of issues
- Engaged end users and answered questions via email, phone, website live chat and in forums
- Demonstrated professionalism and courtesy with customers while working to resolve complaints, problems or respond to questions
- Assessed system hardware and software and suggested modifications to reduce lag time and improve overall speed.
RCM Supervisor
NextGen Healthcare Information Systems LLC
St Louis, MO
03.2005 - 03.2016
- Supported clinical team members with all revenue cycle procedures and addressed any issues as needed
- Monitored and guided revenue cycle operations
- Completed financial reporting and analysis for billing revenue cycle
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency
- Routinely collaborated with department managers to correct problems and improve services
- Processed monthly reports for department performance
- Reviewed documentation for compliance with requirements and accuracy of information
- Entered details such as payments, account information and call logs into Nextgen Healthcare PM system
- Responded to customer requests via telephone and email and effectively answered questions and inquiries
- Hired, managed, developed and trained staff, developed and monitored goals, conducted performance reviews and administered salaries for staff
- Established and updated work schedules to account for changing staff levels and expected workloads
- Managed supervisor itinerary and appointments and streamlined scheduling procedures
- Interacted with customers professionally by phone, email or in-person to provide information and direct to desired staff members
- Optimized organizational systems for payment collections, accounts payable/receivable, deposits and recordkeeping
- Assessed performance of different employees and motivated team members to enhance productivity
- Kept physical files and digitized records organized for easy updating and retrieval by any team member with access
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities
- Improved office operations by automating client correspondence, record tracking and data communications
- Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies
- Accurately posted and sent out all medical claims
- Trained new employees on multiple medical billing programs and data entry software
- Posted and adjusted payments from insurance companies
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls to ensure proper payments were made according to contracts
- Printed and reviewed monthly patient aging report and solicited overdue payments
- Precisely completed appropriate claims paperwork, documentation and system entry
- Determined prior authorizations for medication and outpatient procedures
- Precisely evaluated and verified benefits and eligibility
- Located errors and promptly refiled rejected claims
- Generated financial statements and reports detailing accounts receivable status
- Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
Education
High School Diploma -
Ritenour Sr. High School
St Louis, MissouriSkills
- Customer-focused
- Customer-oriented
- Research and due diligence
- Nextgen proficiency
- Strong interpersonal skills
- Claims investigation and research
- Medical terminology knowledge
- Client relations strength
- Computer literate
- Personable
- Planning and organization
- Claims analysis
- Skilled problem solver
- Active listening skills
- Nextgen software
- Employee relations
- Motivated team player
- Medicare and Medicaid eligibility
- Positive and friendly
- Interactive communication skills
- Consistently meet goals
- Customer service
- Research
- Case research
- Claim research
- Process Automation Implementation
- Performance Metrics Tracking
- Project management abilities
- EDI System Testing
- Database Management Familiarity
- EDI Software Knowledge
- EDI Training Development
- EDI Transaction Monitoring
- Troubleshooting skills
- Customer Support
- Error resolution
- Provider research
- Client Relations
- Error Resolution Management
- Continuous Improvement Mindset
- Business Process Analysis
Timeline
EDI Specialist II
NextGen Healthcare
03.2022 - Current
HQM Analyst
NextGen Healthcare Information Systems LLC
03.2016 - 03.2022
RCM Supervisor
NextGen Healthcare Information Systems LLC
03.2005 - 03.2016
High School Diploma -
Ritenour Sr. High School