Courtney Amerson
Gray,GA
Summary
Seasoned Provider Relations Representative possessing in-depth knowledge of various insurance plans and policies. Focused on contributing to company success while learning from established professionals. Desiring to take on a position with long term career potential. Excellent communication, relationship-building and problem- solving abilities. Diligent, attentive and quality-driven. Exceptional skills establishing cooperative, professional relationships. Also, highly organized and knowledgeable about healthcare processes and administrative requirements.
Overview
13
13
years of professional experience
Work History
Provider Engagement Representative
United Health Group, Optum
08.2022 - Current
- Established open and professional relationships with team members, internal and external, to achieve quick resolutions for various issues.
- Provided valuable input during team meetings, resulting in the identification of new opportunities for growth and development within the organization.
- Maintained current knowledge base regarding insurance information and managed care guidelines.
- Collaborated with cross-functional teams to resolve complex provider issues, resulting in improved provider relations.
- Supported network development efforts through proactive outreach to potential providers and initiation of contracting processes.
Provider Relations Team Lead
Central Georgia Health Network
08.2020 - 08.2022
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Led cross-functional teams for successful project execution while maintaining strong collaboration among team members.
- Took on additional job duties during unexpected backlog, resulting in meeting project target date.
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Researched and resolved disputes, billing discrepancies and claims efficiently to maintain customer satisfaction.
Medical Office Assistant
Primary Pediatrics, P.C.
05.2011 - 07.2019
- Improved patient satisfaction by efficiently scheduling appointments and managing patient records.
- Enhanced patient care with timely and accurate data entry of medical histories, prescriptions, and lab results.
- Assisted physicians in providing high-quality care, completing insurance forms and handling referrals promptly.
- Contributed to a positive work environment by maintaining organized files and facilitating clear communication between staff members.
- Worked with organizations, area hospitals and insurance companies to expedite payments and resolve issues.
Teacher
Van Wert Elementary School
07.2018 - 05.2019
- Developed strong relationships with students, parents, and colleagues by maintaining open lines of communication and fostering a supportive learning environment.
- Increased student literacy rates by implementing targeted reading strategies in individualized instruction plans.
- Enhanced classroom engagement through the use of interactive teaching methods, such as group projects and hands-on activities.
- Collaborated with other teachers to plan interdisciplinary units that connected subjects and promoted deeper understanding among students.
Teacher
Wells Elementary School
07.2016 - 05.2018
- Developed strong relationships with students, parents, and colleagues by maintaining open lines of communication and fostering a supportive learning environment.
- Increased student literacy rates by implementing targeted reading strategies in individualized instruction plans.
- Enhanced classroom engagement through the use of interactive teaching methods, such as group projects and hands-on activities.
- Collaborated with other teachers to plan interdisciplinary units that connected subjects and promoted deeper understanding among students.
Education
Bachelor of Science - Elementary/Special Education-The Holistic Child
Mercer University
Macon, GA05.2016
Skills
- Conflict Resolution
- Organizational skills
- Problem-solving abilities
- Interpersonal skills
- Relationship Development
- Managed Care Contracts
- Medicare and Medicaid process
- Network Development
- Microsoft Office
- Effective Organization
- Strong Written Verbal and Communication Skills
- Responsible and Dependable
Affiliations
- Executive Director, Middle Georgia Medical Group Management Association
Timeline
Provider Engagement Representative
United Health Group, Optum
08.2022 - Current
Provider Relations Team Lead
Central Georgia Health Network
08.2020 - 08.2022
Teacher
Van Wert Elementary School
07.2018 - 05.2019
Teacher
Wells Elementary School
07.2016 - 05.2018
Medical Office Assistant
Primary Pediatrics, P.C.
05.2011 - 07.2019
Bachelor of Science - Elementary/Special Education-The Holistic Child
Mercer University
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