Courtney Banks
Norton
Summary
Dynamic Insurance Billing Manager and Credentialing Specialist at Pinnacle Chiropractic Health & Wellness Center, adept at enhancing claims management and process improvements. Proven track record in increasing revenue recovery and fostering teamwork. Skilled in insurance verification and conflict resolution, ensuring compliance and exceptional patient service. Committed to continuous learning and operational excellence.
Insurance billing professional with comprehensive expertise in managing billing processes and ensuring accurate financial transactions. Proven track record of enhancing operational efficiency and reducing errors through strong analytical skills and attention to detail. Known for effective team collaboration, adaptability to changing demands, and consistently achieving results in high-pressure environments. Skilled in claims processing, revenue cycle management, and regulatory compliance.
Overview
16
16
years of professional experience
Work History
Insurance Billing Mgr & Credentialing Specialist
Pinnacle Chiropractic Health & Wellness Ctr, LLC
10.2019 - Current
- Oversaw billing operations, ensuring accuracy and compliance with insurance regulations.
- Implemented process improvements, enhancing efficiency in claims submission and payment tracking.
- Led team training sessions, fostering knowledge of billing systems and procedures among staff.
- Developed and maintained relationships with insurance providers to streamline claim resolutions.
- Analyzed billing data to identify trends, driving strategic decisions for revenue enhancement.
- Coordinated audits of billing practices, ensuring adherence to industry standards and organizational policies.
- Resolved complex billing inquiries from patients and insurance companies through effective communication.
- Increased revenue recovery with the implementation of effective follow-up practices on unpaid claims.
- . Reviewed complex cases involving multiple payers or unique circumstances, applying problem-solving skills to secure optimal reimbursement outcomes for the organization.
- Analyzed trends in denied claims data to identify patterns and develop targeted strategies for improvement efforts.
- Reduced error rates in claims submissions through meticulous review and verification procedures.
- Reviewed billing problems, researched issues, and resolved concerns.
- Facilitated communication between providers and insurance companies to resolve credentialing issues promptly.
- Maintained comprehensive records of provider credentials, ensuring compliance with regulatory standards.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Demonstrated excellent problem-solving skills when confronted with complex issues or discrepancies during the credentialing process.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
Office Manager
Pinnacle Chiropractic Health & Wellness Ctr, LLC
06.2010 - 10.2019
- Managed daily office operations to ensure efficient workflow and service delivery.
- Coordinated scheduling for patient appointments, optimizing clinic resources and staff availability.
- Implemented electronic health record systems, enhancing patient data management and accessibility.
- Oversaw inventory management, ensuring availability of essential medical supplies and equipment.
- Trained new administrative staff on office procedures, fostering a collaborative team environment.
- Developed and maintained office policies to improve operational efficiency and compliance with regulations.
- Led initiatives to enhance patient experience through improved communication and feedback mechanisms.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
- Handled sensitive employee and client information with utmost confidentiality, maintaining trust and integrity.
Education
Bachelor of Science - Finance
Kent State University
Kent, Ohio, OH05-2011
Skills
- Claims management expertise
- Patient confidentiality practices
- Time management mastery
- Insurance billing
- Healthcare industry
- Process improvement strategies
- Conflict resolution techniques
- Collections experience
- Staff training and development
- Insurance verification
- HIPAA
- Payment posting
- Billing review
- Willing to learn
- Teamwork and collaboration
- Customer service
- Attention to detail
- Multitasking
Timeline
Insurance Billing Mgr & Credentialing Specialist
Pinnacle Chiropractic Health & Wellness Ctr, LLC
10.2019 - Current
Office Manager
Pinnacle Chiropractic Health & Wellness Ctr, LLC
06.2010 - 10.2019
Bachelor of Science - Finance
Kent State University