Courtney Barnes
Salt Lake City,UT
Summary
Medical billing professional with substantial experience in healthcare revenue cycle management and claims processing. Skilled in coding, compliance, and payer relations. Known for strong collaborative approach, adaptability, and delivering results. Adept in problem-solving and maintaining accuracy in complex billing systems.
Overview
10
10
years of professional experience
Work History
Patient Advocate
Included Health
09.2023 - 01.2025
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Provided emotional support to patients and families during challenging medical situations, fostering trust and rapport.
- Monitored patient progress and provided emotional support.
- Managed patient complaints professionally and efficiently while maintaining strict adherence to HIPAA regulations.
- Educated patients on available resources and community programs, increasing their access to needed services.
- Collaborated with healthcare professionals to facilitate high-quality comprehensive care.
- Assisted patients in navigating complex insurance processes, leading to successful claim resolutions and reduced financial burdens.
- Monitored patient progress throughout treatment course, advocating for adjustments when necessary to optimize outcomes.
- Liaised between patients and medical staff, facilitating effective communication of needs, preferences, and treatment plans.
- Negotiated payment plan arrangements with medical billing departments on behalf of the patients experiencing financial hardship.
- Assisted patients in navigating complex healthcare systems and procedures to reduce emotional strain.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Accounts Receivable and Billing Specialist
Ventra Health
02.2019 - 07.2023
- Reduced overdue payments with consistent follow-up on outstanding invoices, improving overall collection rates.
- Assisted in audit preparation by providing detailed documentation of accounts receivable transactions, contributing to a smooth and efficient process.
- Improved financial reporting accuracy by reconciling accounts receivable ledger to the general ledger monthly.
- Collaborated with cross-functional teams to resolve billing discrepancies, facilitating prompt resolution of customer concerns.
- Maintained strong client relationships through effective communication regarding account status, invoice inquiries, and payment arrangements.
- Proactively identified potential issues in accounts receivable processes and recommended solutions for improvement, leading to enhanced operational efficiency.
- Facilitated successful collections efforts through diplomatic negotiations with past-due customers, minimizing write-offs and maintaining positive relationships with clients.
- Trained and mentored new accounts receivable team members, contributing to their professional growth and successful integration into the department.
Patient Service Representative
Intermountain Healthcare
01.2018 - 02.2019
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Provided compassionate support for patients facing financial challenges, assisting them in navigating available resources and payment options.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Resolved customer complaints using established follow-up procedures.
Broker Coordinator
Molina Healthcare Temporary Position
05.2016 - 10.2016
- Managed new broker applications and enrollment forms
- Educated Brokers on plan benefits in all markets
- Leveraged brokerage pricing techniques and tools, market awareness and knowledge to secure business while building customer portfolio
- Developed and maintained single point of contact, by answering inquiries from National Brokers regarding application submittals, Medicare Advantage products, supply requests and fulfillment
- Followed up with potential clients regarding online information requests
- Monitored and assessed customer portfolio while continually strengthening relationships with existing customers
- Provided administrative support to brokers, allowing them to focus on business development efforts more efficiently.
- Demonstrated commitment to ongoing professional development through participation in industry conferences, workshops, and continuing education courses.
- Streamlined communication between clients and brokers, ensuring timely responses to all parties involved.
- Developed strong relationships with clients through consistent follow-up and personalized service.
- Participated in team meetings, contributing ideas for process improvements that increased overall efficiency.
- Recognized as a valuable resource within the team due to exceptional problem-solving abilities.
Account Representative I and II
Sutter Physician Services
10.2014 - 05.2016
- Increased customer satisfaction ratings through proactive and actionable resolutions to questions, concerns, or challenges.
- Contacted customers to assess satisfaction and current needs.
- Analyzed accounts for delinquencies and other ongoing issues.
- Resolved client disputes professionally, contributing to enhanced brand reputation and client trust.
- Supported customer satisfaction through regular follow-up and communication.
- Processed client payments and updated accounts.
- Led quarterly review meetings with clients to discuss performance, address concerns, and plan for future collaboration.
- Strengthened company reputation with exceptional service, handling client concerns with professionalism and patience.
- Facilitated training sessions for new account representatives, enhancing team's overall skill set and performance.
- Fielded customer complaints and facilitated negotiations, resolving issues and reaching mutual conclusions.
Education
Some College (No Degree) -
Brigham Young University - Idaho
Rexburg, IDSkills
- Strong work ethic
- ICD-9
- CPT-10
- Medical Terminology
- HIPAA Compliance
- ERA
- Epic EMR
- Knowledge of HMOs
- Knowledge of Medicare
- Knowledge of Medi-Cal
- In-depth claims knowledge
- Detail oriented
- Effective time management
- Accounts receivable
- Time management
- Teamwork and collaboration
- Coding proficiency
Timeline
Patient Advocate
Included Health
09.2023 - 01.2025
Accounts Receivable and Billing Specialist
Ventra Health
02.2019 - 07.2023
Patient Service Representative
Intermountain Healthcare
01.2018 - 02.2019
Broker Coordinator
Molina Healthcare Temporary Position
05.2016 - 10.2016
Account Representative I and II
Sutter Physician Services
10.2014 - 05.2016
Some College (No Degree) -
Brigham Young University - Idaho
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