Summary
Overview
Work History
Education
Skills
Accomplishments as a Appeals Research Coordinator
Timeline
Generic

Courtney Beatty

East Liverpool,United States

Summary

Detail-oriented Appeals Coordinator versed in researching and resolving complex issues on behalf of policyholders and providers. Highly trained professional with a background in verifying insurance benefits and creating appropriate decisions on case to case basis. An established Appeals Coordinator known for handling various office tasks with undeniable ease. I am a reliable employee seeking the Senior Appeals Coordinator position. Offering excellent communication and good judgment.

Overview

8
8
years of professional experience

Work History

Appeals Coordinator

Aetna - CVS
Pittsburgh, PA
10.2021 - Current
  • Developed appeals functions, policies and procedures and documentation.
  • Created, composed and maintained appeal response templates.
  • Acted as a departmental resource on appeals matters.
  • Calculated adjustments, premiums and refunds.
  • Verified client information by analyzing existing evidence on file.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Checked documentation for accuracy and validity on updated systems.
  • Generated, posted and attached information to claim files.


Small Business Owner

Self Employed Web
East Liverpool, OH
05.2015 - 01.2020
  • Outlined finances, goals and daily operations of company in detailed business plans.
  • Introduced new methods, practices and systems to reduce turnaround time.
  • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.


Education

High School Diploma -

Crestview High School
Columbiana, OH
06.2012

Skills

  • Written Communication
  • Effective Listening
  • Individual Counseling for Productivity and Efficiency
  • Team Goals
  • Constructive Feedback
  • Excellent Rating
  • Time Management
  • Staff Training
  • Critical Thinking
  • Benefits Review
  • Flexible and Adaptable
  • Collaboration
  • Employee Mentoring and Motivation
  • Group Assistance

Accomplishments as a Appeals Research Coordinator

Created a Research Checklist that is used department wide

Mentored fellow new hires

One on One training for efficiency and productivity with fellow employees

Trained in specialized cases which include Dental and Skilled Nursing

Presentation for New Hires for One Note

Research Huddle Meeting note taker- Back up

Shadowed fellow Senior to learn the roles and duties needed when becoming a Senior Coordinator

Presentation for production in team meeting

Joined the Employee Work Group

Created a Job Aid for specific program used by team

Joined the Research News Letter Team

Excellent Rating and Quality












Timeline

Appeals Coordinator

Aetna - CVS
10.2021 - Current

Small Business Owner

Self Employed Web
05.2015 - 01.2020

High School Diploma -

Crestview High School

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