Summary
Overview
Work History
Education
Skills
Timeline
Generic

Courtney Campbell Cooper

West Henrietta

Summary

Highly knowledgeable Lead Medical Biller with significant experience in healthcare billing, coding, and management. Skilled at overseeing medical billing processes, ensuring compliance with regulatory standards, and managing teams for optimal performance. Demonstrated ability to streamline operations and improve workflow efficiency. Brings track record of positive impact on revenue cycle management through effective process enhancement strategies.

Overview

12
12
years of professional experience

Work History

Lead Medical Biller

Upstate Regional Medical Supply
Rochester
12.2023 - Current
  • Preparing and submitting medical claims using Epic or Oracle.
  • Verifying eligibility and benefits for patient procedures.
  • Reviewing, preparing, and transmitting claims through both electronic and paper claim-processing systems.
  • Trained staff members on coding techniques, billing protocols, and other aspects of medical billing operations.
  • Handling incoming calls related to billing inquiries from patients, insurance companies, and employees.
  • Monitored accounts receivable aging reports, making adjustments as needed.
  • Adhering to all relevant healthcare regulations and guidelines, including HIPAA, in handling patient information.

Medical Biller and Coder

ADP AdvancedMD
Rochester
04.2021 - 04.2023
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Ensured timely filing of all claims within established guidelines.
  • Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
  • Entered coded data into electronic health record (EHR) systems.

Medical Claims Reviewer

MVP Health Care
Rochester
12.2020 - 11.2022
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Responded to customer requests for products, services and company information.
  • Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
  • Provided information regarding charge accounts and loyalty programs.
  • Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
  • Communicated with vendors regarding backorder availability, future inventory and special orders.

Employee Benefits Specialist

Gleason Works
Rochester
07.2017 - 03.2020
  • Administering and managing employee benefits programs, including health, retirement, and leave of absence plans.
  • Skilled in maintaining accurate benefit records, processing plan billings, and ensuring compliance with federal regulations such as HIPAA, COBRA, FMLA, ADA, and PWFA.
  • Conducts regular audits of retirement and health plans to ensure accuracy and compliance.
  • Proficient in assisting employees with benefit enrollment, eligibility inquiries, and claims procedures while providing prompt and courteous support.
  • Experienced in coordinating with vendors to resolve discrepancies and in presenting benefits information during open enrollment and upon request.

Project Manager

Acc Business
Rochester
06.2013 - 06.2017
  • Leading telecom infrastructure projects from planning to completion.
  • Skilled in managing budgets, timelines, and resources while coordinating cross-functional teams, vendors, and stakeholders.
  • Proficient in overseeing network installations, upgrades, and expansions, ensuring compliance with industry standards and regulations.
  • Strong problem-solving abilities with a focus on optimizing workflows, mitigating risks, and delivering high-quality telecom solutions on time and within budget.

Education

Certified Professional Coder -

AAPC
07-2022

Business Administration -

SUNY Brockport College
Brockport, NY
12.2010

High School Diploma -

Marshall High School
Rochester, NY
06.2006

Skills

  • Customer relationship management
  • Medical terminology
  • Insurance and benefits verification
  • Knowledgeable in Microsoft Word, Excel, and PowerPoint
  • Epic, Oracle software
  • HIPAA compliance
  • Effective communication
  • ICD-10 coding
  • Verbal and written communication
  • Insurance billing
  • Staff training and development

Timeline

Lead Medical Biller

Upstate Regional Medical Supply
12.2023 - Current

Medical Biller and Coder

ADP AdvancedMD
04.2021 - 04.2023

Medical Claims Reviewer

MVP Health Care
12.2020 - 11.2022

Employee Benefits Specialist

Gleason Works
07.2017 - 03.2020

Project Manager

Acc Business
06.2013 - 06.2017

Certified Professional Coder -

AAPC

Business Administration -

SUNY Brockport College

High School Diploma -

Marshall High School

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