Courtney Dillon
Harvey,LA
Summary
Experienced authorization coordinator with 15+ years in prior authorization, insurance verification, and clinical documentation review. Known for strong communication, accuracy, and timely resolution of coverage issues.
Overview
18
18
years of professional experience
Work History
Authorization Coordinator
UnitedHealthcare
Remote
06.2018 - Current
- Coordinated prior authorization requests, ensuring completeness and compliance with medical necessity guidelines.
- Reviewed clinical documentation to support authorization decisions and reduce processing delays.
- Communicated with providers, members, and internal teams to resolve coverage and referral issues.
- Tracked authorization status in electronic systems, maintaining accurate records and timely updates.
- Applied utilization management criteria to verify service eligibility and approved care pathways.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Reviewed documentation for accuracy and assessment of necessity.
- Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
- Handled high-volume inbound calls from healthcare providers to obtain clinical information, address authorization inquiries, and provide inpatient authorization requests.
- Process and review over 50+ inpatient authorization requests daily while meeting quality and turnaround time standards
Clinical Administrative Coordinator
Peoples Health
Metairie, LA
03.2010 - 06.2018
- Coordinated clinical administrative workflows for member records, authorizations, and referral documentation.
- Maintained accurate case files in health plan systems, ensuring compliant data entry and record retention.
- Tracked incoming requests from providers, members, and care teams to support timely resolution.
- Reviewed documentation for completeness, escalating discrepancies to appropriate clinical staff.
- Collaborated with utilization management and case management teams to support smooth operations.
- Trained new staff on documentation standards, workflow expectations, and system navigation.
- Utilized electronic health records software proficiently, enabling quick access to vital patient information when required.
- Ensured compliance with HIPAA regulations through diligent record keeping and strict adherence to confidentiality guidelines.
- Managed hospital census reports and supported patient acute admission coordination.
- Responded to approximately 30+ inbound calls from healthcare providers regarding patient authorizations and care coordination.
Business Office Specialist
Amedisys Home Health Care
Metairie, LA
06.2008 - 03.2010
- Managed scheduling, referrals, and appointment coordination across interdisciplinary care teams
- Coordinated patient intake, insurance verification, and authorization workflows for home health admissions
- Reviewed clinical documentation for completeness, accuracy, and billing compliance
- Processed claims, payment postings, and account reconciliations with precise attention to detail
- Maintained patient records in EMR systems while safeguarding confidentiality and data integrity
- Supported office operations by prioritizing calls, correspondence, and administrative requests
- Performed clerical duties by typing, filing, copying, faxing and completing and submitting forms.
- Utilized office system to schedule clients' appointments per centralized scheduling guidelines.
- Collected, arranged, and input information into database system.
- Handle high- volume phone inquiries from healthcare providers related to patient information.
- Maintained confidential patient and financial records in compliance with office procedures.
- Processed patient billing, insurance verifications, and reimbursement documentation with strong accuracy.
Education
Bachelor of Science - Healthcare Administation
Our Lady of The Lake College
Baton Rouge, LA05-2008
Associate of Science - Liberal Arts And Sciences
Our Lady of The Lake College
Baton Rouge, LA05-2008
Skills
- Prior authorization
- Insurance verification expertise
- Medical terminology proficiency
- Data entry
- Process improvement
- Critical thinking
- Attention to detail
- Organizational skills
- Effective time management
- Prioritization
- Strong communication skills
- Patient relations
- Patient confidentiality compliance
Timeline
Authorization Coordinator
UnitedHealthcare
06.2018 - Current
Clinical Administrative Coordinator
Peoples Health
03.2010 - 06.2018
Business Office Specialist
Amedisys Home Health Care
06.2008 - 03.2010
Bachelor of Science - Healthcare Administation
Our Lady of The Lake College
Associate of Science - Liberal Arts And Sciences
Our Lady of The Lake College