Courtney Dorsey
Houston,TX
Summary
Driven and compassionate healthcare insurance professional with over 10 years of hands-on experience in fast-paced environments. Accountable and responsible with a strong focus on patient wellness. Seeking to leverage expertise in the healthcare field to optimize healthcare operations at a reputable organization.
Overview
11
11
years of professional experience
Work History
Referral Coordinator/ Utilization Management
2nd.MD
Houston, TX
04.2019 - Current
- Oversee referral operations for specific insurance providers, ensuring seamless coordination and timely processing
- Regulate systems and procedures for the distribution and use of health information organization-wide
- Manage inbound and outbound calls efficiently to deliver exceptional service to potential members
- Identify the member's needs and provide tailored solutions to enhance their experience
- Collaborate with the medical team to ensure comprehensive member care
- Train and mentor new team members within the referral coordination department
Utilization Management/ Provider Relations
Community Health Choice
Houston, TX
04.2014 - 04.2019
- Provided excellent customer service to members and providers, addressing inquiries and concerns regarding pre authorizations and claim status
- Demonstrated proficiency in handling various member-related transactions with accuracy and professionalism
- Effectively handled provider inquiries and documented transactions, ensuring prompt resolution
- Identified trends and reported issues for resolution to the appropriate manager
- Submitted insurance claims electronically, including accurate coding and necessary documentation to facilitate reimbursement from insurance companies or government healthcare programs
- Assisted in the authorization process for CHC providers, ensuring accurate data entry and support for requested services
- Screened documents and calls to provide essential information to clinical staff and medical directors
- Provided training and education from healthcare staff on coding and billing practices, documentation requirements, and compliance standards to promote accurate coding and billing procedures
Education
CNA -
South Suburban College
Houston, TX02.2025
Skills
- Medical terminology knowledge
- Data entry proficiency
- HIPAA regulations
- Notetaking and documentation
- Healthcare systems
- Proficient in Microsoft and excel
- Referral tracking
- Utilization management
- Patient care assessment
- Training and mentoring
- Attention to detail
- Time management
Timeline
Referral Coordinator/ Utilization Management
2nd.MD
04.2019 - Current
Utilization Management/ Provider Relations
Community Health Choice
04.2014 - 04.2019
CNA -
South Suburban College