Courtney Johnson
Sanford
Summary
Results-driven Medical Billing Specialist skilled in managing complex claims and customer inquiries. Utilizes technology for accurate billing and compliance, while resolving discrepancies efficiently. Committed to fostering relationships that elevate customer satisfaction and operational success.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Customer Service Representative
ACI
Collegeville
04.2025 - Current
- Identified customer needs to provide tailored solutions promptly.
- Assisted customers with inquiries and resolved issues to enhance satisfaction.
- Advised members on medical claims processing to ensure clarity and understanding.
- Provided accurate insurance benefit quotations to clients
- Conducted claim form intakes for accidental medical cases
- Gathered documents for members' short term disability claims
Medical Billing Specialist
Sedgwick
06.2024 - 03.2025
- Managed medical billing accounts, ensuring accurate claim processing
- Maintained accurate payment records from insurance companies, patients, and other sources to ensure proper account reconciliation.
- Researched denied or rejected claims for accuracy and resolved discrepancies to facilitate timely reimbursements.
- Managed third-party billing and collections to optimize cash flow and reduce outstanding balances.
- Processed refunds due to overpayments or incorrect charges promptly and efficiently.
- Utilized Provider Service Interface software for billing and account management
Leave of Absence (LOA) Specialist
Sedgwick
04.2023 - 06.2024
- Managed FMLA and other state leave claims
- Created and processed leave claims while ensuring compliance with regulations
- Handled employee time adjustments and communicated via email to ensure accurate leave management
- Managed employee accounts, supported inquiries, and resolved issues to enhance leave process experience
- Guided employees through leave processes via phone communication to facilitate understanding and compliance
- Utilized CareWorks software for leave and time management.
Customer Service Representative
TurningPoint Health Solutions
08.2020 - 12.2021
- Developed strong customer relationships and loyalty through effective communication.
- Managed telephone inquiries and resolved complaints per standard operating procedures to enhance customer satisfaction
- Processed surgery authorizations to facilitate timely patient care
- Ensured compliance with HIPAA regulations
Administrative Assistant
Florida Blue (Blue Cross and Blue Shield of Florida)
06.2018 - 04.2020
- Managed calendars and schedules to organize appointments for the management team.
- Maintained files and filing, keeping sensitive information confidential.
- Coordinated preparation of presentations using Microsoft Office Suite, contributing to effective communication of key information.
- Managed phone inquiries, directing requests to appropriate personnel and ensuring timely responses to customer needs.
- Delivered customer service and support for insurance applications, enhancing client satisfaction.
- Conducted training sessions for new agents to ensure they understood company policies and procedures.
Customer Service Representative
24-7 Intouch
09.2017 - 06.2018
- Addressed customer complaints and inquiries professionally, ensuring satisfaction.
- Resolved issues for Lyft drivers and passengers, enhancing user experience.
- Utilized knowledge of company products to offer tailored suggestions and recommendations.
- Met daily customer service quotas with a focus on quality.
- Assisted with training and mentoring new team members.
Administrative Assistant
C&M Medical
05.2015 - 08.2017
- Managed client data in Excel spreadsheets to ensure accuracy and accessibility for team use.
- Provided customer service and medical equipment assistance to enhance client satisfaction and support their needs.
- Prepared tailored quotes for customers based on individual needs and budget constraints to facilitate informed purchasing decisions.
- Operated, adjusted and maintained medical equipment according to manufacturer instructions and safety protocols.
- Ensured compliance with government regulations concerning storage requirements for sensitive medical supplies.
Education
Some College - Paralegal Studies
Seminole State College of Florida
Sanford, FL12-2026
High School Diploma -
Winter Springs High School
Winter Springs, FL05-2015
Skills
- Customer service
- Billing support
- Insurance verification
- Insurance understanding
- Regulatory knowledge
- CRM software
- Microsoft Office Suite
- Data entry
- Document management
- Conflict resolution
Certification
- PowerPoint
- Excel
- Microsoft Word
Timeline
Customer Service Representative
ACI
04.2025 - Current
Medical Billing Specialist
Sedgwick
06.2024 - 03.2025
Leave of Absence (LOA) Specialist
Sedgwick
04.2023 - 06.2024
Customer Service Representative
TurningPoint Health Solutions
08.2020 - 12.2021
Administrative Assistant
Florida Blue (Blue Cross and Blue Shield of Florida)
06.2018 - 04.2020
Customer Service Representative
24-7 Intouch
09.2017 - 06.2018
Administrative Assistant
C&M Medical
05.2015 - 08.2017
Some College - Paralegal Studies
Seminole State College of Florida
High School Diploma -
Winter Springs High School