Courtney Mueller
Conroe,United States
Summary
Talented Manager with expert team leadership, planning and organizational skills built during successful career. Smoothly equip employees to independently handle daily functions and meet customer needs. Diligent trainer and mentor with exceptional management abilities and results-driven approach to handle daily functions and meet customer needs independently.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Denial Advocate
Kemberton Healthcare
09.2022 - Current
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Examined medical treatment records and medical bills to gauge overall extent of liability.
- Documented medical claim actions by completing forms, reports, logs and records.
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Identified root cause of denials to provide plans for denial resolution.
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Coordinated with contracting department to resolve payer issues.
- Maintained consistent resolution of denied claims.
- Maintained quality score of 98%
Care Coordinator
Geriatric Care Advocate, Geriatric Prevalence
06.2019 - Current
- Spearheaded and implemented new projects to expand scope of engagement
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction
- Built strong relationships with clients to deliver emotional support and companionship
- Supported patient care excellence via planning and interpretation of programs
- Used company software and databases to maintain records of services performed and patient conditions. Athena and Epic MRN systems
- Completed resident assessments in accordance with current regulations and guidelines
- Updated policies and procedures, leading continuous improvement of resident assessments and care
- Determined need for special assessment activities for complex cases, effectively handling care plans
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care
- Recruited, hired and trained all staff, providing direct supervision to 25 employees, ongoing staff development and continuing education to employees
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care
- Used company software and databases to maintain records of services performed and patient conditions
Certified Phlebotomy Technician
Baptist Hospitals Of Southeast Texas
09.2021 - 09.2022
- Collected 50 patient blood samples daily using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Spoke with patient to gather information for lab records, reduce fear or anxiety and optimize cooperation.
- Validated blood and specimen collection orders, alerting nurses or physicians of discrepancies between order and nursing station logs.
- Followed physician orders to correctly administer therapeutic phlebotomy.
- Completed proper sanitation and cleaning of equipment and work areas between patients.
- Used personal protective equipment correctly to protect coworkers and patients.
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Reviewed patient records for accuracy and completeness.
Paramedic/Claims Supervisor
The Woodlands Open
06.2019 - 06.2021
- Assessed patient condition through physical and verbal exams and by collecting information from others.
- Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care.
- Performed insertion of IV lines and monitored patients receiving CT and MRI scans with contrast.
- Took blood samples to test kidney function in elderly or nephrology compromised patients to ensure safety
- Responded to any allergic reactions from CT or MRI contrast promptly with correct diagnostics and ease
- Patient population varied from age five and beyond
- Requested prior authorization through insurance for patients to get MRI and CT scans
- 98% approval rate for all scans due to extensive knowledge of ICD-10 coding, medical terminology, and pathology
Paramedic
Air Angels
07.2004 - 07.2008
- Delivered advanced cardiac life support (ACLS), basic life support (BLS), and pediatric advanced life support (PALS) under pressure
- Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care
- Adapted treatment plans quickly and effectively based on changing patient conditions and reactions
- Maintained patient care, treatment and medication documentation for accurate, up-to-date clinical records
- Delegated life-saving tasks to provide comprehensive treatment to triaged patients in emergency situations
- Administered continuous 12-lead electrocardiogram monitoring to record heart rhythms in patients with acute coronary syndrome
- Assessed patient condition through physical and verbal exams and by collecting information from others at scene
- Administered fluid replacement via IV, IO, and IM to replace fluid volumes and correct electrolyte imbalances
- Transferred patients safely and securely to medical facilities for continued care
- Performed intubations to secure airway in patients under respiratory and cardiac arrest
- Communicated with treatment center personnel and dispatchers to provide information about situation, arrange reception of victims and receive instructions for further treatment
- Attended training classes to maintain certification licensure, keep abreast of new developments in field and maintain existing knowledge
Education
Bachelor of Science - Psychology
Sam Houston State University
Huntsville, TX08.2023
Associate of Arts - Health Administration
Northwestern College
Chicago01.2011
No Degree - Emergency Medical Technology-Paramedic
Waubonsee Community College
Sugar Grove, IL05.2004
Skills
- Staff Management
- Client Support
- Emerging Coverage
- Community Referrals
- Quality Management
- Electronic Charting
- Discharge Planning
- Individualized Care Plans
Certification
- PT - Phlebotomy Technician
- Paramedic
Timeline
Denial Advocate
Kemberton Healthcare
09.2022 - Current
Certified Phlebotomy Technician
Baptist Hospitals Of Southeast Texas
09.2021 - 09.2022
Care Coordinator
Geriatric Care Advocate, Geriatric Prevalence
06.2019 - Current
Paramedic/Claims Supervisor
The Woodlands Open
06.2019 - 06.2021
Paramedic
Air Angels
07.2004 - 07.2008
Bachelor of Science - Psychology
Sam Houston State University
Associate of Arts - Health Administration
Northwestern College
No Degree - Emergency Medical Technology-Paramedic
Waubonsee Community College
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