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Courtney Shew
Cleveland,TX
Summary
Experienced Insurance Verification, Referral Coordination, and Prior Authorization Specialist with 6+ years of experience supporting fast-paced healthcare operations. Strong background in insurance eligibility verification, authorizations, referrals, EHR systems, and resolving complex coverage issues with accuracy and efficiency. Known for being dependable, detail-oriented, and able to manage high-volume workloads while maintaining professionalism and strong communication with providers, patients, and insurance carriers.
Work History
Insurance Verification Specialist
Modern Heart and Vascular Institute
Humble, TX
10.2025 - Current
- Verify patient insurance eligibility, benefits, and coverage requirements for scheduled procedures and services
- Conduct detailed Verification of Benefits (VOB) using CPT and diagnosis codes to confirm coverage and authorization requirements.
- Identify and resolve insurance discrepancies to prevent claim denials and delays in care.
- Updated patient records with accurate, current insurance policy information.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
Lead Insurance Verification Specialist and Referral Coordinator
Wellspire Medical Group
Kingwood, TX
05.2022 - 09.2025
- Trained and mentored new employees on insurance verification processes, office procedures, and patient service standards
- Communicated with insurance carriers, provider offices, and patients regarding eligibility, coverage details, and authorization status
- Maintained accurate patient records, insurance information, and documentation within EMR/EHR systems
- Managed high-volume patient interactions while maintaining professionalism, accuracy, and strong customer service
- Resolved insurance discrepancies and patient account issues to support efficient workflow and minimize claim denials.
Admitting Clerk
Emergency Hospital Systems LLC
Cleveland, TX
08.2020 - 03.2022
- Managed patient admissions by verifying insurance details and collecting necessary documentation.
- Monitored patient flow and prioritized urgent cases to optimize operational efficiency.
- Verified patient details and insurance coverage and collected co-pays.
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Arranged forms and charts for each patient.
Bank Teller
Amegy Bank
Porter, TX
02.2014 - 06.2020
- Processed daily cash transactions accurately, balancing cash drawer with zero discrepancies.
- Provided exceptional customer service, resolving account inquiries and issues efficiently.
- Promoted cross-selling of bank products, contributing to branch sales goals.
- Ensured compliance with banking regulations and maintained confidentiality of sensitive client information.
Education
General Studies -
High School Diploma -
05.2006
Skills
Skilled in EHR SYSTEMS
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Prior authorization processing
- Medical terminology
- Referral coordination
Attention to detail
Medical terminology
Patient referrals
HIPAA compliance
Coverage and authorizations
Referral coordination
Insurance benefits verification
Problem-solving
CPT coding
Additional Information
Authorized to work in the US for any employer
Timeline
Insurance Verification Specialist - Modern Heart and Vascular Institute
10.2025 - Current
Lead Insurance Verification Specialist and Referral Coordinator - Wellspire Medical Group
05.2022 - 09.2025
Admitting Clerk - Emergency Hospital Systems LLC
08.2020 - 03.2022
Bank Teller - Amegy Bank
02.2014 - 06.2020
Sam Houston State University - General Studies,
Tarkington High School - High School Diploma,
Work Preference
Job Search Status
Open to workDesired start date: 2 weeks notice