Courtney Smith
Lewisville,TX
Summary
Motivated professional offering proficiency in data entry combined with strong mathematical and analytical thinking skills. Personable team player with exceptional customer service abilities. Fast learner and committed to continuous, self-directed learning.
Overview
11
11
years of professional experience
Work History
Excess Loss Specialist
WellPoint, Anthem Blue Cross
Remote, TX
11.2025 - Current
- Managing complex, high-dollar amount claims.
- Reviewing detailed medical documentation and EOBs to determine if claims meet the threshold for stop-loss coverage.
- Tracking payments and confirming reimbursements are accurate.
- Working closely with Auditors, Brokers and Internal Departments to resolve coverage issues and overpayments.
Stop Loss Data Specialist
Imagine360
Remote
04.2024 - 11.2025
- Reviewing and understanding stop loss contracts and plan documents.
- Preparing, updating and submitting stop loss filing packages that include initial, subsequent and year-end filings.
- Tracking claim activity and following up with Stop loss carriers, TPAs and Brokers to ensure reimbursements are received accurately and timely.
- Researching and reconciling differences between requested reimbursement amounts and amounts returned by Stop Loss carriers.
Medicaid Audit Analyst
Gainwell Technologies
Remote
06.2023 - 11.2023
- Executed established auditing processes to ensure compliance with internal and regulatory requirements.
- Conducted observations and assessed supporting documents to enhance audit findings.
- Communicated with clients to obtain necessary information for audits.
- Interpreted data and findings to compile comprehensive reports on financial information.
Client Onboarding Analyst
AmerisourceBergen Specialty Group Inc
Remote
12.2018 - 06.2022
- Developed and maintained strategic business relationships with Account Managers to promote products, services and profitable business relationships.
- Developed customer support strategies that strengthened customer retention.
- Generated reports and communicated insights to stakeholders, enhancing understanding of customer success.
- Collaborated with cross-functional teams to identify process improvement opportunities, driving increased efficiency.
Patient Care Coordinator
AmerisourceBergen Specialty Group Inc
11.2017 - 01.2020
- Maintained a clear understanding of insurance plans and communicated insurance information to patients.
- Collected and documented charges, co-pays, and payments into EMR, ensuring accurate financial records.
- Verified and entered patient demographics into EMR ensuring all fields were completed.
- Verified and entered patient demographics into EMR, ensuring completeness for streamlined patient processing.
Client Service Representative
AmerisourceBergen Specialty Group Inc
10.2015 - 11.2017
- Collaborated with wholesalers and specialty distributors to enhance customer satisfaction
- Evaluate customer information to explore issues, develop potential solutions and maintain high-quality service
- Responsible for providing customers with accurate answers to questions and complaints regarding products and services.
- Assessed customer information to identify issues, develop solutions, and ensure high-quality service
Education
Bachelors Of Science - Health Administration
University of Phoenix
Dallas, TX05-2011
Skills
- Proficient in MS Excel
- Analytical thinking
- Team collaboration and leadership
- Data research and validation
- Project management
Skills
- Ability to interpret large data sets
- Ability to effectively participate in cross functional problem solving
- Ability to work in a highly structured environment
- Strong written communication
- Coordinating between internal teams and clients
Timeline
Excess Loss Specialist
WellPoint, Anthem Blue Cross
11.2025 - Current
Stop Loss Data Specialist
Imagine360
04.2024 - 11.2025
Medicaid Audit Analyst
Gainwell Technologies
06.2023 - 11.2023
Client Onboarding Analyst
AmerisourceBergen Specialty Group Inc
12.2018 - 06.2022
Patient Care Coordinator
AmerisourceBergen Specialty Group Inc
11.2017 - 01.2020
Client Service Representative
AmerisourceBergen Specialty Group Inc
10.2015 - 11.2017
Bachelors Of Science - Health Administration
University of Phoenix