Courtney Williams
Chicago,IL
Summary
Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
7
7
years of professional experience
Work History
Pre-Authorization Specialist
Anthem Blue Cross
06.2022 - Current
- Handle Authorization submissions and follow ups for all Insurance Payors including Medicare, Medicaid’s, HMO and PPO’s
- Performs initial benefit verification and pre-surgical authorization for new pre-surgical cases by working closely with all payers
- Documents case status, actions, and outcome in the Pre-Authorization Support contact management database
- Updates patient insurance and demographics information as needed
- Easily manages multiple authorization requests at once
- Follows-up on post-claim denials
Insurance Verification Specialist
Ria Health
01.2022 - 07.2023
- Verify insurance information for new patients and referrals
- Update insurance information and charts in Ria’s EMR
- Call to obtain eligibility and benefit estimates for recommended services and procedures
- Document financial responsibilities in the system
- Answer questions related to billing and insurance
- Point of contact for the Enrollment Center Team regarding insurance eligibility
- Help with Enrollment Team with prospect calls when the volume spikes and help is needed
Patient Office Coordinator
Rush Physical Therapy
10.2021 - 02.2022
- Interacted with customers by phone, email, or in-person to provide information.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Maintained office supplies inventory by checking stock and ordering new supplies.
- Worked collaboratively with office staff to maintain smooth operations and team readiness for unexpected demands.
- Coordinated with patients and ordering physicians regarding referrals
- Completed authorizations for Occupational,Speech and Physical Therapy
Intake Specialist
Workcare
11.2016 - 01.2022
- Answered phone calls and provided employees with required paperwork to initiate service.
- Completed intake assessment forms and filed employee's charts.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- Assessed employee's needs and determined eligibility for intake services.
Patient Service Representative
Advocate Medical Group
02.2016 - 11.2021
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
- Entered patient demographic and insurance data into electronic medical record system.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Contacted insurance carriers to obtain authorizations for various healthcare services
- Maintained patient's charts for referrals,prior authorizations, and insurance information in Epic /Allscripts
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Answered incoming calls, scheduled appointments and filed medical records.
Education
GED -
Illinois College Board
Chicago, IL12.2013
Skills
Medical Terminology Experience
Knowledge of Epic/Allscripts
Detail Oriented
Proficiency in Microsoft Suite of Products
Problem solving etiquette
Timeline
Pre-Authorization Specialist
Anthem Blue Cross
06.2022 - Current
Insurance Verification Specialist
Ria Health
01.2022 - 07.2023
Patient Office Coordinator
Rush Physical Therapy
10.2021 - 02.2022
Intake Specialist
Workcare
11.2016 - 01.2022
Patient Service Representative
Advocate Medical Group
02.2016 - 11.2021
GED -
Illinois College Board
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