Whittney Carter
Phenix City
Summary
Over 15 years of experience in medical office operations and revenue cycle management, specializing in billing compliance and insurance processing. Proven track record in staff supervision and cross-functional collaboration, ensuring operational efficiency and regulatory compliance. Recognized for maintaining high levels of patient and provider satisfaction while managing complex healthcare systems. Expertise in provider enrollment with a focus on productivity, communication, and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Provider Enrollment Specialist
Intermountain Health Systems
06.2021 - Current
- Completed and monitored initial enrollments and re-enrollments for government and commercial payers.
- Acted as liaison among providers, medical staff, directors, and administration.
- Coordinated enrollment progress tracking to ensure compliance with deadlines.
- Identified and resolved enrollment-related billing issues impacting revenue and satisfaction.
- Maintained accurate provider demographic information and roster records.
Practice Manager
St. Francis Physician Services
Columbus
11.2023 - 10.2025
- Oversee daily operations of multi-specialty clinics including Primary Care GME, Internal Medicine, Surgical Care, ENT, Cardiovascular and Thoracic, Digestive Disorders, Urology, Neurology, and Electrophysiology.
- Supervise, train, and evaluate administrative and clinical staff, including physicians and residents.
- Serve as a primary HIPAA coordinator ensuring compliance across departments.
- Manage patient and insurance aging reports; oversee supply procurement and inventory control.
- Maintain provider licensure, CLIA certifications, and ensure regulatory documentation is up to date.
- Act as a liaison with insurance carriers, legal teams, HR, finance, and external partners.
Practice Manager
UrgenCare
LaGrange
07.2021 - 11.2023
- Directed clinical and administrative functions of urgent care and occupational medicine services.
- Ensured adherence to clinical protocols, safety regulations, and compliance standards.
- Led hiring, onboarding, and performance management of medical office personnel.
- Oversaw credentialing and re-credentialing processes, managed provider licensing renewals.
- Managed billing department operations and insurance contract reviews and signoffs.
Trauma Billing Manager
Hughston Clinic
Columbus
06.2016 - 07.2021
- Implemented and improved billing and collections protocols to increase reimbursement accuracy.
- Ensured quality control and compliance in all billing activities across the trauma billing department.
- Trained and supported providers and billing staff on documentation and reimbursement policies.
Reimbursement Analyst, Trauma Unit
Hughston Clinic
Columbus
08.2015 - 06.2021
- Analyzed denied claims, compiled documentation, and submitted appeals to payors.
- Partnered with providers to ensure complete and accurate billing support documentation.
- Ensured appeals were submitted timely and aligned with all payer guidelines and contracts.
Customer Service Representative
St. Francis Columbus Clinic
Columbus
01.2015 - 08.2015
- Delivered patient support services including billing inquiries and account resolutions.
- Handled provider-based billing and collaborated with insurance carriers for claim resolution.
- Served as a front-line liaison for insurance and patient questions.
Education
Bachelor of Science - Healthcare Administration
Purdue Global University
Online01-2029
High School Diploma -
Shaw High School
Columbus, GA05.2006
Skills
- Project management
- Healthcare compliance
- Team leadership
- Provider enrollment
- Billing administration
- Insurance coordination
Emr Systems
- Cerner
- Athena
- Epic
- Greenway
- Experity
Timeline
Practice Manager
St. Francis Physician Services
11.2023 - 10.2025
Practice Manager
UrgenCare
07.2021 - 11.2023
Provider Enrollment Specialist
Intermountain Health Systems
06.2021 - Current
Trauma Billing Manager
Hughston Clinic
06.2016 - 07.2021
Reimbursement Analyst, Trauma Unit
Hughston Clinic
08.2015 - 06.2021
Customer Service Representative
St. Francis Columbus Clinic
01.2015 - 08.2015
Bachelor of Science - Healthcare Administration
Purdue Global University
High School Diploma -
Shaw High School