Cortnee N.

Healthcare Operations & Payer Contracting Specialist · 10+ yrs

USUnited States
English
15 years experience
10:52 AM local time

About Cortnee

Healthcare operations professional with 10+ years of experience across telehealth patient coordination, prior authorization, case management, and payor operations. As Lead Patient Coordinator at MedEscape, I managed a 50+ patient pipeline from first inquiry through virtual provider consults, treatment, medication coordination, and follow-up. I built the SOPs, escalation rules, and response standards from scratch. At Health Net Federal Services, I processed 200+ referrals and prior authorizations each month, working between patients, providers, and clinical teams under HIPAA and TRICARE requirements. I'm strongest at bringing order to patient operations, fixing broken workflows, and making sure patients feel taken care of while the business scales. I hold a Master's in Public Health and currently support sales operations at UnitedHealthcare.

Skills

Payer ContractingCredentialingMedicareMedicaidHIPAATRICAREConcurSmartSimplePrior AuthorizationClaims ProcessingClient OnboardingProject ManagementWorkflow OptimizationData AnalysisEHR SystemsInsurance ReimbursementRegulatory Compliance

Tools & software

SalesforceHubSpotExcel

$45

/hour

Full-time