Courtney McGill

Out of Network Financial Clearance Specialist II
Kansas City, Missouri, United States

Professional Overview

Courtney McGill is an experienced healthcare professional with a strong background in patient financial services. As an Out of Network Financial Clearance Specialist II at Children's Mercy Hospital, she plays a crucial role in ensuring timely and accurate processing of complex out-of-network claims, delivering exceptional patient financial services.

Experience Summary

Current Role

Courtney has been an Out of Network Financial Clearance Specialist II at Children's Mercy Hospital since 2015. In this role, she is responsible for managing the financial aspects of out-of-network patient cases, including negotiating with insurance providers, obtaining pre-authorizations, and facilitating timely claim resolution. Courtney's expertise in navigating complex insurance policies and her ability to effectively communicate with both patients and payers have made her an invaluable asset to the organization.

Career Progression

Prior to her current role, Courtney held positions as a Patient Access Representative at Midwest Medical Specialists and a Patient Account Technician at Avadyne Health. These experiences have provided her with a well-rounded understanding of the healthcare industry and have contributed to her proficiency in managing patient financial matters.

Academic Background

Courtney holds a Bachelor's degree, though the specific field of study is not provided in the given information.

Areas of Expertise

Courtney's key areas of expertise include:

• Out-of-network claim processing and negotiations

• Insurance policy interpretation and patient advocacy

• Effective communication with patients and payers

• Problem-solving and critical thinking skills

• Attention to detail and data accuracy

Professional Impact

Through her dedicated efforts, Courtney has consistently delivered positive outcomes for patients and the organization. Her ability to navigate complex insurance policies and effectively negotiate with payers has resulted in timely claim resolution and improved patient satisfaction. Courtney's contributions have directly impacted the financial stability of the hospital and have played a crucial role in maintaining positive relationships with out-of-network providers.

Conclusion

With her extensive experience in patient financial services and a proven track record of success, Courtney McGill is a valuable asset to Children's Mercy Hospital. Her dedication to providing exceptional patient care and her expertise in managing out-of-network claims make her a respected and sought-after professional in the healthcare industry.