STEPHANIE WILKINS
Logan
Summary
Experienced Claims processor with comprehensive background in processing medical claims. Proficient in accurately reviewing and adjudicating claims, ensuring compliance with policies and regulations. Demonstrated ability to resolve discrepancies and collaborate effectively with team members to achieve optimal results.
Overview
24
24
years of professional experience
Work History
Medical Claims Processor
WPS Health Solutions
01.2022 - Current
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Researched and resolved complex medical claims issues to support timely processing.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, procedures and HIPAA regulations.
- Trained in various claim queues, including Durable Medical Equipment, Secondary Health Care Plans, Grade 5, Institutional, and DEERS.
- Contributed as a member of the Peer Mentor Program offering training, constructive feedback, and supporting colleagues when needed.
Veterans Administration Clerk
WPS Health Solutions
03.2020 - 07.2021
- Provided quality clerical support through data entry, document management, and email correspondence
- Assisted in managing VA Issues, fax blasts, and sending out duplicate PRA/EOB via fax
- Manually entered claims that contained errors and would not process automatically
- Assisted in gathering information for subpoenas and any project needed by supervisor.
Loyalty Program Associate
Hyatt Hotels
05.2019 - 03.2020
- Assisted guests in making reservations for their upcoming stay, Acknowledged customer issues and resolved their problems quickly and efficiently.
- Answered customer queries related to a specific hotel, ongoing promotions, or their loyalty account.
- Directed inbound calls to appropriate departments or management as needed.
- Provided technical support for customers who required assistance gaining entry into their loyalty account online and/or phone app.
- Served as a liaison between guest and hotel, getting all of the guests needs and requests met.
Classified Advertising Manager
SI Trader
04.2001 - 09.2018
- Assisted clients in understanding their available options and helped them select the right service for their needs.
- Acknowledged customer issues and resolved their problems quickly and efficiently.
- Emphasized the specific product features that would stand out to customers, showing them product limitations and capabilities.
- Hire, train, evaluate and supervise personnel in sales and customer service
- Improved customer satisfaction by providing exceptional service and addressing client concerns promptly.
Education
High School Diploma -
Frankfort Community High School
West Frankfort, ILSkills
- Precise Data Input
- Creative Problem Resolution
- Detail-Oriented
- Flexible in Dynamic Environments
- Effective Time Management
- Timely and Dependable
- Skilled in Multitasking
Timeline
Medical Claims Processor
WPS Health Solutions
01.2022 - Current
Veterans Administration Clerk
WPS Health Solutions
03.2020 - 07.2021
Loyalty Program Associate
Hyatt Hotels
05.2019 - 03.2020
Classified Advertising Manager
SI Trader
04.2001 - 09.2018
High School Diploma -
Frankfort Community High School
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